Address
333 West Cork St, Suite 405
Winchester, VA 22601
Contact
(540) 536-5210
Certification Date
02/19/1992
CMS Certification Number
491508
Ownership Type
Non-Profit
County/Parish
Winchester City
CMS Region
3
| Measure Name | Score | Measure Date Range |
|---|---|---|
| Hospice and Palliative Care Treatment Preferences | 100.0 | 04/01/2022-03/31/2023 |
| Beliefs & Values Addressed (if desired by the patient) | 100.0 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Screening | 100.0 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Assessment | 100.0 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Screening | 100.0 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Treatment | 100.0 | 04/01/2022-03/31/2023 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen | 100.0 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Composite Process Measure | 100.0 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 1,509 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 44.4 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 10.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 169,988 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 1.7 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 91 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 1,227 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 73.7 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 78 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 302 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 4.0 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 34 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 302 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 45.7 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 67 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 302 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 2.3 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 26 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 302 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 0.7 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 43 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 2,834 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 11,159 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 21 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 166,404 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 12.9 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 57 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 2,152,440 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 9.4 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 66 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 2,370 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 92.2 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 44 | 01/01/2021-12/31/2022 |
| Average Daily Census | 194.0 | 01/01/2020-12/31/2020 |
| Provided Routine Home Care and other levels of care | Yes | 01/01/2018-12/31/2020 |
| Provided Routine Home Care only | No | 01/01/2018-12/31/2020 |
| Percent of Patients with Cancer | 29 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 17 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 10 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 16 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 7 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 9 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 58 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 31 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 0 | 01/01/2020-12/31/2020 |
| Care Provided in Skilled Nursing Facility | 6 | 01/01/2020-12/31/2020 |
| Care Provided in Inpatient Hospital Facility | 0 | 01/01/2020-12/31/2020 |
| Care Provided in Inpatient Hospice Facility | 1 | 01/01/2020-12/31/2020 |
| Care Provided in All other locations | 4 | 01/01/2020-12/31/2020 |
| Hospice served at least 1 patient enrolled in Medicare Advantage during one year | Yes | 01/01/2020-12/31/2020 |
| Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year | Yes | 01/01/2020-12/31/2020 |
| Measure Name | Score | Star Rating | Date |
|---|---|---|---|
| The hospice team did |not| provide the right amount of emotional and spiritual support | 9 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 91 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 6 or lower | 3 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 84 | Not Applicable | 04/01/2021-03/31/2023 |
| NO, they would probably not or definitely not recommend the hospice | 3 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would probably recommend the hospice | 7 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 90 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never treated the patient with respect | 2 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually treated the patient with respect | 6 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 92 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 9 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 15 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 76 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never communicated well | 6 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually communicated well | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 82 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 11 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 79 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 9 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 16 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 75 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | 4 | 04/01/2021-03/31/2023 |