Address
23379 Commerce Drive
Accomac, VA 23301
Contact
(757) 789-5000
Certification Date
09/30/2015
CMS Certification Number
491616
Ownership Type
Non-Profit
County/Parish
Accomack
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 | 99.7 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Assessment | 99.4 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Screening | 99.3 | 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 | 99.0 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 353 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 42.2 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 10.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 45,202 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 0.9 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 86 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 244 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 59.4 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 54 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 39 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 0.0 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 18 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 39 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 33.3 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 34 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 39 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 7.7 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 57 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 39 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 0.0 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 41 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 577 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 12,351 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 28 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 44,665 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 8.5 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 11 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 377,520 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 5.8 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 24 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 483 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 85.1 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 20 | 01/01/2021-12/31/2022 |
| Average Daily Census | 58.0 | 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 | 26 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 15 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 8 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 17 | 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 | 7 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 84 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 1 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 3 | 01/01/2020-12/31/2020 |
| Care Provided in Skilled Nursing Facility | 8 | 01/01/2020-12/31/2020 |
| Care Provided in Inpatient Hospital Facility | Not Available | 01/01/2020-12/31/2020 |
| Care Provided in Inpatient Hospice Facility | Not Available | 01/01/2020-12/31/2020 |
| Care Provided in All other locations | Not Available | 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 | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 90 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 6 or lower | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 11 | 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 | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 87 | 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 | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 93 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 6 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 14 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 80 | 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 | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 84 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 9 | 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 | 80 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 6 | 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 | 78 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | 4 | 04/01/2021-03/31/2023 |