Address
287 Mclaws Circle - Suite 1
Williamsburg, VA 23185
Contact
(757) 634-0109
Certification Date
02/03/2016
CMS Certification Number
491619
Ownership Type
For-Profit
County/Parish
James 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 | Not Available | 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 | 97.9 | 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 | 99.3 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 207 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 71.5 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 8.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 34,814 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 0.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 49 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 180 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 45.0 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 33 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 42 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 7.1 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 57 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 42 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 11.9 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 5 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 42 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 16.7 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 90 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 42 | 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 $) | 319 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 17,098 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 59 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 34,794 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 11.7 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 43 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 406,380 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 4.9 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 15 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 238 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 96.6 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 78 | 01/01/2021-12/31/2022 |
| Average Daily Census | 36.0 | 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 | 11 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 44 | 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 | 11 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 0 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 14 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 33 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 47 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 18 | 01/01/2020-12/31/2020 |
| Care Provided in Skilled Nursing Facility | 0 | 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 | 0 | 01/01/2020-12/31/2020 |
| Care Provided in All other locations | 2 | 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 | 6 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 14 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 80 | Not Applicable | 04/01/2021-03/31/2023 |
| NO, they would probably not or definitely not recommend the hospice | 4 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would probably recommend the hospice | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 83 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never treated the patient with respect | 3 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually treated the patient with respect | 9 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 88 | 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 | 21 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 70 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never communicated well | 8 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually communicated well | 15 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 77 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 74 | 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 | 18 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 73 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | Not Available | 04/01/2021-03/31/2023 |