Address
147 W Rockwell St
Jefferson, WI 53549
Contact
(920) 674-6255
Certification Date
03/30/1995
CMS Certification Number
521555
Ownership Type
Non-Profit
County/Parish
Jefferson
CMS Region
5
| 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) | 99.8 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Screening | 98.5 | 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 | 99.6 | 04/01/2022-03/31/2023 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen | 98.5 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Composite Process Measure | 97.7 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 721 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 66.6 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 9.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 120,987 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 0.6 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 82 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 628 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 49.5 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 39 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 55 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 16.4 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 94 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 55 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 30.9 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 27 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 55 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 0.0 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 20 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 55 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 1.8 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 56 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 1,185 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 17,206 | 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) | 119,647 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 15.6 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 80 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 1,863,450 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 8.0 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 50 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 958 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 94.3 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 59 | 01/01/2021-12/31/2022 |
| Average Daily Census | 152.0 | 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 | 20 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 15 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 13 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 23 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 9 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 7 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 34 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 45 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 17 | 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 | 1 | 01/01/2020-12/31/2020 |
| Care Provided in All other locations | 3 | 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 | 6 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 94 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 6 or lower | 2 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 16 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 82 | 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 | 1 | 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 | 90 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 19 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 71 | 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 | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 81 | 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 | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 78 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 20 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 68 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | 3 | 04/01/2021-03/31/2023 |