Address
W2850 State Road 28
Sheboygan Falls, WI 53085
Contact
(920) 467-1800
Certification Date
05/11/2007
CMS Certification Number
521582
Ownership Type
Non-Profit
County/Parish
Sheboygan
CMS Region
5
| Measure Name | Score | Measure Date Range |
|---|---|---|
| Hospice and Palliative Care Treatment Preferences | 99.2 | 04/01/2022-03/31/2023 |
| Beliefs & Values Addressed (if desired by the patient) | 97.3 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Screening | 99.2 | 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 | 99.5 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Treatment | 99.7 | 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 | 96.6 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 761 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 82.3 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 10.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 110,111 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 1.9 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 92 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 653 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 30.2 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 16 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 109 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 3.7 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 32 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 109 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 50.5 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 78 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 109 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 1.8 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 24 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 109 | 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 $) | 1,586 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 12,883 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 31 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 107,671 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 21.9 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 97 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 2,361,720 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 10.2 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 72 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 1,320 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 99.8 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 94 | 01/01/2021-12/31/2022 |
| Average Daily Census | 116.0 | 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 | 24 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 14 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 9 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 28 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 2 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 9 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 32 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 44 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 18 | 01/01/2020-12/31/2020 |
| Care Provided in Skilled Nursing Facility | Not Available | 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 | 2 | 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 | 7 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 93 | 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 | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 88 | Not Applicable | 04/01/2021-03/31/2023 |
| NO, they would probably not or definitely not recommend the hospice | 2 | 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 | 91 | 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 | 6 | 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 | 8 | 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 | 78 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never communicated well | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually communicated well | 14 | 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 | 8 | 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 | 81 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 17 | 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 | 4 | 04/01/2021-03/31/2023 |