Hospice

LUTHER MANOR HOSPICE

Address

4545 N 92nd St

Wauwatosa, WI 53225

Contact

(414) 847-3041

Certification Date

09/29/2008

Details

CMS Certification Number

521585

Ownership Type

Non-Profit

County/Parish

Milwaukee

CMS Region

5

Hospice Provider List

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) 93.3 04/01/2022-03/31/2023
Hospice and Palliative Care Pain Screening 98.7 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 88.0 04/01/2022-03/31/2023
Hospice and Palliative Care Dyspnea Treatment 96.2 04/01/2022-03/31/2023
Patient Treated with an Opioid Who Are Given a Bowel Regimen Not Available 04/01/2022-03/31/2023
Hospice and Palliative Care Composite Process Measure 78.7 04/01/2022-03/31/2023
Hospice Visits in the Last Days of Life 124 01/01/2021-12/31/2022
Hospice Visits in the Last Days of Life 87.1 01/01/2021-12/31/2022
Hospice Care Index Overall Score 9.0 01/01/2021-12/31/2022
CHC/GIP provided (% days) 15,998 01/01/2021-12/31/2022
CHC/GIP provided (% days) 0.1 01/01/2021-12/31/2022
CHC/GIP provided (% days) 64 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 106 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 60.4 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 56 01/01/2021-12/31/2022
Early live discharges (% live discharges) 26 01/01/2021-12/31/2022
Early live discharges (% live discharges) 7.7 01/01/2021-12/31/2022
Early live discharges (% live discharges) 62 01/01/2021-12/31/2022
Late live discharges (% live discharges) 26 01/01/2021-12/31/2022
Late live discharges (% live discharges) 65.4 01/01/2021-12/31/2022
Late live discharges (% live discharges) 94 01/01/2021-12/31/2022
Burdensome transitions, Type 1(% live discharges) 26 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 3.8 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 34 01/01/2021-12/31/2022
Burdensome transitions, Type 2(% live discharges) 26 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 $) 186 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 14,734 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 44 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 15,940 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 14.6 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 73 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 232,230 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 13.3 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 87 01/01/2021-12/31/2022
Visits near death (% decedents) 149 01/01/2021-12/31/2022
Visits near death (% decedents) 98.7 01/01/2021-12/31/2022
Visits near death (% decedents) 91 01/01/2021-12/31/2022
Average Daily Census 28.0 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 14 01/01/2020-12/31/2020
Percent of Patients with Dementia 20 01/01/2020-12/31/2020
Percent of Patients with Stroke Not Available 01/01/2020-12/31/2020
Percent of Patients with Circulatory/heart disease 12 01/01/2020-12/31/2020
Percent of Patients with Respiratory disease Not Available 01/01/2020-12/31/2020
Percent of Patients with Other Conditions 13 01/01/2020-12/31/2020
Care Provided in Home 11 01/01/2020-12/31/2020
Care Provided in Assisted Living Facility 10 01/01/2020-12/31/2020
Care Provided in Nursing Facility 78 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 0 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

CAHPS Survey Data List

Measure Name Score Star Rating Date
The hospice team did |not| provide the right amount of emotional and spiritual support 4 Not Applicable 04/01/2021-03/31/2023
The hospice team provided the right amount of emotional and spiritual support 96 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 4 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 9 or 10 93 Not Applicable 04/01/2021-03/31/2023
NO, they would probably not or definitely not recommend the hospice 8 Not Applicable 04/01/2021-03/31/2023
YES, they would probably recommend the hospice 17 Not Applicable 04/01/2021-03/31/2023
YES, they would definitely recommend the hospice 75 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never treated the patient with respect 0 Not Applicable 04/01/2021-03/31/2023
The hospice team usually treated the patient with respect 7 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 9 Not Applicable 04/01/2021-03/31/2023
The patient usually got the help they needed for pain and symptoms 16 Not Applicable 04/01/2021-03/31/2023
The patient always got the help they needed for pain and symptoms 75 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never communicated well 4 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 86 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never provided timely help 7 Not Applicable 04/01/2021-03/31/2023
The hospice team usually provided timely help 18 Not Applicable 04/01/2021-03/31/2023
The hospice team always provided timely help 75 Not Applicable 04/01/2021-03/31/2023
They did not receive the training they needed 7 Not Applicable 04/01/2021-03/31/2023
They somewhat received the training they needed 25 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 Not Available 04/01/2021-03/31/2023