Hospice

LEGACY HOSPICE

Address

850 Elm Grove Rd Suite 21

Elm Grove, WI 53122

Contact

(262) 879-8014

Certification Date

09/21/2018

Details

CMS Certification Number

521602

Ownership Type

For-Profit

County/Parish

Waukesha

CMS Region

5

Hospice Provider List

Measure Name Score Measure Date Range
Late live discharges (% live discharges) 76 01/01/2021-12/31/2022
Late live discharges (% live discharges) 50.0 01/01/2021-12/31/2022
Late live discharges (% live discharges) 78 01/01/2021-12/31/2022
Burdensome transitions, Type 1(% live discharges) 76 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 22.4 01/01/2021-12/31/2022
Burdensome transitions, Type 1 (% live discharges) 97 01/01/2021-12/31/2022
Burdensome transitions, Type 2(% live discharges) 76 01/01/2021-12/31/2022
Burdensome transitions, Type 2 (% live discharges) 1.3 01/01/2021-12/31/2022
Burdensome transitions, Type 2 (% live discharges) 49 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 615 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 20,287 01/01/2021-12/31/2022
Per-beneficiary spending (U.S. dollars $) 74 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 75,581 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 17.1 01/01/2021-12/31/2022
Nurse care minutes per routine home care days (minutes) 88 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 1,289,925 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 8.2 01/01/2021-12/31/2022
Skilled nursing minutes on weekends (% minutes) 53 01/01/2021-12/31/2022
Visits near death (% decedents) 418 01/01/2021-12/31/2022
Visits near death (% decedents) 96.9 01/01/2021-12/31/2022
Visits near death (% decedents) 80 01/01/2021-12/31/2022
Average Daily Census 77.0 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 10 01/01/2020-12/31/2020
Percent of Patients with Dementia 34 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 16 01/01/2020-12/31/2020
Percent of Patients with Respiratory disease 5 01/01/2020-12/31/2020
Percent of Patients with Other Conditions 7 01/01/2020-12/31/2020
Care Provided in Home 3 01/01/2020-12/31/2020
Care Provided in Assisted Living Facility 63 01/01/2020-12/31/2020
Care Provided in Nursing Facility 0 01/01/2020-12/31/2020
Care Provided in Skilled Nursing Facility 32 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
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 99.6 04/01/2022-03/31/2023
Hospice and Palliative Care Pain Assessment 78.7 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 96.0 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 93.3 04/01/2022-03/31/2023
Hospice Visits in the Last Days of Life 379 01/01/2021-12/31/2022
Hospice Visits in the Last Days of Life 75.2 01/01/2021-12/31/2022
Hospice Care Index Overall Score 8.0 01/01/2021-12/31/2022
CHC/GIP provided (% days) 75,581 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) 384 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 37.8 01/01/2021-12/31/2022
Gaps in nursing visits (% elections) 24 01/01/2021-12/31/2022
Early live discharges (% live discharges) 76 01/01/2021-12/31/2022
Early live discharges (% live discharges) 2.6 01/01/2021-12/31/2022
Early live discharges (% live discharges) 25 01/01/2021-12/31/2022

CAHPS Survey Data List

Measure Name Score Star Rating Date
The hospice team did |not| provide the right amount of emotional and spiritual support 5 Not Applicable 04/01/2021-03/31/2023
The hospice team provided the right amount of emotional and spiritual support 95 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 6 or lower 4 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 7 or 8 15 Not Applicable 04/01/2021-03/31/2023
Caregivers rated the hospice agency a 9 or 10 81 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 1 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 92 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 22 Not Applicable 04/01/2021-03/31/2023
The patient always got the help they needed for pain and symptoms 69 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 14 Not Applicable 04/01/2021-03/31/2023
The hospice team always communicated well 80 Not Applicable 04/01/2021-03/31/2023
The hospice team sometimes or never provided timely help 12 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 75 Not Applicable 04/01/2021-03/31/2023
They did not receive the training they needed 16 Not Applicable 04/01/2021-03/31/2023
They somewhat received the training they needed 23 Not Applicable 04/01/2021-03/31/2023
They definitely received the training they needed 61 Not Applicable 04/01/2021-03/31/2023
Family caregiver survey rating Not Applicable 3 04/01/2021-03/31/2023