Address
5517 W Waterford Lane Suite C
Appleton, WI 54913
Contact
(920) 212-8533
Certification Date
11/25/2020
CMS Certification Number
521606
Ownership Type
For-Profit
County/Parish
Outagamie
CMS Region
5
| Measure Name | Score | Measure Date Range |
|---|---|---|
| Hospice and Palliative Care Treatment Preferences | 99.7 | 04/01/2022-03/31/2023 |
| Beliefs & Values Addressed (if desired by the patient) | 99.5 | 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 | 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 | 99.2 | 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 | 98.7 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 355 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 84.2 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 9.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 60,112 | 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) | 359 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 26.5 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 13 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 57 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 10.5 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 78 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 57 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 26.3 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 18 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 57 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 10.5 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 70 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 57 | 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 $) | 604 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 16,505 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 55 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 60,097 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 18.7 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 92 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 1,122,360 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 7.7 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 48 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 404 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 96.5 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 77 | 01/01/2021-12/31/2022 |
| Average Daily Census | Not Available | 01/01/2020-12/31/2020 |
| Provided Routine Home Care and other levels of care | Not Available | 01/01/2018-12/31/2020 |
| Provided Routine Home Care only | Not Available | 01/01/2018-12/31/2020 |
| Percent of Patients with Cancer | Not Available | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | Not Available | 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 | Not Available | 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 | Not Available | 01/01/2020-12/31/2020 |
| Care Provided in Home | Not Available | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | Not Available | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | Not Available | 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 | Not Available | 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 | Not Available | 01/01/2020-12/31/2020 |
| Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year | Not Available | 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 | 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 | 1 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 11 | 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 | 1 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would probably recommend the hospice | 8 | 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 | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 94 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 6 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 17 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 77 | 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 | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 82 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 9 | 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 | 78 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 19 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 19 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 62 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | Not Available | 04/01/2021-03/31/2023 |