Address
19221 Ih-45 N, Ste 320
Shenandoah, TX 77385
Contact
(936) 856-6888
Certification Date
11/29/2005
CMS Certification Number
671512
Ownership Type
For-Profit
County/Parish
Montgomery
CMS Region
6
| Measure Name | Score | Measure Date Range |
|---|---|---|
| Hospice and Palliative Care Treatment Preferences | 96.8 | 04/01/2022-03/31/2023 |
| Beliefs & Values Addressed (if desired by the patient) | 97.8 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Screening | 98.0 | 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 | 97.5 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Treatment | 97.0 | 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 | 94.3 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 460 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 32.2 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 9.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 98,749 | 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) | 514 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 73.7 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 78 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 165 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 5.5 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 45 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 165 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 46.1 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 68 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 165 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 18.8 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 93 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 165 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 3.0 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 71 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 876 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 18,264 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 65 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 98,355 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 10.1 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 25 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 989,790 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 7.4 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 44 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 582 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 77.7 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 11 | 01/01/2021-12/31/2022 |
| Average Daily Census | 66.0 | 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 | 22 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 31 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 11 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 8 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 11 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 4 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 44 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 16 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 4 | 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 | 4 | 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 | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 88 | 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 | 22 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 74 | 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 | 20 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 76 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never treated the patient with respect | 2 | 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 | 91 | 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 | 17 | 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 | 9 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually communicated well | 11 | 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 | 10 | 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 | 72 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 11 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 14 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 75 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | 3 | 04/01/2021-03/31/2023 |