Address
1820 Shiloh Road, Suite 1105
Tyler, TX 75703
Contact
(903) 787-5897
Certification Date
03/14/2008
CMS Certification Number
671592
Ownership Type
For-Profit
County/Parish
Smith
CMS Region
6
| 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) | 100.0 | 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 | 100.0 | 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 | 100.0 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 264 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 79.5 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 10.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 45,416 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 0.2 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 71 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 249 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 74.7 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 79 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 85 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 8.2 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 64 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 85 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 40.0 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 52 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 85 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 12.9 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 80 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 85 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 1.2 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 48 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 453 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 15,850 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 51 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 45,274 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 8.9 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 14 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 404,025 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 8.9 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 60 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 330 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 96.1 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 73 | 01/01/2021-12/31/2022 |
| Average Daily Census | 108.0 | 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 | 25 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 6 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 26 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 9 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 6 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 46 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 9 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 5 | 01/01/2020-12/31/2020 |
| Care Provided in Skilled Nursing Facility | 38 | 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 |
| Measure Name | Score | Star Rating | Date |
|---|---|---|---|
| The hospice team did |not| provide the right amount of emotional and spiritual support | 15 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 85 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 6 or lower | 14 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 21 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 65 | Not Applicable | 04/01/2021-03/31/2023 |
| NO, they would probably not or definitely not recommend the hospice | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would probably recommend the hospice | 19 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 68 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never treated the patient with respect | 7 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually treated the patient with respect | 9 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 84 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 19 | 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 | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually communicated well | 17 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 70 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 15 | 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 | 67 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 14 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 18 | 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 |