Address
2685 S Loop 336 W, Suite A-1
Conroe, TX 77304
Contact
(281) 592-2830
Certification Date
11/19/2009
CMS Certification Number
671647
Ownership Type
For-Profit
County/Parish
Montgomery
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 | 99.3 | 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 | 99.5 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 448 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 73.0 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 10.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 94,021 | 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) | 486 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 63.0 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 60 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 166 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 9.0 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 69 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 166 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 33.7 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 35 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 166 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 13.3 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 81 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 166 | 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 $) | 824 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 18,674 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 67 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 93,320 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 9.8 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 22 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 918,900 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 8.3 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 54 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 569 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 91.9 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 42 | 01/01/2021-12/31/2022 |
| Average Daily Census | 84.0 | 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 | 27 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 5 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 22 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 12 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 0 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 79 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 4 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 14 | 01/01/2020-12/31/2020 |
| Care Provided in Skilled Nursing Facility | 0 | 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 | 3 | 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 | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 87 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 6 or lower | 6 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 84 | 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 | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 84 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never treated the patient with respect | 3 | 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 | 92 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 11 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 79 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never communicated well | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually communicated well | 9 | 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 | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 82 | 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 | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 80 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | 4 | 04/01/2021-03/31/2023 |