Address
201 Kingwood Medical Drive, Suite B500
Kingwood, TX 77339
Contact
(281) 864-3438
Certification Date
06/29/2010
CMS Certification Number
671649
Ownership Type
For-Profit
County/Parish
Harris
CMS Region
6
| Measure Name | Score | Measure Date Range |
|---|---|---|
| Hospice and Palliative Care Treatment Preferences | 99.8 | 04/01/2022-03/31/2023 |
| Beliefs & Values Addressed (if desired by the patient) | 99.8 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Screening | 98.9 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Assessment | 99.6 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Screening | 99.8 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Treatment | 99.4 | 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 | 98.4 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 362 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 74.0 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 9.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 60,291 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 0.8 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 85 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 321 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 67.6 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 68 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 73 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 13.7 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 89 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 73 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 21.9 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 12 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 73 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 17.8 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 91 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 73 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 2.7 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 68 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 790 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 13,487 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 36 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 59,568 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 13.4 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 62 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 795,735 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 6.2 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 28 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 642 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 97.5 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 85 | 01/01/2021-12/31/2022 |
| Average Daily Census | 57.0 | 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 | 17 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 25 | 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 | 12 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 17 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 3 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 68 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 14 | 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 | 1 | 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 | 7 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team provided the right amount of emotional and spiritual support | 93 | 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 | 12 | 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 | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would probably recommend the hospice | 9 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 86 | 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 | 6 | 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 | 14 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient usually got the help they needed for pain and symptoms | 14 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 72 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never communicated well | 8 | 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 | 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 | 15 | 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 | 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 | 4 | 04/01/2021-03/31/2023 |