Address
100 Interstate 45 N, Suite 320
Conroe, TX 77301
Contact
(832) 300-0134
Certification Date
09/16/2010
CMS Certification Number
671660
Ownership Type
For-Profit
County/Parish
Montgomery
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) | 96.9 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Screening | 97.0 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Assessment | 98.6 | 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 | 99.3 | 04/01/2022-03/31/2023 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen | 99.1 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Composite Process Measure | 92.7 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 459 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 64.1 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 9.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 63,129 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 1.7 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 91 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 347 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 74.1 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 79 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 133 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 15.8 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 93 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 133 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 29.3 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 24 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 133 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 12.0 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 76 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 133 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 4.5 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 85 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 1,137 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 10,248 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 17 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 61,906 | 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) | 606,135 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 12.1 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 83 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 924 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 96.2 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 75 | 01/01/2021-12/31/2022 |
| Average Daily Census | 107.0 | 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 | 16 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 28 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 7 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 11 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 18 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 5 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 51 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 29 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 17 | 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 | 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 | 5 | 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 | 73 | 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 | 19 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would definitely recommend the hospice | 77 | 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 | 9 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 88 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 13 | 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 | 70 | 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 | 17 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 74 | 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 | 20 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 71 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 9 | 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 | 72 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | 3 | 04/01/2021-03/31/2023 |