Address
11420 Dairy Ashford Rd Suite #108
Sugar Land, TX 77478
Contact
(832) 532-7538
Certification Date
05/10/2013
CMS Certification Number
671763
Ownership Type
For-Profit
County/Parish
Fort Bend
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) | 98.8 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Pain Screening | 98.8 | 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 | 98.0 | 04/01/2022-03/31/2023 |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen | Not Available | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Composite Process Measure | 96.3 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 168 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 42.3 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 8.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 36,912 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 0.4 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 78 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 185 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 81.6 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 88 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 72 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 4.2 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 35 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 72 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 47.2 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 70 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 72 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 19.4 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 94 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 72 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 5.6 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 90 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 332 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 19,205 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 70 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 36,678 | 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) | 358,785 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 6.3 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 30 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 245 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 89.8 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 33 | 01/01/2021-12/31/2022 |
| Average Daily Census | 58.0 | 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 | 29 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 21 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 4 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 9 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 5 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 8 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 86 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 10 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 1 | 01/01/2020-12/31/2020 |
| Care Provided in Skilled Nursing Facility | 1 | 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 | 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 | 17 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 7 or 8 | 13 | Not Applicable | 04/01/2021-03/31/2023 |
| Caregivers rated the hospice agency a 9 or 10 | 70 | Not Applicable | 04/01/2021-03/31/2023 |
| NO, they would probably not or definitely not recommend the hospice | 8 | 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 | 73 | 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 | 19 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always treated the patient with respect | 79 | 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 | 23 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient always got the help they needed for pain and symptoms | 64 | 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 | 16 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 76 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 19 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 12 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always provided timely help | 69 | Not Applicable | 04/01/2021-03/31/2023 |
| They did not receive the training they needed | 10 | Not Applicable | 04/01/2021-03/31/2023 |
| They somewhat received the training they needed | 16 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 74 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | Not Available | 04/01/2021-03/31/2023 |