Address
610 N Loop 336 E 2nd Floor
Conroe, TX 77301
Contact
(281) 742-1142
Certification Date
09/14/2017
CMS Certification Number
741708
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 | 98.7 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Screening | 98.8 | 04/01/2022-03/31/2023 |
| Hospice and Palliative Care Dyspnea Treatment | 97.6 | 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 | 96.9 | 04/01/2022-03/31/2023 |
| Hospice Visits in the Last Days of Life | 548 | 01/01/2021-12/31/2022 |
| Hospice Visits in the Last Days of Life | 80.8 | 01/01/2021-12/31/2022 |
| Hospice Care Index Overall Score | 9.0 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 100,272 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 0.3 | 01/01/2021-12/31/2022 |
| CHC/GIP provided (% days) | 75 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 532 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 44.0 | 01/01/2021-12/31/2022 |
| Gaps in nursing visits (% elections) | 31 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 124 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 7.3 | 01/01/2021-12/31/2022 |
| Early live discharges (% live discharges) | 58 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 124 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 39.5 | 01/01/2021-12/31/2022 |
| Late live discharges (% live discharges) | 50 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1(% live discharges) | 124 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 31.5 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 1 (% live discharges) | 100 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2(% live discharges) | 124 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 3.2 | 01/01/2021-12/31/2022 |
| Burdensome transitions, Type 2 (% live discharges) | 73 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 987 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 17,424 | 01/01/2021-12/31/2022 |
| Per-beneficiary spending (U.S. dollars $) | 60 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 99,825 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 14.7 | 01/01/2021-12/31/2022 |
| Nurse care minutes per routine home care days (minutes) | 73 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 1,472,220 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 7.3 | 01/01/2021-12/31/2022 |
| Skilled nursing minutes on weekends (% minutes) | 42 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 732 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 98.5 | 01/01/2021-12/31/2022 |
| Visits near death (% decedents) | 90 | 01/01/2021-12/31/2022 |
| Average Daily Census | 61.0 | 01/01/2020-12/31/2020 |
| Provided Routine Home Care and other levels of care | Not Available | 01/01/2018-12/31/2020 |
| Provided Routine Home Care only | Not Available | 01/01/2018-12/31/2020 |
| Percent of Patients with Cancer | 21 | 01/01/2020-12/31/2020 |
| Percent of Patients with Dementia | 24 | 01/01/2020-12/31/2020 |
| Percent of Patients with Stroke | 9 | 01/01/2020-12/31/2020 |
| Percent of Patients with Circulatory/heart disease | 17 | 01/01/2020-12/31/2020 |
| Percent of Patients with Respiratory disease | 6 | 01/01/2020-12/31/2020 |
| Percent of Patients with Other Conditions | 5 | 01/01/2020-12/31/2020 |
| Care Provided in Home | 31 | 01/01/2020-12/31/2020 |
| Care Provided in Assisted Living Facility | 68 | 01/01/2020-12/31/2020 |
| Care Provided in Nursing Facility | 0 | 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 | 1 | 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 | 3 | 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 | 85 | Not Applicable | 04/01/2021-03/31/2023 |
| NO, they would probably not or definitely not recommend the hospice | 3 | Not Applicable | 04/01/2021-03/31/2023 |
| YES, they would probably recommend the hospice | 11 | 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 | 2 | 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 | 92 | Not Applicable | 04/01/2021-03/31/2023 |
| The patient sometimes or never got the help they needed for pain and symptoms | 6 | 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 | 83 | 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 | 11 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team always communicated well | 84 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team sometimes or never provided timely help | 5 | Not Applicable | 04/01/2021-03/31/2023 |
| The hospice team usually provided timely help | 13 | 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 | 16 | Not Applicable | 04/01/2021-03/31/2023 |
| They definitely received the training they needed | 77 | Not Applicable | 04/01/2021-03/31/2023 |
| Family caregiver survey rating | Not Applicable | 4 | 04/01/2021-03/31/2023 |