About A&d Hospice
Hospice overview and quality summary
A&d Hospice is a for-profit hospice care provider in Saginaw, MI, serving patients and families in Saginaw County and the surrounding area. Medicare certified since 2015, A&d Hospice has provided 11 years of end-of-life and palliative care to the community.
A&d Hospice serves an average of 29 patients per day, covering 67 ZIP codes across its service area. 51% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
A&d Hospice holds a 2-star CMS rating based on caregiver surveys. Families are encouraged to review the detailed quality measures below. The facility's Hospice Care Index score is 9 out of 10, a composite measure of care quality and efficiency. 10 physicians are affiliated with this hospice.
When choosing hospice care in Saginaw, MI, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Below Average
CMS CAHPS Hospice Star Rating
A&d Hospice has received a 2-star quality rating from CMS, based on caregiver survey results. Families in Saginaw, MI considering this hospice should review the detailed survey results below and discuss quality measures with the care team.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
81% of caregivers gave a top rating for emotional & spiritual support, below the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
86% of caregivers gave a top rating for treated with respect, below the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
65% of caregivers gave a top rating for help with symptoms, below the national average of 74%.
Team Communication
How well the hospice team communicated with the family
78% of caregivers gave a top rating for team communication, below the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
72% of caregivers gave a top rating for getting timely care, below the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
72% of caregivers gave a top rating for training for family caregivers, below the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
70% of caregivers gave a top rating for overall rating (9-10), below the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
75% of caregivers gave a top rating for would recommend, below the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
100.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
100.0%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
100.0%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
100.0%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
98.4%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
100.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
99.2%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
A&d Hospice's Hospice Care Index (HCI) score is 9 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
70.0% of A&d Hospice's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
94.6%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
16.8
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
4.1%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
32.1%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
12.5%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
35%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
10%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.1%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$14,036
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
A&d Hospice's patient population is primarily composed of individuals with dementia (30%), followed by cardiovascular disease (24%), cancer (18%), other conditions (14%), respiratory disease (8%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
A&d Hospice delivers 51% of its care in patients' homes, with 27% in assisted living settings, 16% in skilled nursing settings, 6% in nursing facility settings. The hospice serves an average of 29 patients per day.
Patient's Home
Assisted Living
Skilled Nursing
Nursing Facility
Doctors at A&d Hospice
10 affiliated physicians
Dr. Laurey Hanselman, DO
Family Practice
Dr. Praveen Kamaraju, MD
Internal Medicine
Dr. Abdul Haleem Kazmi, MD
Internal Medicine
Dr. Scott Reiter, DO
Family Practice
Dr. Nick Buttar, MD
Family Practice
Dr. Jaime Tan, MD
Family Practice
Dr. Khalid Ahmed, MD
Internal Medicine
Dr. Sadia Khan, MD
Internal Medicine
Dr. Julia Barrons, NP
Nurse Practitioner
Dr. Rashid Iqbal
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About A&d Hospice
What is the CMS rating for A&d Hospice?
A&d Hospice has a 2-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does A&d Hospice primarily treat?
A&d Hospice's patient population includes dementia (30%), cardiovascular disease (24%), cancer (18%), other conditions (14%), respiratory disease (8%). This reflects the hospice's experience managing these conditions.
Where does A&d Hospice provide care?
A&d Hospice provides care in patient's home (51%), assisted living (27%), skilled nursing (16%), nursing facility (6%).
How large is A&d Hospice?
A&d Hospice serves an average of 29 patients per day and covers 67 ZIP codes in its service area.
How many doctors are affiliated with A&d Hospice?
10 physicians are affiliated with A&d Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·