About Alternative Hospice, Llc
Hospice overview and quality summary
Alternative Hospice, Llc is a for-profit hospice care provider in Fenton, MO, serving patients and families in Jefferson County and the surrounding area. Medicare certified since 2005, Alternative Hospice, Llc has provided 21 years of end-of-life and palliative care to the community.
Alternative Hospice, Llc serves an average of 103 patients per day, covering 103 ZIP codes across its service area. 26% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Alternative Hospice, Llc has earned a 5-star CMS quality rating based on caregiver survey results, reflecting strong satisfaction across communication, symptom management, and emotional support. The facility's Hospice Care Index score is 9 out of 10, a composite measure of care quality and efficiency. 20 physicians are affiliated with this hospice.
When choosing hospice care in Fenton, MO, 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
Excellent
CMS CAHPS Hospice Star Rating
Alternative Hospice, Llc has earned a 5-star quality rating from the Centers for Medicare & Medicaid Services (CMS), based on the CAHPS Hospice Survey of bereaved family caregivers. This rating reflects above-average satisfaction across emotional support, symptom management, team communication, and respect. This places Alternative Hospice, Llc among the higher-rated hospice providers serving families in Fenton, MO.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
94% of caregivers gave Alternative Hospice, Llc a top rating for emotional & spiritual support, above the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
95% of caregivers gave Alternative Hospice, Llc a top rating for treated with respect, above the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
81% of caregivers gave Alternative Hospice, Llc a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
84% of caregivers gave Alternative Hospice, Llc a top rating for team communication, above the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
82% of caregivers gave Alternative Hospice, Llc a top rating for getting timely care, above the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
83% of caregivers gave Alternative Hospice, Llc a top rating for training for family caregivers, above the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
84% of caregivers gave Alternative Hospice, Llc a top rating for overall rating (9-10), above the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
86% of caregivers gave a top rating for would recommend, consistent with 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
99.7%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
96.9%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
67.6%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
98.9%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
99.1%
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
75.6%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Alternative Hospice, Llc'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.
22.0% of Alternative Hospice, Llc's patients received visits from the hospice team in their final days of life, below the national average of 47.9%. Families may want to discuss end-of-life visit availability with this hospice.
Visits Near Death
Patients with visits in last 3 days of life
88.2%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13.8
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
3.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
34.6%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
2.1%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
48.3%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
7%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0.7%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$16,234
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Alternative Hospice, Llc's patient population is primarily composed of individuals with other conditions (30%), followed by dementia (22%), cardiovascular disease (20%), cancer (18%), respiratory disease (10%), stroke (5%).
Care Settings
Where hospice care is delivered
Alternative Hospice, Llc delivers 26% of its care in patients' homes, with 70% in skilled nursing settings, 3% in assisted living settings, 1% in nursing facility settings. The significant proportion of facility-based care may reflect patients requiring higher levels of medical support or those without available home caregivers. The hospice serves an average of 103 patients per day.
Skilled Nursing
Patient's Home
Assisted Living
Nursing Facility
Doctors at Alternative Hospice, Llc
20 affiliated physicians
Dr. Chantri Trinh, MD
Internal Medicine
Dr. Bohdan Lebedowicz, MD
Internal Medicine
Dr. Brittany Herrin, DO
Family Practice
Dr. Paul Moniz, MD
Osteopathic Manipulative Medicine
Dr. Iqbal Amin, MD
Internal Medicine
Dr. Naveed Razzaque, MD
Internal Medicine
Dr. Russell Won, MD
General Practice
Dr. Raj Sajid, MD
Family Practice
Dr. Dale Furukawa, MD
Internal Medicine
Dr. Kim Colter, MD
Family Practice
Dr. Michael Nash, MD
Family Practice
Dr. John Armstrong, DO
Internal Medicine
+ 8 more physicians
Dr. Dermond Henry, DO
Family Practice
Dr. Guy Roberts, DO
Family Practice
Dr. Steven Ebers, MD
Family Practice
Dr. Vladimir Milo, MD
Internal Medicine
Dr. Nicholas Gourtzelis, MD
Nephrology
Dr. Manisha Patwardhan, MD
Internal Medicine
Dr. Chisom Eze, MD
Internal Medicine
Dr. Laurence Lum, DO
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Alternative Hospice, Llc
What is the CMS rating for Alternative Hospice, Llc?
Alternative Hospice, Llc has a 5-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 Alternative Hospice, Llc primarily treat?
Alternative Hospice, Llc's patient population includes other conditions (30%), dementia (22%), cardiovascular disease (20%), cancer (18%), respiratory disease (10%), stroke (5%). This reflects the hospice's experience managing these conditions.
Where does Alternative Hospice, Llc provide care?
Alternative Hospice, Llc provides care in skilled nursing (70%), patient's home (26%), assisted living (3%), nursing facility (1%).
How large is Alternative Hospice, Llc?
Alternative Hospice, Llc serves an average of 103 patients per day and covers 103 ZIP codes in its service area.
How many doctors are affiliated with Alternative Hospice, Llc?
20 physicians are affiliated with Alternative Hospice, Llc.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·