About Aseracare Hospice
Hospice overview and quality summary
Aseracare Hospice is a for-profit hospice care provider in Norfolk, NE, serving patients and families in Madison County and the surrounding area. Medicare certified since 2005, Aseracare Hospice has provided 21 years of end-of-life and palliative care to the community.
Aseracare Hospice serves an average of 120 patients per day, covering 114 ZIP codes across its service area. 14% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Aseracare Hospice has earned a 4-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 10 out of 10, a composite measure of care quality and efficiency. 20 physicians are affiliated with this hospice.
When choosing hospice care in Norfolk, NE, 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
Very Good
CMS CAHPS Hospice Star Rating
Aseracare Hospice has earned a 4-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 Aseracare Hospice among the higher-rated hospice providers serving families in Norfolk, NE.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Aseracare Hospice 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
92% of caregivers gave a top rating for treated with respect, consistent with the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
77% of caregivers gave Aseracare Hospice a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
80% of caregivers gave a top rating for team communication, consistent with the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
77% of caregivers gave a top rating for getting timely care, consistent with the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
78% of caregivers gave Aseracare Hospice 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
83% of caregivers gave a top rating for overall rating (9-10), consistent with the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
88% of caregivers gave Aseracare Hospice a top rating for would recommend, above 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
99.5%
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
99.5%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.3%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
100.0%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
98.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Aseracare Hospice's Hospice Care Index (HCI) score is 10 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.
78.7% of Aseracare 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
96.5%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
15.5
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.6%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
32.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
6.4%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
58.2%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
5.5%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
3.6%
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
$18,566
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Aseracare Hospice's patient population is primarily composed of individuals with dementia (31%), followed by cardiovascular disease (21%), other conditions (18%), cancer (17%), respiratory disease (7%), stroke (6%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Aseracare Hospice delivers 14% of its care in patients' homes, with 78% in nursing facility settings, 7% in assisted living 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 120 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Doctors at Aseracare Hospice
20 affiliated physicians
Dr. Alan Spanel, MD
Internal Medicine
Dr. Charles Harper, MD
Internal Medicine
Dr. Joseph Dangberg, MD
Emergency Medicine
Dr. John Tubbs, MD
Family Practice
Dr. Marie Rodehorst, MD
Family Practice
Dr. Ronald Morse, MD
Family Practice
Dr. Michele Mulligan-witt, MD
Family Practice
Dr. Bryon Hirschman, MD
Family Practice
Dr. Jay Allison, MD
Family Practice
Dr. Terry Troyer, MD
Family Practice
Dr. Tami Dodds, MD
Family Practice
Dr. Joshua Thoendel, MD
Family Practice
+ 8 more physicians
Dr. Hugh Holmquist, MD
Family Practice
Dr. Samuel Recob, MD
Family Practice
Dr. Jordan Kunz, MD
Family Practice
Dr. Riley Eckmann, MD
Family Practice
Dr. Samantha Sholes, MD
Family Practice
Dr. Peter Lueninghoener, MD
Family Practice
Dr. Sean Kohl, MD
Family Practice
Dr. Adam Strehle, DO
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Aseracare Hospice
What is the CMS rating for Aseracare Hospice?
Aseracare Hospice has a 4-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 Aseracare Hospice primarily treat?
Aseracare Hospice's patient population includes dementia (31%), cardiovascular disease (21%), other conditions (18%), cancer (17%), respiratory disease (7%), stroke (6%). This reflects the hospice's experience managing these conditions.
Where does Aseracare Hospice provide care?
Aseracare Hospice provides care in nursing facility (78%), patient's home (14%), assisted living (7%).
How large is Aseracare Hospice?
Aseracare Hospice serves an average of 120 patients per day and covers 114 ZIP codes in its service area.
How many doctors are affiliated with Aseracare Hospice?
20 physicians are affiliated with Aseracare Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·