About Avalon Hospice
Hospice overview and quality summary
Avalon Hospice is a for-profit hospice care provider in Nashville, TN, serving patients and families in Davidson County and the surrounding area. Medicare certified since 1994, Avalon Hospice has provided 32 years of end-of-life and palliative care to the community.
Avalon Hospice serves an average of 1830 patients per day, covering 608 ZIP codes across its service area. 53% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Avalon 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 Nashville, TN, 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
Avalon 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 Avalon Hospice among the higher-rated hospice providers serving families in Nashville, TN.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
90% of caregivers gave a top rating for emotional & spiritual support, consistent with the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
91% 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
76% of caregivers gave a top rating for help with symptoms, consistent with the national average of 74%.
Team Communication
How well the hospice team communicated with the family
82% 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
79% 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
77% of caregivers gave a top rating for training for family caregivers, consistent with the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
81% 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
84% 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
100.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.8%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
99.8%
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
99.9%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.9%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
99.5%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Avalon 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.
72.4% of Avalon 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
95.5%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12.4
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
25.8%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
8.5%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
34.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
10.1%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.3%
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
$16,001
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Avalon Hospice's patient population is primarily composed of individuals with cardiovascular disease (29%), followed by cancer (22%), dementia (21%), respiratory disease (11%), stroke (9%), other conditions (9%).
Care Settings
Where hospice care is delivered
Avalon Hospice delivers 53% of its care in patients' homes, with 23% in assisted living settings, 16% in nursing facility settings, 8% in skilled nursing settings. The hospice serves an average of 1830 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Skilled Nursing
Doctors at Avalon Hospice
20 affiliated physicians
Dr. Akashia Anderson, MD
Family Practice
Dr. Kim Zahnke, MD
Hospitalist
Dr. James Mcgee, MD
Internal Medicine
Dr. Loren Carroll, MD
Family Practice
Dr. Robert Montgomery, MD
Internal Medicine
Dr. Brian Qualls
Family Practice
Dr. Anna Dunn, DO
Hospitalist
Dr. Mark Fowler, MD
Family Practice
Dr. Jonathan English, MD
Family Practice
Dr. Jessie Copeland, MD
Internal Medicine
Dr. Aaron Evans, MD
Internal Medicine
Dr. Bernard Sy
Internal Medicine
+ 8 more physicians
Dr. Sonal Mehr, MD
Internal Medicine
Dr. Richard Kennedy, MD
Family Practice
Dr. Kenneth Beaty, MD
Family Practice
Dr. Sherri Walker, DO
Family Practice
Dr. Brian Carrico
Internal Medicine
Dr. Allen Vantrease, MD
Internal Medicine
Dr. Michael Cox, MD
Internal Medicine
Dr. Charles Miller, DO
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Avalon Hospice
What is the CMS rating for Avalon Hospice?
Avalon 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 Avalon Hospice primarily treat?
Avalon Hospice's patient population includes cardiovascular disease (29%), cancer (22%), dementia (21%), respiratory disease (11%), stroke (9%), other conditions (9%). This reflects the hospice's experience managing these conditions.
Where does Avalon Hospice provide care?
Avalon Hospice provides care in patient's home (53%), assisted living (23%), nursing facility (16%), skilled nursing (8%).
How large is Avalon Hospice?
Avalon Hospice serves an average of 1830 patients per day and covers 608 ZIP codes in its service area.
How many doctors are affiliated with Avalon Hospice?
20 physicians are affiliated with Avalon Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·