About Avera At Home Southwest Minnesota
Hospice overview and quality summary
Avera At Home Southwest Minnesota is a nonprofit hospice care provider in Marshall, MN, serving patients and families in Lyon County and the surrounding area. Medicare certified since 2015, Avera At Home Southwest Minnesota has provided 11 years of end-of-life and palliative care to the community.
Avera At Home Southwest Minnesota serves an average of 39 patients per day, covering 71 ZIP codes across its service area. 29% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Avera At Home Southwest Minnesota a 3-star quality rating based on caregiver survey feedback, indicating average satisfaction with the hospice's care. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 16 physicians are affiliated with this hospice.
When choosing hospice care in Marshall, MN, 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
Average
CMS CAHPS Hospice Star Rating
Avera At Home Southwest Minnesota has received a 3-star quality rating from CMS, based on the CAHPS Hospice Survey. This average rating reflects caregiver satisfaction across communication, symptom management, timely care, and emotional support. CMS publishes these ratings to help families in Marshall, MN compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
83% 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
90% 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
72% 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
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
82% of caregivers gave Avera At Home Southwest Minnesota 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
70% 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
71% 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
79% 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
98.0%
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
97.8%
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
96.4%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Avera At Home Southwest Minnesota'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.
85.8% of Avera At Home Southwest Minnesota'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
97%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
17.3
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
4.7%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
5.8%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
44.2%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
1.9%
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
$10,706
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Avera At Home Southwest Minnesota's patient population is primarily composed of individuals with dementia (26%), followed by cancer (23%), other conditions (21%), cardiovascular disease (20%), respiratory disease (9%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Avera At Home Southwest Minnesota delivers 29% of its care in patients' homes, with 60% in nursing facility settings, 11% 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 39 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Doctors at Avera At Home Southwest Minnesota
16 affiliated physicians
Dr. Brett Van Kley, MD
Family Practice
Dr. Christopher Reynolds, MD
Family Practice
Dr. Tin Ming Mok, MD
Family Practice
Dr. Lee Kamstra, MD
Family Practice
Dr. Jennifer Langbehn, DO
Family Practice
Dr. Steven Meister, MD
Family Practice
Dr. Rodney Dynes, MD
Family Practice
Dr. Jeffrey Taber, MD
Family Practice
Dr. Arthur Rillo, MD
Family Practice
Dr. Daniel Florey, MD
Family Practice
Dr. Andrew Kopperud, MD
Internal Medicine
Dr. David Springer, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Avera At Home Southwest Minnesota
What is the CMS rating for Avera At Home Southwest Minnesota?
Avera At Home Southwest Minnesota has a 3-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 Avera At Home Southwest Minnesota primarily treat?
Avera At Home Southwest Minnesota's patient population includes dementia (26%), cancer (23%), other conditions (21%), cardiovascular disease (20%), respiratory disease (9%). This reflects the hospice's experience managing these conditions.
Where does Avera At Home Southwest Minnesota provide care?
Avera At Home Southwest Minnesota provides care in nursing facility (60%), patient's home (29%), assisted living (11%).
How large is Avera At Home Southwest Minnesota?
Avera At Home Southwest Minnesota serves an average of 39 patients per day and covers 71 ZIP codes in its service area.
How many doctors are affiliated with Avera At Home Southwest Minnesota?
16 physicians are affiliated with Avera At Home Southwest Minnesota.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·