About Avera @ Home
Hospice overview and quality summary
Avera @ Home is an hospice care provider in Milbank, SD, serving patients and families in Grant County and the surrounding area. Medicare certified since 2000, Avera @ Home has provided 26 years of end-of-life and palliative care to the community.
Avera @ Home serves an average of 5 patients per day, covering 14 ZIP codes across its service area. 19% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
The facility's Hospice Care Index score is 9 out of 10, a composite measure of care quality and efficiency. 4 physicians are affiliated with this hospice.
When choosing hospice care in Milbank, SD, 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
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
97.3%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
95.5%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
100.0%
Natl: 99.0%
Composite Process Score
Composite measure of all hospice care process quality measures
94.6%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Avera @ Home'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.
68.8% of Avera @ Home'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
91%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
15.1
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
9.6%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
15.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
8.3%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
16.7%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
8.3%
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%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$7,411
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Avera @ Home's patient population is primarily composed of individuals with cancer (31%), followed by other conditions (27%), cardiovascular disease (24%). While cancer has historically been the most common hospice diagnosis, the proportion of non-cancer patients has grown substantially over the past decade.
Care Settings
Where hospice care is delivered
Avera @ Home delivers 19% of its care in patients' homes, with 49% in nursing facility settings, 32% 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 5 patients per day.
Nursing Facility
Assisted Living
Patient's Home
Doctors at Avera @ Home
4 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Avera @ Home
What is the CMS rating for Avera @ Home?
Avera @ Home does not currently have a CMS star rating available. Approximately 69% of hospice providers lack sufficient survey data for a star rating.
What conditions does Avera @ Home primarily treat?
Avera @ Home's patient population includes cancer (31%), other conditions (27%), cardiovascular disease (24%). This reflects the hospice's experience managing these conditions.
Where does Avera @ Home provide care?
Avera @ Home provides care in nursing facility (49%), assisted living (32%), patient's home (19%).
How large is Avera @ Home?
Avera @ Home serves an average of 5 patients per day and covers 14 ZIP codes in its service area.
How many doctors are affiliated with Avera @ Home?
4 physicians are affiliated with Avera @ Home.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·