About Bethesda Hospice Care
Hospice overview and quality summary
Bethesda Hospice Care is a nonprofit hospice care provider in Saint Louis, MO, serving patients and families in St. Louis County and the surrounding area. Medicare certified since 2002, Bethesda Hospice Care has provided 24 years of end-of-life and palliative care to the community.
Bethesda Hospice Care serves an average of 43 patients per day, covering 45 ZIP codes across its service area. 3% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Bethesda Hospice Care 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 9 out of 10, a composite measure of care quality and efficiency. 8 physicians are affiliated with this hospice.
When choosing hospice care in Saint Louis, 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
Average
CMS CAHPS Hospice Star Rating
Bethesda Hospice Care 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 Saint Louis, MO compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Bethesda Hospice Care 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
84% of caregivers gave a top rating for treated with respect, below the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
63% of caregivers gave a top rating for help with symptoms, below the national average of 74%.
Team Communication
How well the hospice team communicated with the family
76% of caregivers gave a top rating for team communication, below the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
73% of caregivers gave a top rating for getting timely care, below the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
47% 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
78% 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
74% 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
98.3%
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
100.0%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
96.9%
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
94.7%
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
96.6%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Bethesda Hospice Care'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.
62.7% of Bethesda Hospice Care'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
89.4%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
5.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
65.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
3%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
54.5%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
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
$19,687
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Bethesda Hospice Care's patient population is primarily composed of individuals with dementia (40%), followed by other conditions (22%), cancer (16%), cardiovascular disease (13%), stroke (8%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Bethesda Hospice Care delivers 3% of its care in patients' homes, with 92% in nursing facility settings, 5% 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 43 patients per day.
Nursing Facility
Assisted Living
Patient's Home
Doctors at Bethesda Hospice Care
8 affiliated physicians
Dr. Piotr Kulikowski, MD
Internal Medicine
Dr. Sirisha Brosch, MD
Internal Medicine
Dr. Sarina Phatak, MD
Internal Medicine
Dr. Sarah Davis
Internal Medicine
Dr. Julie Wittenauer, MD
Family Practice
Dr. Scott Dembiec, MD
Internal Medicine
Dr. Felice Rolnick, MD
Internal Medicine
Dr. Chisom Eze, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Bethesda Hospice Care
What is the CMS rating for Bethesda Hospice Care?
Bethesda Hospice Care 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 Bethesda Hospice Care primarily treat?
Bethesda Hospice Care's patient population includes dementia (40%), other conditions (22%), cancer (16%), cardiovascular disease (13%), stroke (8%). This reflects the hospice's experience managing these conditions.
Where does Bethesda Hospice Care provide care?
Bethesda Hospice Care provides care in nursing facility (92%), assisted living (5%), patient's home (3%).
How large is Bethesda Hospice Care?
Bethesda Hospice Care serves an average of 43 patients per day and covers 45 ZIP codes in its service area.
How many doctors are affiliated with Bethesda Hospice Care?
8 physicians are affiliated with Bethesda Hospice Care.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·