About Bristol Hospice - Noco
Hospice overview and quality summary
Bristol Hospice - Noco is a nonprofit hospice care provider in Frederick, CO, serving patients and families in Weld County and the surrounding area. Medicare certified since 2007, Bristol Hospice - Noco has provided 19 years of end-of-life and palliative care to the community.
Bristol Hospice - Noco serves an average of 161 patients per day, covering 68 ZIP codes across its service area. 27% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Bristol Hospice - Noco holds a 2-star CMS rating based on caregiver surveys. Families are encouraged to review the detailed quality measures below. 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 Frederick, CO, 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
Below Average
CMS CAHPS Hospice Star Rating
Bristol Hospice - Noco has received a 2-star quality rating from CMS, based on caregiver survey results. Families in Frederick, CO considering this hospice should review the detailed survey results below and discuss quality measures with the care team.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
89% 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
89% 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
68% 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
73% 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
68% 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
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
77% 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
81% 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
99.8%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.8%
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
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
100.0%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
98.2%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
99.2%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Bristol Hospice - Noco'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.
63.8% of Bristol Hospice - Noco'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
11.4
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
43.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
5.9%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
33.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
7.6%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
5%
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
$19,529
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Bristol Hospice - Noco's patient population is primarily composed of individuals with dementia (26%), followed by stroke (23%), cardiovascular disease (19%), other conditions (13%), respiratory disease (11%), cancer (10%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Bristol Hospice - Noco delivers 27% of its care in patients' homes, with 51% in assisted living settings, 21% in nursing facility settings, 1% in skilled nursing 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 161 patients per day.
Assisted Living
Patient's Home
Nursing Facility
Skilled Nursing
Doctors at Bristol Hospice - Noco
20 affiliated physicians
Dr. Angela Mills, MD
Family Practice
Dr. Danielle Whitacre, MD
Family Practice
Dr. Robert Spees, MD
Internal Medicine
Dr. Lauren Buckley, NP
Nurse Practitioner
Dr. Morgan Yendrey, NP
Nurse Practitioner
Dr. Romano Abuaba, MD
Internal Medicine
Dr. Emily Porter, PA
Physician Assistant
Dr. Sandra Housholder, NP
Nurse Practitioner
Dr. Amy Dvorak, NP
Nurse Practitioner
Dr. Kenzie Hoinkis, PA
Physician Assistant
Dr. James Metzger, MD
Internal Medicine
Dr. Diego Freitas, MD
Internal Medicine
+ 8 more physicians
Dr. Hayli Noah, MD
Family Practice
Dr. Rebecca Jackson, DO
Family Practice
Dr. Myrtle Barlow, NP
Nurse Practitioner
Dr. Megan Gause, DO
Family Practice
Dr. John Ebens, MD
Internal Medicine
Dr. Mark Berntsen, MD
Internal Medicine
Dr. Sarah Burton, NP
Nurse Practitioner
Dr. Rita Stern, NP
Nurse Practitioner
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Bristol Hospice - Noco
What is the CMS rating for Bristol Hospice - Noco?
Bristol Hospice - Noco has a 2-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 Bristol Hospice - Noco primarily treat?
Bristol Hospice - Noco's patient population includes dementia (26%), stroke (23%), cardiovascular disease (19%), other conditions (13%), respiratory disease (11%), cancer (10%). This reflects the hospice's experience managing these conditions.
Where does Bristol Hospice - Noco provide care?
Bristol Hospice - Noco provides care in assisted living (51%), patient's home (27%), nursing facility (21%), skilled nursing (1%).
How large is Bristol Hospice - Noco?
Bristol Hospice - Noco serves an average of 161 patients per day and covers 68 ZIP codes in its service area.
How many doctors are affiliated with Bristol Hospice - Noco?
20 physicians are affiliated with Bristol Hospice - Noco.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·