About Bristol Hospice Visalia
Hospice overview and quality summary
Bristol Hospice Visalia is a for-profit hospice care provider in Fresno, CA, serving patients and families in Fresno County and the surrounding area. Medicare certified since 2004, Bristol Hospice Visalia has provided 22 years of end-of-life and palliative care to the community.
Bristol Hospice Visalia serves an average of 516 patients per day, covering 112 ZIP codes across its service area. 52% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Bristol Hospice Visalia 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. 20 physicians are affiliated with this hospice.
When choosing hospice care in Fresno, CA, 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
Bristol Hospice Visalia 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 Fresno, CA compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
91% 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
75% 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
79% 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
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
73% 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
79% 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
83% 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
99.9%
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
99.9%
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
100.0%
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
99.8%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Bristol Hospice Visalia'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.
16.3% of Bristol Hospice Visalia's patients received visits from the hospice team in their final days of life, below the national average of 47.9%. Families may want to discuss end-of-life visit availability with this hospice.
Visits Near Death
Patients with visits in last 3 days of life
86.3%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12.9
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
5.4%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
45.1%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
9.3%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
33.8%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
14.9%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
5.6%
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
$22,337
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Bristol Hospice Visalia's patient population is primarily composed of individuals with dementia (37%), followed by cancer (21%), cardiovascular disease (18%), respiratory disease (9%), other conditions (9%), stroke (7%). 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 Visalia delivers 52% of its care in patients' homes, with 26% in assisted living settings, 21% in nursing facility settings. The hospice serves an average of 516 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Doctors at Bristol Hospice Visalia
20 affiliated physicians
Dr. Radhika Bali
Family Practice
Dr. Tewodros Kidane, MD
Family Practice
Dr. Ehab Swehli, MD
Family Practice
Dr. Abbas Hasnain, MD
Internal Medicine
Dr. Mark Hobbins, MD
Internal Medicine
Dr. Melchor Ong, MD
Internal Medicine
Dr. Chandini Valeeswaran, MD
Internal Medicine
Dr. Victor Fernandez, MD
Internal Medicine
Dr. Chayce Hartung, MD
Family Practice
Dr. Linda Pauls, MD
Family Practice
Dr. Etsehiwot Taye, MD
Internal Medicine
Dr. Babak Jamasian, MD
Internal Medicine
+ 8 more physicians
Dr. Daniel Omeara, MD
Family Practice
Dr. Shashi Bains, MD
Internal Medicine
Dr. Ahmed Amari, MD
Family Practice
Dr. Vivian Torio, DO
Family Practice
Dr. Patrick Kan, MD
Family Practice
Dr. Rachel Goerzen, DO
Family Practice
Dr. Leonid Zhornitskiy, MD
Family Practice
Dr. Alireza Soleimani Fard, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Bristol Hospice Visalia
What is the CMS rating for Bristol Hospice Visalia?
Bristol Hospice Visalia 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 Bristol Hospice Visalia primarily treat?
Bristol Hospice Visalia's patient population includes dementia (37%), cancer (21%), cardiovascular disease (18%), respiratory disease (9%), other conditions (9%), stroke (7%). This reflects the hospice's experience managing these conditions.
Where does Bristol Hospice Visalia provide care?
Bristol Hospice Visalia provides care in patient's home (52%), assisted living (26%), nursing facility (21%).
How large is Bristol Hospice Visalia?
Bristol Hospice Visalia serves an average of 516 patients per day and covers 112 ZIP codes in its service area.
How many doctors are affiliated with Bristol Hospice Visalia?
20 physicians are affiliated with Bristol Hospice Visalia.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·