About Brookestone Home Health & Hospice
Hospice overview and quality summary
Brookestone Home Health & Hospice is a for-profit hospice care provider in Holdrege, NE, serving patients and families in Dawson County and the surrounding area. Medicare certified since 1999, Brookestone Home Health & Hospice has provided 27 years of end-of-life and palliative care to the community.
Brookestone Home Health & Hospice serves an average of 18 patients per day, covering 46 ZIP codes across its service area. 44% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Brookestone Home Health & Hospice has earned a 4-star CMS quality rating based on caregiver survey results, reflecting strong satisfaction across communication, symptom management, and emotional support. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 17 physicians are affiliated with this hospice.
When choosing hospice care in Holdrege, NE, 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
Very Good
CMS CAHPS Hospice Star Rating
Brookestone Home Health & Hospice has earned a 4-star quality rating from the Centers for Medicare & Medicaid Services (CMS), based on the CAHPS Hospice Survey of bereaved family caregivers. This rating reflects above-average satisfaction across emotional support, symptom management, team communication, and respect. This places Brookestone Home Health & Hospice among the higher-rated hospice providers serving families in Holdrege, NE.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
90% 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
93% of caregivers gave Brookestone Home Health & Hospice a top rating for treated with respect, above the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
70% 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
83% 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
78% of caregivers gave a top rating for getting timely care, consistent with the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
77% 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
81% 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
86% 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
100.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
92.0%
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
95.3%
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
87.7%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Brookestone Home Health & Hospice'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.
79.8% of Brookestone Home Health & Hospice'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
96.2%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
20.3
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
11%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
30.5%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
2.9%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
34.3%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
5.7%
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
$7,528
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Brookestone Home Health & Hospice's patient population is primarily composed of individuals with cancer (42%), followed by other conditions (21%), dementia (18%), cardiovascular disease (8%). 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
Brookestone Home Health & Hospice delivers 44% of its care in patients' homes, with 47% in nursing facility settings, 6% in assisted living settings, 3% in skilled nursing settings, 1% in hospital 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 18 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Skilled Nursing
Hospital
Doctors at Brookestone Home Health & Hospice
17 affiliated physicians
Dr. Kathryn Thelen, DO
Family Practice
Dr. Jared Kramer, MD
Family Practice
Dr. Adam Rensch, MD
Family Practice
Dr. Matthew Sexton, MD
Family Practice
Dr. Adam Haussler, MD
Internal Medicine
Dr. Jeffrey Berney, MD
Family Practice
Dr. Julie Lindstrom, MD
Family Practice
Dr. Cade Craig, MD
Family Practice
Dr. Kenneth Vettel, MD
Family Practice
Dr. Anirban Ghosh, MD
Internal Medicine
Dr. Linda Mazour, MD
Family Practice
Dr. Rachelle Kaspar Cope, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Brookestone Home Health & Hospice
What is the CMS rating for Brookestone Home Health & Hospice?
Brookestone Home Health & Hospice has a 4-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 Brookestone Home Health & Hospice primarily treat?
Brookestone Home Health & Hospice's patient population includes cancer (42%), other conditions (21%), dementia (18%), cardiovascular disease (8%). This reflects the hospice's experience managing these conditions.
Where does Brookestone Home Health & Hospice provide care?
Brookestone Home Health & Hospice provides care in nursing facility (47%), patient's home (44%), assisted living (6%), skilled nursing (3%), hospital (1%).
How large is Brookestone Home Health & Hospice?
Brookestone Home Health & Hospice serves an average of 18 patients per day and covers 46 ZIP codes in its service area.
How many doctors are affiliated with Brookestone Home Health & Hospice?
17 physicians are affiliated with Brookestone Home Health & Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·