About Brookestone Home Health & Hospice
Hospice overview and quality summary
Brookestone Home Health & Hospice is a nonprofit hospice care provider in Scottsbluff, NE, serving patients and families in Scotts Bluff County and the surrounding area. Medicare certified since 1989, Brookestone Home Health & Hospice has provided 37 years of end-of-life and palliative care to the community.
Brookestone Home Health & Hospice serves an average of 18 patients per day, covering 24 ZIP codes across its service area. 67% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Brookestone Home Health & Hospice 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 10 out of 10, a composite measure of care quality and efficiency. 19 physicians are affiliated with this hospice.
When choosing hospice care in Scottsbluff, 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
Average
CMS CAHPS Hospice Star Rating
Brookestone Home Health & Hospice 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 Scottsbluff, NE compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
83% of caregivers gave a top rating for emotional & spiritual support, below the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
92% 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
76% 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
82% 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
77% 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
83% of caregivers gave Brookestone Home Health & Hospice a top rating for training for family caregivers, above the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
82% 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
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.
65.1% 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
96.3%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
16.1
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
12.8%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
15.6%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
8.8%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
17.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
0%
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
0.1%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$5,585
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Brookestone Home Health & Hospice's patient population is primarily composed of individuals with cancer (39%), followed by cardiovascular disease (20%), dementia (17%), respiratory disease (13%), other conditions (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 67% of its care in patients' homes, with 22% in nursing facility settings, 6% in skilled nursing settings, 2% in hospital settings, 1% in assisted living settings. The hospice serves an average of 18 patients per day.
Patient's Home
Nursing Facility
Skilled Nursing
Hospital
Assisted Living
Doctors at Brookestone Home Health & Hospice
19 affiliated physicians
Dr. Christina Holbrooks, MD
Emergency Medicine
Dr. Patrick Brown, MD
Family Practice
Dr. Michelle Cheloha, MD
Family Practice
Dr. Sally Bryner, NP
Nurse Practitioner
Dr. Tara Longoria, MD
Family Practice
Dr. Lindsey Mosel, MD
Family Practice
Dr. Serozan Amroliwalla, MD
Internal Medicine
Dr. Amanda Mullen, MD
Family Practice
Dr. Nathan Van Winkle, MD
Family Practice
Dr. Brooke Vance
Nurse Practitioner
Dr. Abdel Kader Laouel Kader, MD
Family Practice
Dr. Bonnie Randolph, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Hospice care in NE
Chadron Community Hospital Hospice
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Brookestone Home Health & Hospice
Non-Profit · 157 mi away
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Central Plains Hospice
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Vchs Hospice
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Brookestone Home Health & Hospice
For-Profit · 246 mi away
507 West Ave, Holdrege, NE 68949
(308) 995-4375
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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 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 Brookestone Home Health & Hospice primarily treat?
Brookestone Home Health & Hospice's patient population includes cancer (39%), cardiovascular disease (20%), dementia (17%), respiratory disease (13%), other conditions (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 patient's home (67%), nursing facility (22%), skilled nursing (6%), hospital (2%), assisted living (1%).
How large is Brookestone Home Health & Hospice?
Brookestone Home Health & Hospice serves an average of 18 patients per day and covers 24 ZIP codes in its service area.
How many doctors are affiliated with Brookestone Home Health & Hospice?
19 physicians are affiliated with Brookestone Home Health & Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·