About Care Initiatives Hospice - Greenfield
Hospice overview and quality summary
Care Initiatives Hospice - Greenfield is an hospice care provider in Greenfield, IA, serving patients and families in Adair County and the surrounding area. Medicare certified since 2009, Care Initiatives Hospice - Greenfield has provided 17 years of end-of-life and palliative care to the community.
Care Initiatives Hospice - Greenfield serves an average of 55 patients per day, covering 75 ZIP codes across its service area. 12% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Care Initiatives Hospice - Greenfield 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. 17 physicians are affiliated with this hospice.
When choosing hospice care in Greenfield, IA, 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
Care Initiatives Hospice - Greenfield has received a 2-star quality rating from CMS, based on caregiver survey results. Families in Greenfield, IA 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
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
87% 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
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
72% 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
71% 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
75% 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
71% 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
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.2%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.6%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
95.1%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.6%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
98.1%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
98.4%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
95.6%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Care Initiatives Hospice - Greenfield'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.
51.2% of Care Initiatives Hospice - Greenfield's patients received visits from the hospice team in their final days of life, consistent with the national average of 47.9%. Presence during the final days reflects the hospice's commitment to supporting families when it matters most.
Visits Near Death
Patients with visits in last 3 days of life
95.1%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13.7
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.9%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
68.6%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
3.6%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
50%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
1.8%
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
$13,893
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Care Initiatives Hospice - Greenfield's patient population is primarily composed of individuals with dementia (29%), followed by cardiovascular disease (24%), other conditions (24%), cancer (15%), respiratory disease (10%), stroke (5%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Care Initiatives Hospice - Greenfield delivers 12% of its care in patients' homes, with 85% in nursing facility settings, 3% 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 55 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Doctors at Care Initiatives Hospice - Greenfield
17 affiliated physicians
Dr. Bethel Kopp, MD
Internal Medicine
Dr. Shipeng Wei, MD
Internal Medicine
Dr. Joseph Wanzek, DO
Family Practice
Dr. Matthew Fryzek, MD
Internal Medicine
Dr. Rebecca Moore
Nurse Practitioner
Dr. Steven Freeman, MD
Internal Medicine
Dr. Sonja Helmers
Nurse Practitioner
Dr. William Butz, MD
Family Practice
Dr. Seann Atkinson, DO
Family Practice
Dr. Michael Mahoney, MD
Internal Medicine
Dr. Timothy Piearson, DO
Family Practice
Dr. Brian Whyms
Internal Medicine
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Reviews and ratings from patients
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Frequently Asked Questions
About Care Initiatives Hospice - Greenfield
What is the CMS rating for Care Initiatives Hospice - Greenfield?
Care Initiatives Hospice - Greenfield 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 Care Initiatives Hospice - Greenfield primarily treat?
Care Initiatives Hospice - Greenfield's patient population includes dementia (29%), cardiovascular disease (24%), other conditions (24%), cancer (15%), respiratory disease (10%), stroke (5%). This reflects the hospice's experience managing these conditions.
Where does Care Initiatives Hospice - Greenfield provide care?
Care Initiatives Hospice - Greenfield provides care in nursing facility (85%), patient's home (12%), assisted living (3%).
How large is Care Initiatives Hospice - Greenfield?
Care Initiatives Hospice - Greenfield serves an average of 55 patients per day and covers 75 ZIP codes in its service area.
How many doctors are affiliated with Care Initiatives Hospice - Greenfield?
17 physicians are affiliated with Care Initiatives Hospice - Greenfield.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·