About Care Initiatives Hospice - Sioux City
Hospice overview and quality summary
Care Initiatives Hospice - Sioux City is an hospice care provider in Sioux City, IA, serving patients and families in Woodbury County and the surrounding area. Medicare certified since 2009, Care Initiatives Hospice - Sioux City has provided 17 years of end-of-life and palliative care to the community.
Care Initiatives Hospice - Sioux City serves an average of 60 patients per day, covering 67 ZIP codes across its service area. 10% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Care Initiatives Hospice - Sioux City 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. 15 physicians are affiliated with this hospice.
When choosing hospice care in Sioux City, 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
Average
CMS CAHPS Hospice Star Rating
Care Initiatives Hospice - Sioux City 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 Sioux City, IA compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
92% 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
90% 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
81% 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
76% 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
50% 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
84% of caregivers gave Care Initiatives Hospice - Sioux City a top rating for overall rating (9-10), above 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
99.6%
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%
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
99.1%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Care Initiatives Hospice - Sioux City'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.
42.9% of Care Initiatives Hospice - Sioux City'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%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
7.7
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.3%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
72.9%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
4.5%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
45.5%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
6.3%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0.9%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.2%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$14,605
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Care Initiatives Hospice - Sioux City's patient population is primarily composed of individuals with dementia (31%), followed by cardiovascular disease (30%), cancer (21%), other conditions (11%), respiratory disease (6%), stroke (6%). 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 - Sioux City delivers 10% of its care in patients' homes, with 82% in nursing facility settings, 7% in assisted living 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 60 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Skilled Nursing
Doctors at Care Initiatives Hospice - Sioux City
15 affiliated physicians
Dr. Jeffrey Krohn, MD
Family Practice
Dr. David Ensz, MD
Family Practice
Dr. Thomas Schryver, MD
Family Practice
Dr. Dorothy Todt, MD
Family Practice
Dr. Lee Kamstra, MD
Family Practice
Dr. Bryce Robison, MD
Family Practice
Dr. Amir Andrawis, MD
Family Practice
Dr. Michael Jurgens, MD
Family Practice
Dr. Joey Hoefling, NP
Nurse Practitioner
Dr. Andrew Geha, DO
Family Practice
Dr. Mark Carlson, MD
Internal Medicine
Dr. Brian Whyms
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Care Initiatives Hospice - Sioux City
What is the CMS rating for Care Initiatives Hospice - Sioux City?
Care Initiatives Hospice - Sioux City 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 Care Initiatives Hospice - Sioux City primarily treat?
Care Initiatives Hospice - Sioux City's patient population includes dementia (31%), cardiovascular disease (30%), cancer (21%), other conditions (11%), respiratory disease (6%), stroke (6%). This reflects the hospice's experience managing these conditions.
Where does Care Initiatives Hospice - Sioux City provide care?
Care Initiatives Hospice - Sioux City provides care in nursing facility (82%), patient's home (10%), assisted living (7%), skilled nursing (1%).
How large is Care Initiatives Hospice - Sioux City?
Care Initiatives Hospice - Sioux City serves an average of 60 patients per day and covers 67 ZIP codes in its service area.
How many doctors are affiliated with Care Initiatives Hospice - Sioux City?
15 physicians are affiliated with Care Initiatives Hospice - Sioux City.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·