About Cornerstone Vna
Hospice overview and quality summary
Cornerstone Vna is a nonprofit hospice care provider in Rochester, NH, serving patients and families in Strafford County and the surrounding area. Medicare certified since 2011, Cornerstone Vna has provided 15 years of end-of-life and palliative care to the community.
Cornerstone Vna serves an average of 62 patients per day, covering 62 ZIP codes across its service area. 76% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Cornerstone Vna 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 Rochester, NH, 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
Cornerstone Vna 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 Rochester, NH compare hospice providers.
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
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
74% 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
80% 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
71% 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
75% 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
78% 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
84% 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
99.7%
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
99.7%
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
99.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Cornerstone Vna'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.
48.3% of Cornerstone Vna'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
89.4%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12.1
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
5%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
48.9%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
9.9%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
28.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
3.3%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
5.5%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
1.6%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$10,382
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Cornerstone Vna's patient population is primarily composed of individuals with cancer (37%), followed by cardiovascular disease (18%), other conditions (16%), dementia (13%), respiratory disease (12%), stroke (5%). 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
Cornerstone Vna delivers 76% of its care in patients' homes, with 18% in assisted living settings, 2% in nursing facility settings, 1% in inpatient hospice settings, 1% in skilled nursing settings, 1% in hospital settings. The hospice serves an average of 62 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Inpatient Hospice
Skilled Nursing
Hospital
Doctors at Cornerstone Vna
20 affiliated physicians
Dr. Mark Dick, MD
Internal Medicine
Dr. Chiedza Jokonya, MD
Family Practice
Dr. Daniel Davies, DO
Internal Medicine
Dr. Yulius Haryadi, MD
Internal Medicine
Dr. Michael Kumin, MD
Family Practice
Dr. Ivan Stukalau, MD
Internal Medicine
Dr. Eric Ouellette, DO
Family Practice
Dr. William Hassett, MD
Family Practice
Dr. Virginia Keefe Hassett, MD
Internal Medicine
Dr. Phenton Harker, MD
Family Practice
Dr. Michael Jordan, MD
Family Practice
Dr. Raveena Kelkar, MD
Internal Medicine
+ 8 more physicians
Dr. Bhavik Bhulabhai, MD
Family Practice
Dr. Gregory Rosic, MD
Internal Medicine
Dr. Maureen Cashman, MD
Family Practice
Dr. Restituto Malonso, MD
Internal Medicine
Dr. Kevin Donovan, DO
Family Practice
Dr. David Reall, MD
Family Practice
Dr. Alexander Geller, MD
Internal Medicine
Dr. Donald Rose, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Cornerstone Vna
What is the CMS rating for Cornerstone Vna?
Cornerstone Vna 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 Cornerstone Vna primarily treat?
Cornerstone Vna's patient population includes cancer (37%), cardiovascular disease (18%), other conditions (16%), dementia (13%), respiratory disease (12%), stroke (5%). This reflects the hospice's experience managing these conditions.
Where does Cornerstone Vna provide care?
Cornerstone Vna provides care in patient's home (76%), assisted living (18%), nursing facility (2%), inpatient hospice (1%), skilled nursing (1%), hospital (1%).
How large is Cornerstone Vna?
Cornerstone Vna serves an average of 62 patients per day and covers 62 ZIP codes in its service area.
How many doctors are affiliated with Cornerstone Vna?
20 physicians are affiliated with Cornerstone Vna.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·