About Custom Hospice, Llc
Hospice overview and quality summary
Custom Hospice, Llc is a for-profit hospice care provider in Troy, MI, serving patients and families in Oakland County and the surrounding area. Medicare certified since 2015, Custom Hospice, Llc has provided 11 years of end-of-life and palliative care to the community.
Custom Hospice, Llc serves an average of 102 patients per day, covering 164 ZIP codes across its service area. 86% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Custom Hospice, Llc 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. 12 physicians are affiliated with this hospice.
When choosing hospice care in Troy, MI, 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
Custom Hospice, Llc 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 Troy, MI compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
86% 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
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
73% 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
82% of caregivers gave Custom Hospice, Llc a top rating for getting timely care, above 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
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
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
100.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.8%
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
99.8%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
99.3%
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
99.1%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Custom Hospice, Llc'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.
50.9% of Custom Hospice, Llc'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
93%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12.7
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.4%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
26.9%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
13.2%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
27.5%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
11%
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
0.6%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$13,614
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Custom Hospice, Llc's patient population is primarily composed of individuals with dementia (26%), followed by other conditions (24%), cancer (21%), respiratory disease (15%), cardiovascular disease (12%), stroke (2%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Custom Hospice, Llc delivers 86% of its care in patients' homes, with 7% in assisted living settings, 6% in skilled nursing settings, 1% in hospital settings. The high proportion of home-based care aligns with the hospice philosophy of enabling patients to receive comfort care in familiar surroundings with family nearby. The hospice serves an average of 102 patients per day.
Patient's Home
Assisted Living
Skilled Nursing
Hospital
Doctors at Custom Hospice, Llc
12 affiliated physicians
Dr. Subburaman Sivakumar, MD
Internal Medicine
Dr. Deepanvita Kalvala, MD
Family Practice
Dr. Harpal Jande, MD
Internal Medicine
Dr. Ali Jaber, MD
Family Practice
Dr. Jamie Taweel, DO
Internal Medicine
Dr. Ashraf Hamza, MD
Internal Medicine
Dr. Maath Alani, MD
Internal Medicine
Dr. Ghassan Atto, MD
Family Practice
Dr. Achraf Slim
Internal Medicine
Dr. Massud Almassudi, MD
Internal Medicine
Dr. David Sengstock, MD
Geriatric Medicine
Dr. Ahmad Ahmad, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Custom Hospice, Llc
What is the CMS rating for Custom Hospice, Llc?
Custom Hospice, Llc 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 Custom Hospice, Llc primarily treat?
Custom Hospice, Llc's patient population includes dementia (26%), other conditions (24%), cancer (21%), respiratory disease (15%), cardiovascular disease (12%), stroke (2%). This reflects the hospice's experience managing these conditions.
Where does Custom Hospice, Llc provide care?
Custom Hospice, Llc provides care in patient's home (86%), assisted living (7%), skilled nursing (6%), hospital (1%).
How large is Custom Hospice, Llc?
Custom Hospice, Llc serves an average of 102 patients per day and covers 164 ZIP codes in its service area.
How many doctors are affiliated with Custom Hospice, Llc?
12 physicians are affiliated with Custom Hospice, Llc.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·