About Envision Hospice
Hospice overview and quality summary
Envision Hospice is a for-profit hospice care provider in Federal Way, WA, serving patients and families in Thurston County and the surrounding area. Medicare certified since 2020, Envision Hospice has provided 6 years of end-of-life and palliative care to the community.
Envision Hospice serves an average of 136 patients per day, covering 104 ZIP codes across its service area. 51% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Envision 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 7 out of 10, a composite measure of care quality and efficiency. 3 physicians are affiliated with this hospice.
When choosing hospice care in Federal Way, WA, 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
Envision 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 Federal Way, WA compare hospice providers.
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
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
71% 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
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
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
79% 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
82% 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
99.3%
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%
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
96.9%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
98.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Envision Hospice's Hospice Care Index (HCI) score is 7 out of 10, below the national average of 8.8. The HCI evaluates hospices on nursing visit continuity, care transitions, spending efficiency, and presence in the final days.
52.9% of Envision Hospice'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
86.3%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
9.7
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
5.1%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
63.5%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
18.8%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
30.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
4.7%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
10.6%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$17,215
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Envision Hospice's patient population is primarily composed of individuals with dementia (26%), followed by cancer (25%), other conditions (17%), cardiovascular disease (16%), stroke (13%), respiratory disease (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
Envision Hospice delivers 51% of its care in patients' homes, with 40% in assisted living settings, 7% in skilled nursing settings, 1% in nursing facility settings. The hospice serves an average of 136 patients per day.
Patient's Home
Assisted Living
Skilled Nursing
Nursing Facility
Doctors at Envision Hospice
3 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Envision Hospice
What is the CMS rating for Envision Hospice?
Envision 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 Envision Hospice primarily treat?
Envision Hospice's patient population includes dementia (26%), cancer (25%), other conditions (17%), cardiovascular disease (16%), stroke (13%), respiratory disease (5%). This reflects the hospice's experience managing these conditions.
Where does Envision Hospice provide care?
Envision Hospice provides care in patient's home (51%), assisted living (40%), skilled nursing (7%), nursing facility (1%).
How large is Envision Hospice?
Envision Hospice serves an average of 136 patients per day and covers 104 ZIP codes in its service area.
How many doctors are affiliated with Envision Hospice?
3 physicians are affiliated with Envision Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·