About Ethos Hospice
Hospice overview and quality summary
Ethos Hospice is a nonprofit hospice care provider in Fargo, ND, serving patients and families in Cass County and the surrounding area. Medicare certified since 2018, Ethos Hospice has provided 8 years of end-of-life and palliative care to the community.
Ethos Hospice serves an average of 80 patients per day, covering 43 ZIP codes across its service area. 16% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Ethos Hospice has earned a 4-star CMS quality rating based on caregiver survey results, reflecting strong satisfaction across communication, symptom management, and emotional support. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 13 physicians are affiliated with this hospice.
When choosing hospice care in Fargo, ND, 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
Very Good
CMS CAHPS Hospice Star Rating
Ethos Hospice has earned a 4-star quality rating from the Centers for Medicare & Medicaid Services (CMS), based on the CAHPS Hospice Survey of bereaved family caregivers. This rating reflects above-average satisfaction across emotional support, symptom management, team communication, and respect. This places Ethos Hospice among the higher-rated hospice providers serving families in Fargo, ND.
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
92% 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
75% 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
83% 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
79% 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
70% 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
85% of caregivers gave Ethos Hospice 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
91% of caregivers gave Ethos Hospice a top rating for would recommend, above 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
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%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
98.3%
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
Ethos Hospice'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.
73.3% of Ethos Hospice's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
93.5%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
10.6
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
6.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
69.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
3.5%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
42.4%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
2.4%
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%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$14,336
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Ethos Hospice's patient population is primarily composed of individuals with other conditions (34%), followed by dementia (32%), cardiovascular disease (16%), cancer (9%), respiratory disease (7%).
Care Settings
Where hospice care is delivered
Ethos Hospice delivers 16% of its care in patients' homes, with 64% in skilled nursing settings, 18% in assisted living settings, 2% in nursing facility 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 80 patients per day.
Skilled Nursing
Assisted Living
Patient's Home
Nursing Facility
Doctors at Ethos Hospice
13 affiliated physicians
Dr. Rose Brandt, MD
Family Practice
Dr. Michael Sand, DO
Internal Medicine
Dr. Krissondra Klop, DO
Family Practice
Dr. Kinsey Nelson, MD
General Practice
Dr. Michael Sheldon, MD
Internal Medicine
Dr. Anthony Duncan, DO
Family Practice
Dr. Shannon Chamberlain, MD
Internal Medicine
Dr. Parul Gupta, MD
Geriatric Medicine
Dr. Christopher Henderson, MD
Family Practice
Dr. Bruce Domm, MD
Family Practice
Dr. Darin Lang, MD
Internal Medicine
Dr. Logan Schmaltz, MD
Internal Medicine
+ 1 more physicians
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Reviews and ratings from patients
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Frequently Asked Questions
About Ethos Hospice
What is the CMS rating for Ethos Hospice?
Ethos Hospice has a 4-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 Ethos Hospice primarily treat?
Ethos Hospice's patient population includes other conditions (34%), dementia (32%), cardiovascular disease (16%), cancer (9%), respiratory disease (7%). This reflects the hospice's experience managing these conditions.
Where does Ethos Hospice provide care?
Ethos Hospice provides care in skilled nursing (64%), assisted living (18%), patient's home (16%), nursing facility (2%).
How large is Ethos Hospice?
Ethos Hospice serves an average of 80 patients per day and covers 43 ZIP codes in its service area.
How many doctors are affiliated with Ethos Hospice?
13 physicians are affiliated with Ethos Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·