About Four Seasons The Care You Trust
Hospice overview and quality summary
Four Seasons The Care You Trust is a nonprofit hospice care provider in Flat Rock, NC, serving patients and families in Henderson County and the surrounding area. Medicare certified since 1988, Four Seasons The Care You Trust has provided 38 years of end-of-life and palliative care to the community.
Four Seasons The Care You Trust serves an average of 556 patients per day, covering 101 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.
Four Seasons The Care You Trust 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. 20 physicians are affiliated with this hospice.
When choosing hospice care in Flat Rock, NC, 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
Four Seasons The Care You Trust 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 Four Seasons The Care You Trust among the higher-rated hospice providers serving families in Flat Rock, NC.
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
91% 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
77% of caregivers gave Four Seasons The Care You Trust a top rating for help with symptoms, above 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
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
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
83% 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
89% of caregivers gave Four Seasons The Care You Trust 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
99.8%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.9%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
99.8%
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
100.0%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.6%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
99.5%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Four Seasons The Care You Trust'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.
46.6% of Four Seasons The Care You Trust'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
87.7%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
11.1
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
64.2%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
9%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
31.5%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
4.9%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1.1%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
1.5%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$12,500
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Four Seasons The Care You Trust's patient population is primarily composed of individuals with dementia (27%), followed by cancer (23%), other conditions (18%), cardiovascular disease (16%), stroke (9%), respiratory disease (8%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Four Seasons The Care You Trust delivers 51% of its care in patients' homes, with 29% in nursing facility settings, 19% in assisted living settings, 1% in inpatient hospice settings, 1% in hospital settings. The hospice serves an average of 556 patients per day.
Patient's Home
Nursing Facility
Assisted Living
Inpatient Hospice
Hospital
Doctors at Four Seasons The Care You Trust
20 affiliated physicians
Dr. Hongjae Kim, MD
Internal Medicine
Dr. Morris Simhachalam, DO
General Practice
Dr. Marie Belmonte, DO
Internal Medicine
Dr. Carmen Mohai, MD
Internal Medicine
Dr. Eric Byrd, MD
Internal Medicine
Dr. Neal Guffey, MD
Family Practice
Dr. Randall Cope, DO
Internal Medicine
Dr. Patti Wheeler, MD
Family Practice
Dr. Anna Overby, DO
Internal Medicine
Dr. Zain Ali Burney
Internal Medicine
Dr. Rabi Kutob, MD
Family Practice
Dr. Katherine Crum, MD
Geriatric Medicine
+ 8 more physicians
Dr. Joy Ciaccio, NP
Nurse Practitioner
Dr. Katharine Whitfield, DO
Internal Medicine
Dr. Carissa Lau-julien, MD
Internal Medicine
Dr. Timothy Turbett, MD
Family Practice
Dr. Misgana Bedane
Internal Medicine
Dr. Michael Oleksyk, MD
Internal Medicine
Dr. David Franks, MD
Internal Medicine
Dr. William Mclean, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Four Seasons The Care You Trust
What is the CMS rating for Four Seasons The Care You Trust?
Four Seasons The Care You Trust 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 Four Seasons The Care You Trust primarily treat?
Four Seasons The Care You Trust's patient population includes dementia (27%), cancer (23%), other conditions (18%), cardiovascular disease (16%), stroke (9%), respiratory disease (8%). This reflects the hospice's experience managing these conditions.
Where does Four Seasons The Care You Trust provide care?
Four Seasons The Care You Trust provides care in patient's home (51%), nursing facility (29%), assisted living (19%), inpatient hospice (1%), hospital (1%).
How large is Four Seasons The Care You Trust?
Four Seasons The Care You Trust serves an average of 556 patients per day and covers 101 ZIP codes in its service area.
How many doctors are affiliated with Four Seasons The Care You Trust?
20 physicians are affiliated with Four Seasons The Care You Trust.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·