About Gentiva
Hospice overview and quality summary
Gentiva is a for-profit hospice care provider in Saint Louis, MO, serving patients and families in St. Louis County and the surrounding area. Medicare certified since 1994, Gentiva has provided 32 years of end-of-life and palliative care to the community.
Gentiva serves an average of 168 patients per day, covering 157 ZIP codes across its service area. 28% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Gentiva 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 10 out of 10, a composite measure of care quality and efficiency. 10 physicians are affiliated with this hospice.
When choosing hospice care in Saint Louis, MO, 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
Gentiva 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 Saint Louis, MO compare hospice providers.
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
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
79% 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
74% 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
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
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
99.9%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
98.7%
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
99.6%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
98.6%
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
97.0%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Gentiva'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.
68.2% of Gentiva'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
93.7%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13.9
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
16.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
6.2%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
40.1%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
10.2%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.8%
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
$17,266
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Gentiva's patient population is primarily composed of individuals with dementia (28%), followed by cardiovascular disease (26%), cancer (19%), respiratory disease (12%), other conditions (9%), stroke (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
Gentiva delivers 28% of its care in patients' homes, with 49% in nursing facility settings, 15% in assisted living settings, 8% in skilled nursing 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 168 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Skilled Nursing
Doctors at Gentiva
10 affiliated physicians
Dr. Rafi Kevorkian, MD
Geriatric Medicine
Dr. Iqbal Amin, MD
Internal Medicine
Dr. David Pernikoff, MD
Internal Medicine
Dr. Paul Metcalf, DO
Family Practice
Dr. Shaukat Thanawalla, MD
Internal Medicine
Dr. Guy Roberts, DO
Family Practice
Dr. Julie Wittenauer, MD
Family Practice
Dr. Michael Rothermich, MD
Family Practice
Dr. Felice Rolnick, MD
Internal Medicine
Dr. Roland Akinyede, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Gentiva
What is the CMS rating for Gentiva?
Gentiva 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 Gentiva primarily treat?
Gentiva's patient population includes dementia (28%), cardiovascular disease (26%), cancer (19%), respiratory disease (12%), other conditions (9%), stroke (8%). This reflects the hospice's experience managing these conditions.
Where does Gentiva provide care?
Gentiva provides care in nursing facility (49%), patient's home (28%), assisted living (15%), skilled nursing (8%).
How large is Gentiva?
Gentiva serves an average of 168 patients per day and covers 157 ZIP codes in its service area.
How many doctors are affiliated with Gentiva?
10 physicians are affiliated with Gentiva.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·