About Granite Vna, Inc.
Hospice overview and quality summary
Granite Vna, Inc. is a for-profit hospice care provider in Concord, NH, serving patients and families in Merrimack County and the surrounding area. Medicare certified since 1989, Granite Vna, Inc. has provided 37 years of end-of-life and palliative care to the community.
Granite Vna, Inc. serves an average of 140 patients per day, covering 97 ZIP codes across its service area. 65% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Granite Vna, Inc. 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. 20 physicians are affiliated with this hospice.
When choosing hospice care in Concord, NH, 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
Granite Vna, Inc. 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 Concord, NH 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
88% 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
72% 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
77% of caregivers gave a top rating for team communication, below the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
73% of caregivers gave a top rating for getting timely care, below 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
80% 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
87% of caregivers gave Granite Vna, Inc. 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
99.9%
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
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
100.0%
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
99.7%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Granite Vna, Inc.'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.
58.1% of Granite Vna, Inc.'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
95.8%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
11.8
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
9.8%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
55.8%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
11.1%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
36.5%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
4.8%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
4.8%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
2.4%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$10,185
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Granite Vna, Inc.'s patient population is primarily composed of individuals with cancer (29%), followed by other conditions (21%), dementia (18%), cardiovascular disease (14%), respiratory disease (10%), stroke (8%).
Care Settings
Where hospice care is delivered
Granite Vna, Inc. delivers 65% of its care in patients' homes, with 14% in skilled nursing settings, 13% in assisted living settings, 4% in nursing facility settings, 3% in inpatient hospice settings. The hospice serves an average of 140 patients per day.
Patient's Home
Skilled Nursing
Assisted Living
Nursing Facility
Inpatient Hospice
Doctors at Granite Vna, Inc.
20 affiliated physicians
Dr. Ana Castellanos, MD
Family Practice
Dr. Jeremy Werth, MD
Family Practice
Dr. Sarah Glover, DO
Internal Medicine
Dr. Ioan Badau, MD
Internal Medicine
Dr. John Malcolm, MD
Family Practice
Dr. Jenna Reardon
Nurse Practitioner
Dr. Nicole Antinerella, DO
Internal Medicine
Dr. Tyler Martin, DO
Family Practice
Dr. Mathew Sawyer, MD
Family Practice
Dr. Bonnie Lapierre, NP
Nurse Practitioner
Dr. Julia Burdick, MD
Internal Medicine
Dr. Bridgette Elguero
Nurse Practitioner
+ 8 more physicians
Dr. Vercin Ephrem, MD
Internal Medicine
Dr. Robb Stidwill, MD
Family Practice
Dr. Insha Haque, DO
Family Practice
Dr. Rachel Franchi-winters, DO
Family Practice
Dr. Jasmine Shah, MD
Internal Medicine
Dr. Francis Milligan, MD
Family Practice
Dr. Stephen Bishop, MD
Family Practice
Dr. Ellen Boone
Nurse Practitioner
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Granite Vna, Inc.
What is the CMS rating for Granite Vna, Inc.?
Granite Vna, Inc. 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 Granite Vna, Inc. primarily treat?
Granite Vna, Inc.'s patient population includes cancer (29%), other conditions (21%), dementia (18%), cardiovascular disease (14%), respiratory disease (10%), stroke (8%). This reflects the hospice's experience managing these conditions.
Where does Granite Vna, Inc. provide care?
Granite Vna, Inc. provides care in patient's home (65%), skilled nursing (14%), assisted living (13%), nursing facility (4%), inpatient hospice (3%).
How large is Granite Vna, Inc.?
Granite Vna, Inc. serves an average of 140 patients per day and covers 97 ZIP codes in its service area.
How many doctors are affiliated with Granite Vna, Inc.?
20 physicians are affiliated with Granite Vna, Inc..
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·