About Holy Cross Home Care And Hospice
Hospice overview and quality summary
Holy Cross Home Care And Hospice is a nonprofit hospice care provider in Silver Spring, MD, serving patients and families in Montgomery County and the surrounding area. Medicare certified since 1986, Holy Cross Home Care And Hospice has provided 40 years of end-of-life and palliative care to the community.
Holy Cross Home Care And Hospice serves an average of 57 patients per day, covering 75 ZIP codes across its service area. 61% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Holy Cross Home Care And Hospice holds a 2-star CMS rating based on caregiver surveys. Families are encouraged to review the detailed quality measures below. The facility's Hospice Care Index score is 8 out of 10, a composite measure of care quality and efficiency.
When choosing hospice care in Silver Spring, MD, 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
Below Average
CMS CAHPS Hospice Star Rating
Holy Cross Home Care And Hospice has received a 2-star quality rating from CMS, based on caregiver survey results. Families in Silver Spring, MD considering this hospice should review the detailed survey results below and discuss quality measures with the care team.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
85% of caregivers gave a top rating for emotional & spiritual support, below the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
84% of caregivers gave a top rating for treated with respect, below the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
69% 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
74% 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
61% 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
68% 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
76% of caregivers gave a top rating for overall rating (9-10), below the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
80% of caregivers gave a top rating for would recommend, below 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
99.0%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
94.8%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.0%
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
100.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
94.5%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Holy Cross Home Care And Hospice's Hospice Care Index (HCI) score is 8 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.
57.2% of Holy Cross Home Care And 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
88.7%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
11.2
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
9.6%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
67.9%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
14.7%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
30.3%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
11%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
5.5%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
1.7%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$12,353
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Holy Cross Home Care And Hospice's patient population is primarily composed of individuals with dementia (34%), followed by cancer (22%), other conditions (15%), cardiovascular disease (13%), stroke (12%), respiratory disease (7%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Holy Cross Home Care And Hospice delivers 61% of its care in patients' homes, with 27% in assisted living settings, 11% in skilled nursing settings. The hospice serves an average of 57 patients per day.
Patient's Home
Assisted Living
Skilled Nursing
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Holy Cross Home Care And Hospice
What is the CMS rating for Holy Cross Home Care And Hospice?
Holy Cross Home Care And Hospice has a 2-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 Holy Cross Home Care And Hospice primarily treat?
Holy Cross Home Care And Hospice's patient population includes dementia (34%), cancer (22%), other conditions (15%), cardiovascular disease (13%), stroke (12%), respiratory disease (7%). This reflects the hospice's experience managing these conditions.
Where does Holy Cross Home Care And Hospice provide care?
Holy Cross Home Care And Hospice provides care in patient's home (61%), assisted living (27%), skilled nursing (11%).
How large is Holy Cross Home Care And Hospice?
Holy Cross Home Care And Hospice serves an average of 57 patients per day and covers 75 ZIP codes in its service area.
How many doctors are affiliated with Holy Cross Home Care And Hospice?
Affiliated physician data is not currently available for Holy Cross Home Care And Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·