About Horizon Hospice
Hospice overview and quality summary
Horizon Hospice is a for-profit hospice care provider in Spokane, WA, serving patients and families in Spokane County and the surrounding area. Medicare certified since 1998, Horizon Hospice has provided 28 years of end-of-life and palliative care to the community.
Horizon Hospice serves an average of 160 patients per day, covering 47 ZIP codes across its service area. 32% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Horizon 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. 20 physicians are affiliated with this hospice.
When choosing hospice care in Spokane, WA, 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
Horizon 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 Horizon Hospice among the higher-rated hospice providers serving families in Spokane, WA.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
94% of caregivers gave Horizon Hospice a top rating for emotional & spiritual support, above the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
95% of caregivers gave Horizon Hospice a top rating for treated with respect, above 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
84% of caregivers gave Horizon Hospice a top rating for team communication, above the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
84% of caregivers gave Horizon Hospice a top rating for getting timely care, above the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
76% 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
89% of caregivers gave Horizon 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
92% of caregivers gave Horizon 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
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
98.8%
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
99.2%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Horizon 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.
93.1% of Horizon 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
99.6%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
16.8
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
9.9%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
43.8%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
5.3%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
42.1%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
3.5%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
4.4%
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
$18,626
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Horizon Hospice's patient population is primarily composed of individuals with dementia (36%), followed by cancer (20%), cardiovascular disease (16%), other conditions (12%), stroke (9%), 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
Horizon Hospice delivers 32% of its care in patients' homes, with 66% in assisted living settings, 2% 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 160 patients per day.
Assisted Living
Patient's Home
Skilled Nursing
Doctors at Horizon Hospice
20 affiliated physicians
Dr. Juan Bala, MD
Family Practice
Dr. Jeremy Stevens, DO
Internal Medicine
Dr. Darin Eckert, MD
Family Practice
Dr. Rita Snow, MD
Internal Medicine
Dr. Christina Ryan, MD
Internal Medicine
Dr. Kristina Anderson, MD
Family Practice
Dr. Duncan Lahtinen, MD
Family Practice
Dr. Todd Gottschalk, DO
Internal Medicine
Dr. Pamela Schultz-torosian, MD
Family Practice
Dr. David Fischer, MD
Internal Medicine
Dr. Edgar Figueroa, MD
Family Practice
Dr. Cori Lopez, DO
Family Practice
+ 8 more physicians
Dr. Raluca Ionescu, MD
Internal Medicine
Dr. Christopher Yarter, MD
Family Practice
Dr. Mirko Zugec, MD
Internal Medicine
Dr. Georgina De La Garza, MD
Family Practice
Dr. Jeffrey White, MD
Family Practice
Dr. Keith Morton, MD
Internal Medicine
Dr. Daniel Yang, MD
Internal Medicine
Dr. Brett Gourley, MD
Hematology/oncology
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Horizon Hospice
What is the CMS rating for Horizon Hospice?
Horizon 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 Horizon Hospice primarily treat?
Horizon Hospice's patient population includes dementia (36%), cancer (20%), cardiovascular disease (16%), other conditions (12%), stroke (9%), respiratory disease (7%). This reflects the hospice's experience managing these conditions.
Where does Horizon Hospice provide care?
Horizon Hospice provides care in assisted living (66%), patient's home (32%), skilled nursing (2%).
How large is Horizon Hospice?
Horizon Hospice serves an average of 160 patients per day and covers 47 ZIP codes in its service area.
How many doctors are affiliated with Horizon Hospice?
20 physicians are affiliated with Horizon Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·