About Hospice Of The Foothills
Hospice overview and quality summary
Hospice Of The Foothills is an hospice care provider in Grass Valley, CA, serving patients and families in Nevada County and the surrounding area. Medicare certified since 1994, Hospice Of The Foothills has provided 32 years of end-of-life and palliative care to the community.
Hospice Of The Foothills serves an average of 69 patients per day, covering 44 ZIP codes across its service area. 63% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Hospice Of The Foothills 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. 9 physicians are affiliated with this hospice.
When choosing hospice care in Grass Valley, CA, 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
Hospice Of The Foothills 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 Hospice Of The Foothills among the higher-rated hospice providers serving families in Grass Valley, CA.
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
92% 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
78% of caregivers gave Hospice Of The Foothills a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
84% of caregivers gave Hospice Of The Foothills 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
76% 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
81% of caregivers gave Hospice Of The Foothills a top rating for training for family caregivers, above the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
87% of caregivers gave Hospice Of The Foothills 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 Hospice Of The Foothills 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
100.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
98.8%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
90.1%
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
93.9%
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
92.0%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Hospice Of The Foothills'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.
60.9% of Hospice Of The Foothills'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
97%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
14
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.2%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
52.6%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
11%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
30.5%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
1.2%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.4%
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
$13,971
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Hospice Of The Foothills's patient population is primarily composed of individuals with cancer (36%), followed by dementia (16%), cardiovascular disease (14%), stroke (14%), other conditions (13%), respiratory disease (8%). While cancer has historically been the most common hospice diagnosis, the proportion of non-cancer patients has grown substantially over the past decade.
Care Settings
Where hospice care is delivered
Hospice Of The Foothills delivers 63% of its care in patients' homes, with 27% in assisted living settings, 10% in nursing facility settings. The hospice serves an average of 69 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Doctors at Hospice Of The Foothills
9 affiliated physicians
Dr. Neva Monigatti Lake, MD
Family Practice
Dr. Jon Pritchett, MD
Family Practice
Dr. Kuldip Gill, MD
Internal Medicine
Dr. Todd Bouchier, MD
Family Practice
Dr. Francheska Garcia Portalatin, MD
Family Practice
Dr. Brandi Kindig, MD
Internal Medicine
Dr. Thomas Kanomata, MD
Internal Medicine
Dr. Mara Berezniak, DO
Family Practice
Dr. Elizabeth Claydon, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Hospice Of The Foothills
What is the CMS rating for Hospice Of The Foothills?
Hospice Of The Foothills 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 Hospice Of The Foothills primarily treat?
Hospice Of The Foothills's patient population includes cancer (36%), dementia (16%), cardiovascular disease (14%), stroke (14%), other conditions (13%), respiratory disease (8%). This reflects the hospice's experience managing these conditions.
Where does Hospice Of The Foothills provide care?
Hospice Of The Foothills provides care in patient's home (63%), assisted living (27%), nursing facility (10%).
How large is Hospice Of The Foothills?
Hospice Of The Foothills serves an average of 69 patients per day and covers 44 ZIP codes in its service area.
How many doctors are affiliated with Hospice Of The Foothills?
9 physicians are affiliated with Hospice Of The Foothills.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·