About Integrity Home Care + Hospice
Hospice overview and quality summary
Integrity Home Care + Hospice is a for-profit hospice care provider in Springfield, MO, serving patients and families in Greene County and the surrounding area. Medicare certified since 2012, Integrity Home Care + Hospice has provided 14 years of end-of-life and palliative care to the community.
Integrity Home Care + Hospice serves an average of 123 patients per day, covering 160 ZIP codes across its service area. 72% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Integrity Home Care + 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 Springfield, 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
Very Good
CMS CAHPS Hospice Star Rating
Integrity Home Care + 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 Integrity Home Care + Hospice among the higher-rated hospice providers serving families in Springfield, MO.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Integrity Home Care + 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
93% of caregivers gave Integrity Home Care + 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
79% of caregivers gave Integrity Home Care + Hospice a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
85% of caregivers gave Integrity Home Care + 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
80% of caregivers gave Integrity Home Care + 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
81% of caregivers gave Integrity Home Care + Hospice 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
85% of caregivers gave Integrity Home Care + 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
88% of caregivers gave Integrity Home Care + 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
99.6%
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
99.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Integrity Home Care + 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.
68.4% of Integrity Home Care + 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
96.4%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
18.5
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.2%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
20.6%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
7.7%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
45.1%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
6.2%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1.9%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.2%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$9,577
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Integrity Home Care + Hospice's patient population is primarily composed of individuals with cancer (31%), followed by other conditions (25%), cardiovascular disease (18%), dementia (15%), respiratory disease (9%), stroke (4%). 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
Integrity Home Care + Hospice delivers 72% of its care in patients' homes, with 24% in nursing facility settings, 2% in assisted living settings, 2% in skilled nursing settings. The hospice serves an average of 123 patients per day.
Patient's Home
Nursing Facility
Assisted Living
Skilled Nursing
Doctors at Integrity Home Care + Hospice
20 affiliated physicians
Dr. Thomas Dahlberg, MD
Family Practice
Dr. John Cascone, MD
Internal Medicine
Dr. Harold Smart, DO
Family Practice
Dr. Abhaya Khatiwada, MD
Hospitalist
Dr. Jamie Phelps, MD
Internal Medicine
Dr. Tapasya Raavi
Internal Medicine
Dr. Jonathan Haffner, MD
Family Practice
Dr. Nolan Snider, MD
Family Practice
Dr. Edgar Conrad, DO
Internal Medicine
Dr. Jeesanul Haq, MD
Internal Medicine
Dr. Russell Kennedy, DO
Family Practice
Dr. Talha Siddiqi, MD
Hospitalist
+ 8 more physicians
Dr. Andrew Russell, DO
Internal Medicine
Dr. Martin Alumno, MD
Family Practice
Dr. Roger Sacry, MD
Family Practice
Dr. Melissa Mcginnis, MD
Hospitalist
Dr. Luke Wicke, DO
Family Practice
Dr. Elaina Alumno, MD
Hospice/palliative Care
Dr. Marwan Jaoudeh, MD
Hospitalist
Dr. Volare Yantis, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Integrity Home Care + Hospice
What is the CMS rating for Integrity Home Care + Hospice?
Integrity Home Care + 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 Integrity Home Care + Hospice primarily treat?
Integrity Home Care + Hospice's patient population includes cancer (31%), other conditions (25%), cardiovascular disease (18%), dementia (15%), respiratory disease (9%), stroke (4%). This reflects the hospice's experience managing these conditions.
Where does Integrity Home Care + Hospice provide care?
Integrity Home Care + Hospice provides care in patient's home (72%), nursing facility (24%), assisted living (2%), skilled nursing (2%).
How large is Integrity Home Care + Hospice?
Integrity Home Care + Hospice serves an average of 123 patients per day and covers 160 ZIP codes in its service area.
How many doctors are affiliated with Integrity Home Care + Hospice?
20 physicians are affiliated with Integrity Home Care + Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·