About Johnston Health Home Care And Hospice
Hospice overview and quality summary
Johnston Health Home Care And Hospice is an hospice care provider in Smithfield, NC, serving patients and families in Johnston County and the surrounding area. Medicare certified since 1992, Johnston Health Home Care And Hospice has provided 34 years of end-of-life and palliative care to the community.
Johnston Health Home Care And Hospice serves an average of 21 patients per day, covering 42 ZIP codes across its service area. 42% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Johnston Health Home Care And 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.
When choosing hospice care in Smithfield, NC, 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
Johnston Health Home Care And 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 Johnston Health Home Care And Hospice among the higher-rated hospice providers serving families in Smithfield, NC.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
92% 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
90% 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
81% of caregivers gave Johnston Health Home Care And 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
83% of caregivers gave a top rating for team communication, consistent with the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
83% of caregivers gave Johnston Health Home Care And 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
78% of caregivers gave Johnston Health Home Care And 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
88% of caregivers gave Johnston Health Home Care And 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
93% of caregivers gave Johnston Health Home Care And 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
100.0%
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
99.6%
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
99.8%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Johnston Health Home Care And 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.
91.4% of Johnston Health 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
99.3%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
118.3
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
27.8%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
6.5%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
14.3%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
9.5%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
9.5%
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
13%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$4,987
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Johnston Health Home Care And Hospice's patient population is primarily composed of individuals with cancer (37%), followed by other conditions (23%), cardiovascular disease (13%), respiratory disease (12%), dementia (10%), stroke (6%). 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
Johnston Health Home Care And Hospice delivers 42% of its care in patients' homes, with 58% in inpatient hospice 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 21 patients per day.
Inpatient Hospice
Patient's Home
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Reviews and ratings from patients
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Frequently Asked Questions
About Johnston Health Home Care And Hospice
What is the CMS rating for Johnston Health Home Care And Hospice?
Johnston Health Home Care And 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 Johnston Health Home Care And Hospice primarily treat?
Johnston Health Home Care And Hospice's patient population includes cancer (37%), other conditions (23%), cardiovascular disease (13%), respiratory disease (12%), dementia (10%), stroke (6%). This reflects the hospice's experience managing these conditions.
Where does Johnston Health Home Care And Hospice provide care?
Johnston Health Home Care And Hospice provides care in inpatient hospice (58%), patient's home (42%).
How large is Johnston Health Home Care And Hospice?
Johnston Health Home Care And Hospice serves an average of 21 patients per day and covers 42 ZIP codes in its service area.
How many doctors are affiliated with Johnston Health Home Care And Hospice?
Affiliated physician data is not currently available for Johnston Health Home Care And Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·