About Lakes Region Visiting Nurse Association
Hospice overview and quality summary
Lakes Region Visiting Nurse Association is a nonprofit hospice care provider in Meredith, NH, serving patients and families in Belknap County and the surrounding area. Medicare certified since 2018, Lakes Region Visiting Nurse Association has provided 8 years of end-of-life and palliative care to the community.
Lakes Region Visiting Nurse Association serves an average of 30 patients per day, covering 43 ZIP codes across its service area. 56% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Lakes Region Visiting Nurse Association has earned a 5-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. 1 physicians are affiliated with this hospice.
When choosing hospice care in Meredith, NH, 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
Excellent
CMS CAHPS Hospice Star Rating
Lakes Region Visiting Nurse Association has earned a 5-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 Lakes Region Visiting Nurse Association among the higher-rated hospice providers serving families in Meredith, NH.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
94% of caregivers gave Lakes Region Visiting Nurse Association 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
94% of caregivers gave Lakes Region Visiting Nurse Association 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
77% of caregivers gave Lakes Region Visiting Nurse Association a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
87% of caregivers gave Lakes Region Visiting Nurse Association 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
83% of caregivers gave Lakes Region Visiting Nurse Association 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
82% of caregivers gave Lakes Region Visiting Nurse Association 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
86% of caregivers gave Lakes Region Visiting Nurse Association 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
95% of caregivers gave Lakes Region Visiting Nurse Association 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
98.5%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
98.5%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
98.8%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.5%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
91.8%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
85.1%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
88.9%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Lakes Region Visiting Nurse Association'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.
77.0% of Lakes Region Visiting Nurse Association'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
96.1%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
15.4
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
11.8%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
40.5%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
3.8%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
34.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
9.6%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.1%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$11,382
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Lakes Region Visiting Nurse Association's patient population is primarily composed of individuals with other conditions (38%), followed by cancer (21%), respiratory disease (13%), stroke (12%), cardiovascular disease (9%), dementia (9%).
Care Settings
Where hospice care is delivered
Lakes Region Visiting Nurse Association delivers 56% of its care in patients' homes, with 33% in assisted living settings, 7% in nursing facility settings, 4% in skilled nursing settings. The hospice serves an average of 30 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Skilled Nursing
Doctors at Lakes Region Visiting Nurse Association
1 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Lakes Region Visiting Nurse Association
What is the CMS rating for Lakes Region Visiting Nurse Association?
Lakes Region Visiting Nurse Association has a 5-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 Lakes Region Visiting Nurse Association primarily treat?
Lakes Region Visiting Nurse Association's patient population includes other conditions (38%), cancer (21%), respiratory disease (13%), stroke (12%), cardiovascular disease (9%), dementia (9%). This reflects the hospice's experience managing these conditions.
Where does Lakes Region Visiting Nurse Association provide care?
Lakes Region Visiting Nurse Association provides care in patient's home (56%), assisted living (33%), nursing facility (7%), skilled nursing (4%).
How large is Lakes Region Visiting Nurse Association?
Lakes Region Visiting Nurse Association serves an average of 30 patients per day and covers 43 ZIP codes in its service area.
How many doctors are affiliated with Lakes Region Visiting Nurse Association?
1 physicians are affiliated with Lakes Region Visiting Nurse Association.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·