About Legacy Hospice & Palliative Care
Hospice overview and quality summary
Legacy Hospice & Palliative Care is a for-profit hospice care provider in Richlands, VA, serving patients and families in Tazewell County and the surrounding area. Medicare certified since 2005, Legacy Hospice & Palliative Care has provided 21 years of end-of-life and palliative care to the community.
Legacy Hospice & Palliative Care serves an average of 41 patients per day, covering 39 ZIP codes across its service area. 81% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Legacy Hospice & Palliative Care 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 Richlands, VA, 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
Legacy Hospice & Palliative Care 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 Legacy Hospice & Palliative Care among the higher-rated hospice providers serving families in Richlands, VA.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
94% of caregivers gave Legacy Hospice & Palliative Care 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 Legacy Hospice & Palliative Care 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
86% of caregivers gave Legacy Hospice & Palliative Care 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 Legacy Hospice & Palliative Care 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
92% of caregivers gave Legacy Hospice & Palliative Care 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
85% of caregivers gave Legacy Hospice & Palliative Care 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 Legacy Hospice & Palliative Care 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 Legacy Hospice & Palliative Care 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
99.6%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
97.9%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
98.3%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
98.8%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
97.9%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.2%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
93.4%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Legacy Hospice & Palliative Care'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.
57.8% of Legacy Hospice & Palliative Care'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
21.2
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
37%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
14.5%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
21.7%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
14.5%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
4.3%
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
$10,695
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Legacy Hospice & Palliative Care's patient population is primarily composed of individuals with cancer (29%), followed by respiratory disease (23%), cardiovascular disease (21%), other conditions (17%), dementia (9%).
Care Settings
Where hospice care is delivered
Legacy Hospice & Palliative Care delivers 81% of its care in patients' homes, with 14% in assisted living settings, 5% in nursing facility settings. The high proportion of home-based care aligns with the hospice philosophy of enabling patients to receive comfort care in familiar surroundings with family nearby. The hospice serves an average of 41 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Doctors at Legacy Hospice & Palliative Care
1 affiliated physicians
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Reviews and ratings from patients
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Frequently Asked Questions
About Legacy Hospice & Palliative Care
What is the CMS rating for Legacy Hospice & Palliative Care?
Legacy Hospice & Palliative Care 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 Legacy Hospice & Palliative Care primarily treat?
Legacy Hospice & Palliative Care's patient population includes cancer (29%), respiratory disease (23%), cardiovascular disease (21%), other conditions (17%), dementia (9%). This reflects the hospice's experience managing these conditions.
Where does Legacy Hospice & Palliative Care provide care?
Legacy Hospice & Palliative Care provides care in patient's home (81%), assisted living (14%), nursing facility (5%).
How large is Legacy Hospice & Palliative Care?
Legacy Hospice & Palliative Care serves an average of 41 patients per day and covers 39 ZIP codes in its service area.
How many doctors are affiliated with Legacy Hospice & Palliative Care?
1 physicians are affiliated with Legacy Hospice & Palliative Care.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·