About Medi Home Health And Hospice
Hospice overview and quality summary
Medi Home Health And Hospice is a for-profit hospice care provider in Boone, NC, serving patients and families in Watauga County and the surrounding area. Medicare certified since 1988, Medi Home Health And Hospice has provided 38 years of end-of-life and palliative care to the community.
Medi Home Health And Hospice serves an average of 213 patients per day, covering 133 ZIP codes across its service area. 67% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Medi Home Health 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. 18 physicians are affiliated with this hospice.
When choosing hospice care in Boone, 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
Medi Home Health 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 Medi Home Health And Hospice among the higher-rated hospice providers serving families in Boone, NC.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
89% 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
76% of caregivers gave a top rating for help with symptoms, consistent with 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
82% of caregivers gave Medi Home Health 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
79% of caregivers gave Medi Home Health 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
81% of caregivers gave a top rating for overall rating (9-10), consistent with the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
87% of caregivers gave Medi Home Health 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
99.7%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.7%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.5%
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
99.5%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
99.4%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.4%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
98.7%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Medi Home Health 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.
64.8% of Medi Home Health 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
97.3%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
9.6
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.4%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
69.1%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
7.8%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
30.7%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
12.6%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.6%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.3%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$19,270
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Medi Home Health And Hospice's patient population is primarily composed of individuals with dementia (33%), followed by cancer (20%), cardiovascular disease (19%), other conditions (17%), respiratory disease (12%), stroke (3%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Medi Home Health And Hospice delivers 67% of its care in patients' homes, with 24% in assisted living settings, 9% in skilled nursing settings. The hospice serves an average of 213 patients per day.
Patient's Home
Assisted Living
Skilled Nursing
Doctors at Medi Home Health And Hospice
18 affiliated physicians
Dr. John Fesperman, NP
Nurse Practitioner
Dr. Richard Stark, MD
Internal Medicine
Dr. Derek Mcclure, NP
Nurse Practitioner
Dr. Kelli Nowikowski, MD
Internal Medicine
Dr. Jessica Johnson, NP
Nurse Practitioner
Dr. Amanda Kincaid
Nurse Practitioner
Dr. Cecilia Gordon, MD
Family Practice
Dr. Kevin Kurtz, MD
Family Practice
Dr. Timothy Turbett, MD
Family Practice
Dr. Jayne Leonard, MD
Family Practice
Dr. Richard Ambler, MD
Family Practice
Dr. Leslie Smith, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Medi Home Health And Hospice
What is the CMS rating for Medi Home Health And Hospice?
Medi Home Health 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 Medi Home Health And Hospice primarily treat?
Medi Home Health And Hospice's patient population includes dementia (33%), cancer (20%), cardiovascular disease (19%), other conditions (17%), respiratory disease (12%), stroke (3%). This reflects the hospice's experience managing these conditions.
Where does Medi Home Health And Hospice provide care?
Medi Home Health And Hospice provides care in patient's home (67%), assisted living (24%), skilled nursing (9%).
How large is Medi Home Health And Hospice?
Medi Home Health And Hospice serves an average of 213 patients per day and covers 133 ZIP codes in its service area.
How many doctors are affiliated with Medi Home Health And Hospice?
18 physicians are affiliated with Medi Home Health And Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·