About Monument Health Home Plus Hospice
Hospice overview and quality summary
Monument Health Home Plus Hospice is a for-profit hospice care provider in Spearfish, SD, serving patients and families in Lawrence County and the surrounding area. Medicare certified since 1997, Monument Health Home Plus Hospice has provided 29 years of end-of-life and palliative care to the community.
Monument Health Home Plus Hospice serves an average of 9 patients per day, covering 19 ZIP codes across its service area. 27% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Monument Health Home Plus Hospice holds a 2-star CMS rating based on caregiver surveys. Families are encouraged to review the detailed quality measures below. The facility's Hospice Care Index score is 9 out of 10, a composite measure of care quality and efficiency. 5 physicians are affiliated with this hospice.
When choosing hospice care in Spearfish, SD, 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
Below Average
CMS CAHPS Hospice Star Rating
Monument Health Home Plus Hospice has received a 2-star quality rating from CMS, based on caregiver survey results. Families in Spearfish, SD considering this hospice should review the detailed survey results below and discuss quality measures with the care team.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
81% of caregivers gave a top rating for emotional & spiritual support, below the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
85% of caregivers gave a top rating for treated with respect, below the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
67% of caregivers gave a top rating for help with symptoms, below the national average of 74%.
Team Communication
How well the hospice team communicated with the family
70% of caregivers gave a top rating for team communication, below the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
72% of caregivers gave a top rating for getting timely care, below the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
69% of caregivers gave a top rating for training for family caregivers, below the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
70% of caregivers gave a top rating for overall rating (9-10), below the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
73% of caregivers gave a top rating for would recommend, below 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
98.7%
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
98.7%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Monument Health Home Plus Hospice's Hospice Care Index (HCI) score is 9 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.
34.2% of Monument Health Home Plus Hospice's patients received visits from the hospice team in their final days of life, below the national average of 47.9%. Families may want to discuss end-of-life visit availability with this hospice.
Visits Near Death
Patients with visits in last 3 days of life
83.9%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
11.8
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
6.9%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
28%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
0%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
8%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
0%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
8%
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
$8,305
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Monument Health Home Plus Hospice's patient population is primarily composed of individuals with cancer (41%), followed by other conditions (31%). 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
Monument Health Home Plus Hospice delivers 27% of its care in patients' homes, with 39% in inpatient hospice settings, 24% in nursing facility settings, 7% in skilled nursing settings, 4% in assisted living 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 9 patients per day.
Inpatient Hospice
Patient's Home
Nursing Facility
Skilled Nursing
Assisted Living
Doctors at Monument Health Home Plus Hospice
5 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Monument Health Home Plus Hospice
What is the CMS rating for Monument Health Home Plus Hospice?
Monument Health Home Plus Hospice has a 2-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 Monument Health Home Plus Hospice primarily treat?
Monument Health Home Plus Hospice's patient population includes cancer (41%), other conditions (31%). This reflects the hospice's experience managing these conditions.
Where does Monument Health Home Plus Hospice provide care?
Monument Health Home Plus Hospice provides care in inpatient hospice (39%), patient's home (27%), nursing facility (24%), skilled nursing (7%), assisted living (4%).
How large is Monument Health Home Plus Hospice?
Monument Health Home Plus Hospice serves an average of 9 patients per day and covers 19 ZIP codes in its service area.
How many doctors are affiliated with Monument Health Home Plus Hospice?
5 physicians are affiliated with Monument Health Home Plus Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·