About North Country Home Health & Hospice Agency
Hospice overview and quality summary
North Country Home Health & Hospice Agency is an hospice care provider in Littleton, NH, serving patients and families in Grafton County and the surrounding area. Medicare certified since 1994, North Country Home Health & Hospice Agency has provided 32 years of end-of-life and palliative care to the community.
North Country Home Health & Hospice Agency serves an average of 86 patients per day, covering 39 ZIP codes across its service area. 79% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned North Country Home Health & Hospice Agency a 3-star quality rating based on caregiver survey feedback, indicating average satisfaction with the hospice's care. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 4 physicians are affiliated with this hospice.
When choosing hospice care in Littleton, 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
Average
CMS CAHPS Hospice Star Rating
North Country Home Health & Hospice Agency has received a 3-star quality rating from CMS, based on the CAHPS Hospice Survey. This average rating reflects caregiver satisfaction across communication, symptom management, timely care, and emotional support. CMS publishes these ratings to help families in Littleton, NH compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
87% 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
89% 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
77% of caregivers gave North Country Home Health & Hospice Agency a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
80% 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
77% of caregivers gave a top rating for getting timely care, consistent with the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
74% of caregivers gave a top rating for training for family caregivers, consistent with the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
76% 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
85% of caregivers gave a top rating for would recommend, consistent with 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
98.9%
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
99.4%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
North Country Home Health & Hospice Agency'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.
70.2% of North Country Home Health & Hospice Agency'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
93.4%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
15
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.4%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
46.2%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
8.5%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
32.2%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
3.4%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
5.1%
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
$15,515
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
North Country Home Health & Hospice Agency's patient population is primarily composed of individuals with cancer (26%), followed by cardiovascular disease (24%), other conditions (19%), dementia (18%), respiratory disease (11%), stroke (3%).
Care Settings
Where hospice care is delivered
North Country Home Health & Hospice Agency delivers 79% of its care in patients' homes, with 12% in skilled nursing settings, 9% in assisted living settings. The hospice serves an average of 86 patients per day.
Patient's Home
Skilled Nursing
Assisted Living
Doctors at North Country Home Health & Hospice Agency
4 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About North Country Home Health & Hospice Agency
What is the CMS rating for North Country Home Health & Hospice Agency?
North Country Home Health & Hospice Agency has a 3-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 North Country Home Health & Hospice Agency primarily treat?
North Country Home Health & Hospice Agency's patient population includes cancer (26%), cardiovascular disease (24%), other conditions (19%), dementia (18%), respiratory disease (11%), stroke (3%). This reflects the hospice's experience managing these conditions.
Where does North Country Home Health & Hospice Agency provide care?
North Country Home Health & Hospice Agency provides care in patient's home (79%), skilled nursing (12%), assisted living (9%).
How large is North Country Home Health & Hospice Agency?
North Country Home Health & Hospice Agency serves an average of 86 patients per day and covers 39 ZIP codes in its service area.
How many doctors are affiliated with North Country Home Health & Hospice Agency?
4 physicians are affiliated with North Country Home Health & Hospice Agency.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·