About Rockbridge Area Hospice Inc
Hospice overview and quality summary
Rockbridge Area Hospice Inc is a nonprofit hospice care provider in Lexington, VA, serving patients and families in Lexington City County and the surrounding area. Medicare certified since 1993, Rockbridge Area Hospice Inc has provided 33 years of end-of-life and palliative care to the community.
Rockbridge Area Hospice Inc serves an average of 71 patients per day, covering 31 ZIP codes across its service area. 73% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Rockbridge Area Hospice Inc 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. 19 physicians are affiliated with this hospice.
When choosing hospice care in Lexington, 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
Rockbridge Area Hospice Inc 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 Rockbridge Area Hospice Inc among the higher-rated hospice providers serving families in Lexington, VA.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
92% 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
97% of caregivers gave Rockbridge Area Hospice Inc 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
83% of caregivers gave Rockbridge Area Hospice Inc a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
92% of caregivers gave Rockbridge Area Hospice Inc 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
87% of caregivers gave Rockbridge Area Hospice Inc 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
83% of caregivers gave Rockbridge Area Hospice Inc 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
91% of caregivers gave Rockbridge Area Hospice Inc 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
98% of caregivers gave Rockbridge Area Hospice Inc 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
99.4%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
98.1%
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
98.4%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
97.6%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
94.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
95.0%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Rockbridge Area Hospice Inc'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.
80.3% of Rockbridge Area Hospice Inc'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
97.2%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13.1
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
6.1%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
43.9%
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
31.4%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
2%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
3.9%
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
$12,857
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Rockbridge Area Hospice Inc's patient population is primarily composed of individuals with cancer (32%), followed by other conditions (26%), cardiovascular disease (17%), dementia (11%), respiratory disease (10%), stroke (7%). 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
Rockbridge Area Hospice Inc delivers 73% of its care in patients' homes, with 14% in nursing facility settings, 12% in assisted living settings, 1% in hospital settings. The hospice serves an average of 71 patients per day.
Patient's Home
Nursing Facility
Assisted Living
Hospital
Doctors at Rockbridge Area Hospice Inc
19 affiliated physicians
Dr. William Mcclung, MD
Family Practice
Dr. Barbara Trandel, MD
Family Practice
Dr. Michael Henry, MD
Family Practice
Dr. Caroline Chisholm, MD
Internal Medicine
Dr. Laura Lanier
Family Practice
Dr. Barry Brown, DO
Internal Medicine
Dr. Robert Henderson
Family Practice
Dr. Brian Murr, MD
Internal Medicine
Dr. Mark Kochenderfer, MD
Hematology/oncology
Dr. Elizabeth Kosmas
Nurse Practitioner
Dr. Laura Mays, NP
Nurse Practitioner
Dr. Chelsea Slagle
Nurse Practitioner
+ 7 more physicians
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Reviews and ratings from patients
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Frequently Asked Questions
About Rockbridge Area Hospice Inc
What is the CMS rating for Rockbridge Area Hospice Inc?
Rockbridge Area Hospice Inc 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 Rockbridge Area Hospice Inc primarily treat?
Rockbridge Area Hospice Inc's patient population includes cancer (32%), other conditions (26%), cardiovascular disease (17%), dementia (11%), respiratory disease (10%), stroke (7%). This reflects the hospice's experience managing these conditions.
Where does Rockbridge Area Hospice Inc provide care?
Rockbridge Area Hospice Inc provides care in patient's home (73%), nursing facility (14%), assisted living (12%), hospital (1%).
How large is Rockbridge Area Hospice Inc?
Rockbridge Area Hospice Inc serves an average of 71 patients per day and covers 31 ZIP codes in its service area.
How many doctors are affiliated with Rockbridge Area Hospice Inc?
19 physicians are affiliated with Rockbridge Area Hospice Inc.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·