About St Croix Hospice
Hospice overview and quality summary
St Croix Hospice is a for-profit hospice care provider in Charles City, IA, serving patients and families in Floyd County and the surrounding area. Medicare certified since 2014, St Croix Hospice has provided 12 years of end-of-life and palliative care to the community.
St Croix Hospice serves an average of 150 patients per day, covering 83 ZIP codes across its service area. 21% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
St Croix 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 9 out of 10, a composite measure of care quality and efficiency. 20 physicians are affiliated with this hospice.
When choosing hospice care in Charles City, IA, 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
St Croix 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 St Croix Hospice among the higher-rated hospice providers serving families in Charles City, IA.
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
94% of caregivers gave St Croix Hospice 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
75% 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
82% 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 St Croix 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
76% 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
86% of caregivers gave St Croix Hospice 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
88% of caregivers gave St Croix 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
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
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
99.3%
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
99.7%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
St Croix 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.
75.4% of St Croix 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
96.5%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13.9
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.6%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
37.6%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
7.4%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
43.2%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
5.4%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
6.1%
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
$13,602
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
St Croix Hospice's patient population is primarily composed of individuals with cardiovascular disease (38%), followed by stroke (17%), dementia (14%), other conditions (14%), cancer (13%), respiratory disease (6%). Heart failure is one of the leading diagnoses for hospice admission nationwide, and a high proportion of cardiac patients is typical of most hospice programs.
Care Settings
Where hospice care is delivered
St Croix Hospice delivers 21% of its care in patients' homes, with 68% in nursing facility settings, 11% in assisted living settings, 1% in skilled nursing 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 150 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Skilled Nursing
Doctors at St Croix Hospice
20 affiliated physicians
Dr. Lisa Kies, MD
Family Practice
Dr. Mckenzie Brekken, DO
Family Practice
Dr. Lisa Kapler, MD
Family Practice
Dr. John Brady, DO
Family Practice
Dr. Joshua Baker
Family Practice
Dr. Michael Lindstrom, MD
Family Practice
Dr. Catherine Butler, MD
Family Practice
Dr. Brittany Waletzko Bartz, DO
Family Practice
Dr. Jerrold White, MD
Family Practice
Dr. Pratibha Dua, MD
Internal Medicine
Dr. Patrick Oben, MD
Internal Medicine
Dr. Renee Diamond, MD
Family Practice
+ 8 more physicians
Dr. Jon Ahrendsen, MD
Family Practice
Dr. Megan Peterson, DO
Family Practice
Dr. Caleb Oluwadamisi, MD
Emergency Medicine
Dr. Darron Cutler, DO
Family Practice
Dr. Benson Hargens, MD
General Practice
Dr. Jon Kammerer, MD
Family Practice
Dr. Anna Holzer, MD
Family Practice
Dr. Susan Casady, DO
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About St Croix Hospice
What is the CMS rating for St Croix Hospice?
St Croix 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 St Croix Hospice primarily treat?
St Croix Hospice's patient population includes cardiovascular disease (38%), stroke (17%), dementia (14%), other conditions (14%), cancer (13%), respiratory disease (6%). This reflects the hospice's experience managing these conditions.
Where does St Croix Hospice provide care?
St Croix Hospice provides care in nursing facility (68%), patient's home (21%), assisted living (11%), skilled nursing (1%).
How large is St Croix Hospice?
St Croix Hospice serves an average of 150 patients per day and covers 83 ZIP codes in its service area.
How many doctors are affiliated with St Croix Hospice?
20 physicians are affiliated with St Croix Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·