About St Francis Reflections Hospice
Hospice overview and quality summary
St Francis Reflections Hospice is a nonprofit hospice care provider in Titusville, FL, serving patients and families in Brevard County and the surrounding area. Medicare certified since 1990, St Francis Reflections Hospice has provided 36 years of end-of-life and palliative care to the community.
St Francis Reflections Hospice serves an average of 349 patients per day, covering 38 ZIP codes across its service area. 55% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
St Francis Reflections 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. 20 physicians are affiliated with this hospice.
When choosing hospice care in Titusville, FL, 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 Francis Reflections 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 Francis Reflections Hospice among the higher-rated hospice providers serving families in Titusville, FL.
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
91% 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
78% of caregivers gave St Francis Reflections Hospice a top rating for help with symptoms, above 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 St Francis Reflections 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
73% 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 Francis Reflections 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
89% of caregivers gave St Francis Reflections 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
99.7%
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
99.9%
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
99.6%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
St Francis Reflections 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.
64.9% of St Francis Reflections 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
98.6%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
15.6
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
10.2%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
52.2%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
10.6%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
39%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
9.2%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1.4%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
2.2%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$16,946
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
St Francis Reflections Hospice's patient population is primarily composed of individuals with cancer (22%), followed by stroke (20%), dementia (17%), other conditions (17%), cardiovascular disease (16%), respiratory disease (11%).
Care Settings
Where hospice care is delivered
St Francis Reflections Hospice delivers 55% of its care in patients' homes, with 27% in assisted living settings, 14% in nursing facility settings, 4% in inpatient hospice settings. The hospice serves an average of 349 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Inpatient Hospice
Doctors at St Francis Reflections Hospice
20 affiliated physicians
Dr. Joseph Rabinowitz, MD
Family Practice
Dr. John Potomski, DO
Geriatric Medicine
Dr. Maria Torres, MD
Family Practice
Dr. Raymond Baez, MD
Internal Medicine
Dr. Nicanor Arca, MD
Family Practice
Dr. Vinay Kumar, MD
Internal Medicine
Dr. Michael Dougherty, MD
Family Practice
Dr. Giovanni Lupo, MD
Internal Medicine
Dr. David Sanjuan, MD
General Practice
Dr. Gaurang Patel, MD
Internal Medicine
Dr. Hussien Ballout, MD
Hospitalist
Dr. Brian Walls, MD
Internal Medicine
+ 8 more physicians
Dr. Eric Isenman, MD
Internal Medicine
Dr. Geetha Priyanka, MD
Internal Medicine
Dr. Pamela Tronetti, DO
Geriatric Medicine
Dr. Hilbert Zeballos Evangelista, MD
Hospitalist
Dr. Kishore Patsamatla, MD
Internal Medicine
Dr. Ashok Shah, MD
Internal Medicine
Dr. Ricardo Rivera-morales, MD
Pulmonary Disease
Dr. Gabriel Nuriel, DO
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About St Francis Reflections Hospice
What is the CMS rating for St Francis Reflections Hospice?
St Francis Reflections 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 Francis Reflections Hospice primarily treat?
St Francis Reflections Hospice's patient population includes cancer (22%), stroke (20%), dementia (17%), other conditions (17%), cardiovascular disease (16%), respiratory disease (11%). This reflects the hospice's experience managing these conditions.
Where does St Francis Reflections Hospice provide care?
St Francis Reflections Hospice provides care in patient's home (55%), assisted living (27%), nursing facility (14%), inpatient hospice (4%).
How large is St Francis Reflections Hospice?
St Francis Reflections Hospice serves an average of 349 patients per day and covers 38 ZIP codes in its service area.
How many doctors are affiliated with St Francis Reflections Hospice?
20 physicians are affiliated with St Francis Reflections Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·