About Three Rivers Hospice
Hospice overview and quality summary
Three Rivers Hospice is a for-profit hospice care provider in Monroeville, PA, serving patients and families in Allegheny County and the surrounding area. Medicare certified since 2005, Three Rivers Hospice has provided 21 years of end-of-life and palliative care to the community.
Three Rivers Hospice serves an average of 64 patients per day, covering 154 ZIP codes across its service area. 26% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Three Rivers 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 Monroeville, PA, 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
Three Rivers 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 Three Rivers Hospice among the higher-rated hospice providers serving families in Monroeville, PA.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Three Rivers Hospice a top rating for emotional & spiritual support, above the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
93% of caregivers gave Three Rivers 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
81% of caregivers gave Three Rivers 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 Three Rivers 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
81% of caregivers gave Three Rivers Hospice 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
84% of caregivers gave Three Rivers 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 Three Rivers 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
99.8%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
98.1%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
97.7%
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
99.8%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
94.6%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
98.7%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
92.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Three Rivers 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.
58.0% of Three Rivers 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
92.9%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
16.7
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.5%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
6.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
5.4%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
65.8%
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
0%
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
$9,791
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Three Rivers Hospice's patient population is primarily composed of individuals with other conditions (29%), followed by dementia (21%), cardiovascular disease (18%), cancer (15%), respiratory disease (13%), stroke (6%).
Care Settings
Where hospice care is delivered
Three Rivers Hospice delivers 26% of its care in patients' homes, with 67% in skilled nursing settings, 6% in assisted living settings, 1% in nursing facility 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 64 patients per day.
Skilled Nursing
Patient's Home
Assisted Living
Nursing Facility
Doctors at Three Rivers Hospice
20 affiliated physicians
Dr. Silvia Coleman, MD
Internal Medicine
Dr. William Oleksak, MD
Internal Medicine
Dr. Nora Flores-paras, MD
Internal Medicine
Dr. Cynthia Kravec, MD
Internal Medicine
Dr. Andrew Adams, MD
Internal Medicine
Dr. Edward Balestrino, DO
Family Practice
Dr. Timothy Lockso, DO
Internal Medicine
Dr. Jarod Stragand, DO
Family Practice
Dr. David Shober, DO
Family Practice
Dr. Robert Moses, MD
Physical Medicine And Rehabilitation
Dr. Rachel Shipley, MD
Internal Medicine
Dr. Jerzy Magda, MD
Internal Medicine
+ 8 more physicians
Dr. Hany Rezk, MD
Internal Medicine
Dr. Gregory George, MD
Family Practice
Dr. Kevin Wong, MD
Family Practice
Dr. James Kreshon, DO
Physical Medicine And Rehabilitation
Dr. Richard Mercurio, MD
Family Practice
Dr. Charles D'auria, DO
Family Practice
Dr. Michele Oleksak, MD
Family Practice
Dr. Clifford Vogan, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Three Rivers Hospice
What is the CMS rating for Three Rivers Hospice?
Three Rivers 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 Three Rivers Hospice primarily treat?
Three Rivers Hospice's patient population includes other conditions (29%), dementia (21%), cardiovascular disease (18%), cancer (15%), respiratory disease (13%), stroke (6%). This reflects the hospice's experience managing these conditions.
Where does Three Rivers Hospice provide care?
Three Rivers Hospice provides care in skilled nursing (67%), patient's home (26%), assisted living (6%), nursing facility (1%).
How large is Three Rivers Hospice?
Three Rivers Hospice serves an average of 64 patients per day and covers 154 ZIP codes in its service area.
How many doctors are affiliated with Three Rivers Hospice?
20 physicians are affiliated with Three Rivers Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·