About Transitions Lifecare
Hospice overview and quality summary
Transitions Lifecare is a nonprofit hospice care provider in Raleigh, NC, serving patients and families in Wake County and the surrounding area. Medicare certified since 1987, Transitions Lifecare has provided 39 years of end-of-life and palliative care to the community.
Transitions Lifecare serves an average of 541 patients per day, covering 96 ZIP codes across its service area. 64% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Transitions Lifecare 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 Raleigh, NC, 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
Transitions Lifecare 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 Transitions Lifecare among the higher-rated hospice providers serving families in Raleigh, NC.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
91% 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
92% 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
73% 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
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
81% of caregivers gave Transitions Lifecare 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
77% 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 Transitions Lifecare 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
91% of caregivers gave Transitions Lifecare 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
99.5%
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
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
99.5%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Transitions Lifecare'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.
52.3% of Transitions Lifecare's patients received visits from the hospice team in their final days of life, consistent with the national average of 47.9%. Presence during the final days reflects the hospice's commitment to supporting families when it matters most.
Visits Near Death
Patients with visits in last 3 days of life
91.9%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12.3
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
9.5%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
70.5%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
8.9%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
35.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
3.7%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1.3%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
2%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$13,887
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Transitions Lifecare's patient population is primarily composed of individuals with stroke (37%), followed by cancer (25%), cardiovascular disease (13%), other conditions (11%), dementia (8%), respiratory disease (6%).
Care Settings
Where hospice care is delivered
Transitions Lifecare delivers 64% of its care in patients' homes, with 17% in assisted living settings, 13% in nursing facility settings, 2% in inpatient hospice settings, 2% in skilled nursing settings. The hospice serves an average of 541 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Inpatient Hospice
Skilled Nursing
Doctors at Transitions Lifecare
20 affiliated physicians
Dr. Trina Prather, MD
Internal Medicine
Dr. Jamie Hansberger, NP
Nurse Practitioner
Dr. Charles Wehbie, MD
Internal Medicine
Dr. Camila Diaz, MD
Family Practice
Dr. Stephanie Perry, MD
Internal Medicine
Dr. Richard Adelman, MD
Family Practice
Dr. Evelyn Kwok, MD
Internal Medicine
Dr. Joshua Dowd, MD
Hospice/palliative Care
Dr. Emily Carlisle, MD
Hospice/palliative Care
Dr. Todd Helton, MD
Internal Medicine
Dr. Dayna Cotugno, PA
Physician Assistant
Dr. James Parsons, MD
Internal Medicine
+ 8 more physicians
Dr. Kirsten Schiada, PA
Physician Assistant
Dr. Adil Ahmed, MD
Family Practice
Dr. Dorie Pine
Nurse Practitioner
Dr. Brittany Mckinney
Physician Assistant
Dr. Martin Van Cleeff, MD
Internal Medicine
Dr. Heidi White, MD
Geriatric Medicine
Dr. Lauren Miglarese
Physician Assistant
Dr. Patrick O Brien, MD
Physical Medicine And Rehabilitation
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Transitions Lifecare
What is the CMS rating for Transitions Lifecare?
Transitions Lifecare 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 Transitions Lifecare primarily treat?
Transitions Lifecare's patient population includes stroke (37%), cancer (25%), cardiovascular disease (13%), other conditions (11%), dementia (8%), respiratory disease (6%). This reflects the hospice's experience managing these conditions.
Where does Transitions Lifecare provide care?
Transitions Lifecare provides care in patient's home (64%), assisted living (17%), nursing facility (13%), inpatient hospice (2%), skilled nursing (2%).
How large is Transitions Lifecare?
Transitions Lifecare serves an average of 541 patients per day and covers 96 ZIP codes in its service area.
How many doctors are affiliated with Transitions Lifecare?
20 physicians are affiliated with Transitions Lifecare.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·