About Visiting Nurse Home And Hospice
Hospice overview and quality summary
Visiting Nurse Home And Hospice is an hospice care provider in Middletown, RI, serving patients and families in Newport County and the surrounding area. Medicare certified since 1990, Visiting Nurse Home And Hospice has provided 36 years of end-of-life and palliative care to the community.
Visiting Nurse Home And Hospice serves an average of 103 patients per day, covering 48 ZIP codes across its service area. 63% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Visiting Nurse Home And 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. 16 physicians are affiliated with this hospice.
When choosing hospice care in Middletown, RI, 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
Visiting Nurse Home And 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 Visiting Nurse Home And Hospice among the higher-rated hospice providers serving families in Middletown, RI.
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 Visiting Nurse Home And 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
86% of caregivers gave Visiting Nurse Home And Hospice 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
78% of caregivers gave a top rating for getting timely care, consistent with the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
79% of caregivers gave Visiting Nurse Home And 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 Visiting Nurse Home And 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
86% of caregivers gave a top rating for would recommend, consistent with 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
99.4%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
96.1%
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
97.2%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Visiting Nurse Home And 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.
72.2% of Visiting Nurse Home And 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
93.8%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12.2
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
9.3%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
59.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
6.7%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
34.4%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
4.4%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.2%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.2%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$18,005
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Visiting Nurse Home And Hospice's patient population is primarily composed of individuals with cardiovascular disease (27%), followed by cancer (24%), dementia (19%), stroke (12%), respiratory disease (10%), other conditions (10%).
Care Settings
Where hospice care is delivered
Visiting Nurse Home And Hospice delivers 63% of its care in patients' homes, with 25% in skilled nursing settings, 7% in assisted living settings, 4% in nursing facility settings. The hospice serves an average of 103 patients per day.
Patient's Home
Skilled Nursing
Assisted Living
Nursing Facility
Doctors at Visiting Nurse Home And Hospice
16 affiliated physicians
Dr. Howard Perrone, MD
Internal Medicine
Dr. Joan Harrison
Internal Medicine
Dr. Navya Kirla, MD
Internal Medicine
Dr. Thomas Rocco, MD
General Surgery
Dr. Christopher Joncas, MD
Internal Medicine
Dr. Hina Ali, MD
Internal Medicine
Dr. Julia Resil, MD
Family Practice
Dr. Pamela Harrop, MD
Internal Medicine
Dr. Jayanthi Parameswaran, MD
Internal Medicine
Dr. Robert Cicchelli, MD
Internal Medicine
Dr. Cassandra Constantino, MD
Internal Medicine
Dr. Alane Torf, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Visiting Nurse Home And Hospice
What is the CMS rating for Visiting Nurse Home And Hospice?
Visiting Nurse Home And 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 Visiting Nurse Home And Hospice primarily treat?
Visiting Nurse Home And Hospice's patient population includes cardiovascular disease (27%), cancer (24%), dementia (19%), stroke (12%), respiratory disease (10%), other conditions (10%). This reflects the hospice's experience managing these conditions.
Where does Visiting Nurse Home And Hospice provide care?
Visiting Nurse Home And Hospice provides care in patient's home (63%), skilled nursing (25%), assisted living (7%), nursing facility (4%).
How large is Visiting Nurse Home And Hospice?
Visiting Nurse Home And Hospice serves an average of 103 patients per day and covers 48 ZIP codes in its service area.
How many doctors are affiliated with Visiting Nurse Home And Hospice?
16 physicians are affiliated with Visiting Nurse Home And Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·