About Vna Health At Home 1
Hospice overview and quality summary
Vna Health At Home 1 is a nonprofit hospice care provider in London, KY, serving patients and families in Laurel County and the surrounding area. Medicare certified since 1987, Vna Health At Home 1 has provided 39 years of end-of-life and palliative care to the community.
Vna Health At Home 1 serves an average of 18 patients per day, covering 19 ZIP codes across its service area. 98% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Vna Health At Home 1 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. 1 physicians are affiliated with this hospice.
When choosing hospice care in London, KY, 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
Vna Health At Home 1 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 Vna Health At Home 1 among the higher-rated hospice providers serving families in London, KY.
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
95% of caregivers gave Vna Health At Home 1 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
85% of caregivers gave Vna Health At Home 1 a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
89% of caregivers gave Vna Health At Home 1 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
80% of caregivers gave Vna Health At Home 1 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 Vna Health At Home 1 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
88% of caregivers gave Vna Health At Home 1 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 Vna Health At Home 1 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
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
100.0%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Vna Health At Home 1'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.
72.3% of Vna Health At Home 1'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
94.7%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
12.5
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
5.9%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
46.8%
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
17.8%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
0%
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%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$9,171
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Vna Health At Home 1's patient population is primarily composed of individuals with cancer (50%), followed by dementia (15%), cardiovascular disease (10%), respiratory disease (10%), other conditions (9%). While cancer has historically been the most common hospice diagnosis, the proportion of non-cancer patients has grown substantially over the past decade.
Care Settings
Where hospice care is delivered
Vna Health At Home 1 delivers 98% of its care in patients' homes, with 2% in nursing facility settings. The high proportion of home-based care aligns with the hospice philosophy of enabling patients to receive comfort care in familiar surroundings with family nearby. The hospice serves an average of 18 patients per day.
Patient's Home
Nursing Facility
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Vna Health At Home 1
What is the CMS rating for Vna Health At Home 1?
Vna Health At Home 1 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 Vna Health At Home 1 primarily treat?
Vna Health At Home 1's patient population includes cancer (50%), dementia (15%), cardiovascular disease (10%), respiratory disease (10%), other conditions (9%). This reflects the hospice's experience managing these conditions.
Where does Vna Health At Home 1 provide care?
Vna Health At Home 1 provides care in patient's home (98%), nursing facility (2%).
How large is Vna Health At Home 1?
Vna Health At Home 1 serves an average of 18 patients per day and covers 19 ZIP codes in its service area.
How many doctors are affiliated with Vna Health At Home 1?
1 physicians are affiliated with Vna Health At Home 1.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·