AMERICAN GUARDIAN HOSPICE

AMERICAN GUARDIAN HOSPICE is a For-Profit hospice center located in SAN LEANDRO, CA.

Hospice Report Card

Why no grade is available:

A letter grade could not be generated because this facility is missing data from at least two of the four primary rating sources.

Available Data:

Quality of Care (HCI): 8.0/10 score

Missing Data:

Family Caregiver Survey (CAHPS): N/A

Start of Care (HIS): N/A

Google Reviews: No Reviews

• A minimum of two rating sources are required to generate a letter grade

• This ensures grades are based on sufficient data for reliability

N/A

Grade Not Available

Insufficient data from rating sources

Contact Us

237 ESTUDILLO AVE

SAN LEANDRO, CA 94577

Get Directions

(669) 241-6311

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Overview

Facility Information

CMS Certification Number:A11730

Ownership Type:For-Profit

Certification Date:December 21, 2020

Data Period:01/01/2023-12/31/2023

Patient Demographics

No demographic data available for this facility

Care Settings

No care settings data available for this facility

All Ratings

Family Caregiver Survey Rating:

Not Rated

The number of responses does not meet the required minimum amount for public reporting of Star Ratings for this reporting period.

Quality of Care Rating (HCI):

4.0 out of 5(HCI: 8/10)

Start of Care Score (HIS Assessment):

Not Available

Data not submitted for this reporting period.

Google Reviews:

Family Survey Rating

No family caregiver survey data available

Quality of Care Rating

What is the Hospice Care Index (HCI)?
The HCI is Medicare's official quality measure that evaluates hospices on 10 specific care indicators. It provides families with an objective way to compare hospice quality using real patient data from Medicare claims and patient records.

How are points earned?
Hospices earn exactly 1 point for each of 10 criteria they meet, such as: providing nursing visits in patients' final 3 days of life, maintaining consistent nursing schedules without gaps, avoiding unnecessary emergency hospitalizations, managing costs effectively, and ensuring adequate weekend care coverage.

Scoring methodology:
Each criterion has a national percentile threshold (typically 10th percentile). If a hospice performs better than this threshold compared to all hospices nationally, they earn 1 point for that criterion. Maximum score is 10 points.

Why this matters:
Higher HCI scores correlate with better pain management, more consistent nursing care, fewer traumatic emergency visits, better family support, and more cost-effective care delivery - all leading to improved comfort and peace of mind during end-of-life care.

Comparison vs. Scoring:
While national percentile thresholds determine points earned, the state and national averages shown provide context for how this facility compares locally and nationally.

Hospice Care Index (HCI)

4.0 out of 5 (HCI: 8.0/10)

8.0

State Average

8.2

National Average

8.8

The HCI is Medicare's comprehensive quality score that measures how well hospices provide end-of-life care. Hospices earn exactly 1 point for each of 10 specific criteria they meet (like nursing visits in patients' final 3 days, consistent care schedules, avoiding emergency hospitalizations), with each criterion having a national percentile threshold for scoring. While national thresholds determine the points earned, the averages shown below compare this facility's performance against state and national averages for reference.

This measures what percentage of care days required intensive hospice services (like continuous bedside care or inpatient care). Lower percentages are better because it means patients had their symptoms well-managed with regular home care, rather than needing costly emergency interventions.

Better

CHC/GIP Days

Percentage of days with intensive care services

0.0%

State Avg:0.3%

National Avg:0.5%

This tracks gaps between skilled nursing visits for patients receiving routine home care. Lower numbers are better because it means patients received consistent, regular nursing care without long periods between visits that could leave medical needs unaddressed.

Worse

Nursing Visits

Consistency of skilled nursing visits

77.6%

State Avg:61.2%

National Avg:53.8%

This measures patients who were discharged from hospice care within 7 days of admission while still alive. Lower rates are better because early discharges may indicate patients weren't properly assessed for hospice eligibility or didn't receive adequate support during their initial adjustment period.

Better

Early Discharges

Avoiding premature live discharges

3.8%

State Avg:5.6%

National Avg:7.0%

This tracks patients who were discharged from hospice after 180+ days while still alive. Lower rates are better because very long stays followed by discharge may suggest the patient wasn't appropriate for hospice initially, or their condition improved but discharge was delayed.

Worse

Late Discharges

Appropriate timing of live discharges

77.4%

State Avg:46.4%

National Avg:40.1%

This measures disruptive care transitions, specifically unplanned hospitalizations that result in the patient being discharged from hospice. Lower rates are better because these transitions can be traumatic for patients and families, and may indicate inadequate symptom management at home.

Better

Transitions Type 1

Minimizing disruptive care transitions

1.9%

State Avg:6.3%

National Avg:8.1%

This tracks another type of disruptive transition - emergency department visits or hospitalizations during hospice care. Lower rates are better because hospice should be able to manage most symptoms and crises at home or in hospice facilities, avoiding stressful hospital visits.

Better

Transitions Type 2

Minimizing unnecessary hospitalizations

0.0%

State Avg:2.0%

National Avg:2.1%

This measures the average minutes of skilled nursing care provided per routine home care day. Higher numbers are better because more nursing time typically means better symptom management, medication oversight, and family support - all crucial for quality hospice care.

Worse

Skilled Nursing

Minutes of skilled nursing per routine home care day

10 min

State Avg:27.9 min

National Avg:17.0 min

This tracks whether patients receive nursing or social work visits on weekends. Higher percentages are better because hospice patients need consistent care 7 days a week, and weekend coverage shows the facility is committed to round-the-clock support when families need it most.

Better

Weekend Care

Percentage of skilled nursing on weekends

14.1%

State Avg:13.2%

National Avg:9.4%

This measures whether patients received nursing or social work visits in their final 2 days of life. Higher percentages are better because increased support during the dying process helps ensure comfort, dignity, and emotional support for both patient and family during this critical time.

Better

Visits Near Death

Percentage of patients with visits in final days

90.9%

State Avg:83.4%

National Avg:89.1%

This measures the total amount Medicare spent per hospice patient at this facility. Lower spending is better because it indicates the hospice is providing efficient, cost-effective care without unnecessary expenses. However, very low spending could also mean fewer services, so this should be considered alongside other quality measures.

Better

Cost Efficiency

Per-beneficiary spending

$19,860

State Avg:$25,150

National Avg:$17,830

Start of Care Rating

No start of care data available

Options Nearby

Other hospice facilities within 25 miles of AMERICAN GUARDIAN HOSPICE

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City

Other Facilities Within 25 Miles (87 of 87)

PATHWAYS HOME HEALTH AND HOSPICE

PATHWAYS HOME HEALTH AND HOSPICE is a Non-Profit hospice center located in OAKLAND, CA that provides care to about 18 patients on average each day. The primary medical condition that brought patients to this hospice facility was Dementia (29%) and most patients receive care at Home (66%).

2.5 mi

333 HEGENBERGER ROAD, SUITE 700

OAKLAND, CA 94621