Hospice Facility

HOSPICE 365 LLC

HOSPICE 365 LLC is a hospice center located in CONROE, TX.

Hospice Report Card

How this grade is calculated:

This grade is a weighted average of up to four data sources to provide a comprehensive view of hospice quality.

Data Sources Used:
Start of Care (HIS): 94.4% (33% weight)
Google Reviews: 5.0/5 stars (16 reviews) (67% weight)
Not Available:
Family Caregiver Survey (CAHPS): N/A
Quality of Care (HCI): N/A

• A minimum of two sources are required for a grade

• Google Reviews with fewer than 3 ratings have reduced weight

• Grades are capped at B+ when based only on administrative data (HCI/HIS) without human feedback (CAHPS/Google Reviews)

A+
Exceptional Performance
Overall Score: 98.1/100

Contact Us

333 N RIVERSHIRE DR SUITE 260
CONROE, TX 77304
Get Directions

Overview

Facility Information

CMS Certification Number:A91685
Certification Date:December 11, 2023
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):
Not Available
Data not available for this reporting period.
Start of Care Score (HIS Assessment):
4.7 out of 5(HIS: 94.4)
Google Reviews:
View on Google

Family Survey Rating

No family caregiver survey data available

Quality of Care Rating

No quality of care data available

Start of Care Rating

What is the Start of Care Rating?
This measures how well hospices conduct comprehensive assessments when patients first enter care. It evaluates whether key areas like pain management, breathing issues, treatment preferences, and patient values are properly addressed from day one.
How are scores calculated?
Medicare tracks the percentage of new patients who receive proper screening and assessment in 7 key areas: treatment preferences, beliefs/values, pain screening, pain assessment, breathing problems, breathing treatment, and bowel care for opioid patients.
Why this matters:
Proper start-of-care assessment ensures patients receive personalized care from day one, better pain management, respect for their values and preferences, and comprehensive symptom control - leading to better comfort and quality of life throughout their hospice journey.
Scoring:
Higher percentages mean more patients received proper assessment in each area. The composite score combines all 7 areas to show overall assessment quality.

Hospice Item Set (HIS)

4.7 out of 5 (94.4%)
94.4%
State Average
91.3%
National Average
92.2%

Composite score measuring quality of comprehensive assessment at admission. Higher percentages mean more patients received proper screening and assessment in key areas like pain management, treatment preferences, and symptom control from day one.

Percentage of patients who had their treatment preferences discussed and documented at admission. Higher percentages mean more patients received personalized care planning from the start.
Better

Treatment Preferences

Discussion of patient treatment preferences

100.0%
State Avg: 98.8%
National Avg: 99.5%
Percentage of patients whose spiritual and cultural beliefs were addressed if desired. Higher percentages show respect for patient values and holistic care approach.
Better

Beliefs & Values

Addressing patient beliefs and values

100.0%
State Avg: 98.0%
National Avg: 98.5%
Percentage of patients screened for pain within 24 hours of admission. Higher percentages ensure pain issues are identified and addressed quickly.
Better

Pain Screening

Screening for pain at admission

100.0%
State Avg: 97.4%
National Avg: 98.3%
Percentage of patients who received comprehensive pain assessment at admission. Higher percentages mean better pain management planning from day one.
Worse

Pain Assessment

Comprehensive pain assessment

92.0%
State Avg: 96.7%
National Avg: 95.7%
Percentage of patients screened for shortness of breath at admission. Higher percentages ensure breathing problems are identified early for proper treatment.
Better

Dyspnea Screening

Screening for shortness of breath

100.0%
State Avg: 98.5%
National Avg: 99.0%
Percentage of patients with breathing problems who received appropriate treatment. Higher percentages show effective symptom management.
Better

Dyspnea Treatment

Treatment for shortness of breath

100.0%
State Avg: 97.2%
National Avg: 97.7%

Options Nearby

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Area Map

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