AVERA @ HOME OF SPENCER HOSPITAL – Hospice, SPENCER, Iowa
Government
CMS quality & patient experience
CAHPS summary star rating
Not ratedCMS publishes summary stars only for hospices with 75 or more completed family caregiver surveys in the reporting period.
Composite process
98%Communication
88%Timely help
90%Respect
99%Emotional support
92%Pain & symptoms
75%Hospice rating (9–10)
83%Would recommend
93%Reporting period: 1 July 2023 – 30 June 2025
Source: CMS Care Compare hospice data (CAHPS Hospice Survey and Hospice Quality Reporting Program).
Explore hospice AVERA @ HOME OF SPENCER HOSPITAL performance based on staff quality, patient satisfaction, safety measures, and service effectiveness in SPENCER. Get insights into Government and hospice-specific standards, along with comparisons to national benchmarks. Ideal for individuals, families, and healthcare providers seeking quality end-of-life care information.
Main info
Name
AVERA @ HOME OF SPENCER HOSPITAL
Address
101 E 10TH ST, SPENCER, IA 51301
CMS Certification Number
161533
Phone
(712) 264-6380
CMS Region
7
Ownership Type
Government
Certification Date
1993-11-16
Data current as of
31 May 2026
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AVERA @ HOME OF SPENCER HOSPITAL Addresses
101 E 10TH ST
SPENCER, IA 51301
Phone: (712) 264-6380
Quality Measures
Hospice survey data from CMS, including quality measures and caregiver ratings for the reporting period.
| Measure | Score | Comparison | Date Range | Footnote |
|---|---|---|---|---|
| H_001_01_DENOMINATOR | 100 | Jul 1, 2024 – Jun 30, 2025 | — | |
| Hospice and Palliative Care Treatment Preferences | 100 | Above national avgAbove state avg | Jul 1, 2024 – Jun 30, 2025 | — |
| H_002_01_DENOMINATOR | 100 | Jul 1, 2024 – Jun 30, 2025 | — | |
| Beliefs & Values Addressed (if desired by the patient) | 100 | Above national avgAbove state avg | Jul 1, 2024 – Jun 30, 2025 | — |
| H_003_01_DENOMINATOR | 100 | Jul 1, 2024 – Jun 30, 2025 | — | |
| Hospice and Palliative Care Pain Screening | 99 | Above national avgAbove state avg | Jul 1, 2024 – Jun 30, 2025 | — |
| H_004_01_DENOMINATOR | 74 | Jul 1, 2024 – Jun 30, 2025 | — | |
| Hospice and Palliative Care Pain Assessment | 100 | Above national avgAbove state avg | Jul 1, 2024 – Jun 30, 2025 | — |
| H_005_01_DENOMINATOR | 100 | Jul 1, 2024 – Jun 30, 2025 | — | |
| Hospice and Palliative Care Dyspnea Screening | 99 | Below national avgBelow state avg | Jul 1, 2024 – Jun 30, 2025 | — |
| H_006_01_DENOMINATOR | 62 | Jul 1, 2024 – Jun 30, 2025 | — | |
| Hospice and Palliative Care Dyspnea Treatment | 100 | Above national avgAbove state avg | Jul 1, 2024 – Jun 30, 2025 | — |
| H_007_01_DENOMINATOR | 19 | Jul 1, 2024 – Jun 30, 2025 | — | |
| Patient Treated with an Opioid Who Are Given a Bowel Regimen | — | Jul 1, 2024 – Jun 30, 2025 | 1 | |
| H_008_01_DENOMINATOR | 100 | Jul 1, 2024 – Jun 30, 2025 | — | |
| Hospice and Palliative Care Composite Process Measure | 98 | Above national avgAbove state avg | Jul 1, 2024 – Jun 30, 2025 | — |
| Average Daily Census | 7 | Jan 1, 2024 – Dec 31, 2024 | — | |
| Hospice served at least 1 patient with both Medicare and Medicaid coverage during one year | — | Jan 1, 2024 – Dec 31, 2024 | — | |
| Hospice served at least 1 patient enrolled in Medicare Advantage during one year | — | Jan 1, 2024 – Dec 31, 2024 | — | |
| Care Provided in Assisted Living Facility | 0 | Jan 1, 2024 – Dec 31, 2024 | 14 | |
| Care Provided in Home | 45 | Jan 1, 2024 – Dec 31, 2024 | — | |
| Care Provided in Inpatient Hospice Facility | 0 | Jan 1, 2024 – Dec 31, 2024 | 14 | |
| Care Provided in Inpatient Hospital Facility | 3 | Jan 1, 2024 – Dec 31, 2024 | — | |
| Care Provided in Nursing Facility | 52 | Jan 1, 2024 – Dec 31, 2024 | — | |
| Care Provided in Skilled Nursing Facility | 0 | Jan 1, 2024 – Dec 31, 2024 | 14 | |
| Care Provided in All other locations | 0 | Jan 1, 2024 – Dec 31, 2024 | 14 | |
| Percent of Patients with Cancer | 26 | Jan 1, 2024 – Dec 31, 2024 | — | |
| Percent of Patients with Circulatory/heart disease | 23 | Jan 1, 2024 – Dec 31, 2024 | — | |
| Percent of Patients with Dementia | 15 | Jan 1, 2024 – Dec 31, 2024 | — | |
| Percent of Patients with Respiratory disease | — | Jan 1, 2024 – Dec 31, 2024 | 13 | |
| Percent of Patients with Stroke | — | Jan 1, 2024 – Dec 31, 2024 | 13 | |
| Percent of Patients with Other Conditions | 21 | Jan 1, 2024 – Dec 31, 2024 | — | |
| Hospice Visits in the Last Days of Life | 80 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Hospice Visits in the Last Days of Life | 83.8 | Above national avgAbove state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| Hospice Care Index Overall Score | 10 | Above national avgAbove state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| CHC/GIP provided (% days) | 5952 | Jan 1, 2023 – Dec 31, 2024 | — | |
| CHC/GIP provided (% days) | 1.4 | Above national avgAbove state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| CHC/GIP provided (% days) | 92 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Gaps in nursing visits (% elections) | 41 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Gaps in nursing visits (% elections) | 22 | Below national avgBelow state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| Gaps in nursing visits (% elections) | 13 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Early live discharges (% live discharges) | 10 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Early live discharges (% live discharges) | 0 | Below national avgBelow state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| Early live discharges (% live discharges) | 19 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Late live discharges (% live discharges) | 10 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Late live discharges (% live discharges) | 20 | Below national avgBelow state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| Late live discharges (% live discharges) | 13 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Burdensome transitions, Type 1(% live discharges) | 10 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Burdensome transitions, Type 1 (% live discharges) | 10 | Above national avgAbove state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| Burdensome transitions, Type 1 (% live discharges) | 65 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Burdensome transitions, Type 2(% live discharges) | 10 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Burdensome transitions, Type 2 (% live discharges) | 0 | Below national avgBelow state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| Burdensome transitions, Type 2 (% live discharges) | 45 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Per-beneficiary spending (U.S. dollars $) | 136 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Per-beneficiary spending (U.S. dollars $) | 7818 | Below national avgBelow state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| Per-beneficiary spending (U.S. dollars $) | 5 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Nurse care minutes per routine home care days (minutes) | 5847 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Nurse care minutes per routine home care days (minutes) | 17.7 | Below national avgBelow state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| Nurse care minutes per routine home care days (minutes) | 90 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Skilled nursing minutes on weekends (% minutes) | 103620 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Skilled nursing minutes on weekends (% minutes) | 6.3 | Below national avgBelow state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| Skilled nursing minutes on weekends (% minutes) | 30 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Visits near death (% decedents) | 122 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Visits near death (% decedents) | 95.9 | Above national avgBelow state avg | Jan 1, 2023 – Dec 31, 2024 | — |
| Visits near death (% decedents) | 69 | Jan 1, 2023 – Dec 31, 2024 | — | |
| Provided Routine Home Care and other levels of care | — | Jan 1, 2022 – Dec 31, 2024 | — | |
| Provided Routine Home Care only | — | Jan 1, 2022 – Dec 31, 2024 | — |
Patient & Family Experience (CAHPS)
Patient and family caregiver survey results from CMS CAHPS Hospice Survey. Scores reflect experiences with communication, timely care, emotional support, pain management, and overall recommendation.
| Measure | Score | Comparison | Date Range | Footnote |
|---|---|---|---|---|
| The hospice team did |not| provide the right amount of emotional and spiritual support | 8.00 | Below national avgAbove state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| EMO_REL_MBV | — | Jul 1, 2023 – Jun 30, 2025 | — | |
| The hospice team provided the right amount of emotional and spiritual support | 92.00 | Above national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| Caregivers rated the hospice agency a 6 or lower | 2.00 | Below national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| Caregivers rated the hospice agency a 7 or 8 | 15.00 | Above national avgAbove state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| Caregivers rated the hospice agency a 9 or 10 | 83.00 | Above national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| NO, they would probably not or definitely not recommend the hospice | 2.00 | Below national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| YES, they would probably recommend the hospice | 5.00 | Above national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| YES, they would definitely recommend the hospice | 93.00 | Above national avgAbove state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The hospice team sometimes or never treated the patient with respect | 0.00 | Below national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The hospice team usually treated the patient with respect | 1.00 | Below national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The hospice team always treated the patient with respect | 99.00 | Above national avgAbove state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The patient sometimes or never got the help they needed for pain and symptoms | 6.00 | Below national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The patient usually got the help they needed for pain and symptoms | 19.00 | Above national avgAbove state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The patient always got the help they needed for pain and symptoms | 75.00 | Below national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The hospice team sometimes or never communicated well | 3.00 | Below national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The hospice team usually communicated well | 9.00 | Above national avgAbove state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The hospice team always communicated well | 88.00 | Above national avgAbove state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The hospice team sometimes or never provided timely help | 2.00 | Above national avgBelow state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The hospice team usually provided timely help | 8.00 | Above national avgAbove state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| The hospice team always provided timely help | 90.00 | Above national avgAbove state avg | Jul 1, 2023 – Jun 30, 2025 | — |
| Family caregiver survey rating | — | Apr 1, 2023 – Mar 31, 2025 | 15 |
Score Comparison (Hospice vs Benchmarks)
Blue bar = this hospice. Amber tick = national average. Gray tick = state average. Scores are percentages from CMS CAHPS surveys and Quality Measures.
The hospice team did |not| provide the right amoun8%
▲ National: 9% · ◆ State: 7%
The hospice team provided the right amount of emot92%
▲ National: 91% · ◆ State: 93%
Caregivers rated the hospice agency a 6 or lower2%
▲ National: 5% · ◆ State: 3%
Caregivers rated the hospice agency a 7 or 815%
▲ National: 13% · ◆ State: 12%
Caregivers rated the hospice agency a 9 or 1083%
▲ National: 82% · ◆ State: 85%
NO, they would probably not or definitely not reco2%
▲ National: 4% · ◆ State: 3%
YES, they would probably recommend the hospice5%
▲ National: 11% · ◆ State: 9%
YES, they would definitely recommend the hospice93%
▲ National: 85% · ◆ State: 88%
Reviews
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