Home health and hospice
Medicare-certified home health agencies and hospice providers from
CMS Care Compare: facility profiles and Care Compare ratings from
dim_home_health_agency and dim_hospice, patient-outcome and
process measures from fct_home_health_quality, hospice
Item-Set / Hospice Care Index measures from fct_hospice_quality,
and family-caregiver survey scores from fct_hospice_cahps. Every
view below reads a pre-aggregated source query — no per-agency or
per-hospice grain leaves the warehouse.
Home health agencies
Avg quality-of-care stars
Hospice providers
Avg CAHPS family-caregiver stars
Home health
Reach and services offered
12,460 Medicare-certified home health agencies operate across 55 states and territories. Nursing care and the therapy services are near-universal offerings; medical social services ( 8,062 of 12,460 agencies) is the least common.Quality-of-patient-care star ratings
CMS assigns each agency a 1–5 quality-of-patient-care star rating in half-star increments, computed from an OASIS-based composite. About a third of agencies —
12,460 minus 8,050 — are unrated in the current vintage (usually too few completed episodes for a stable score). Among rated agencies the distribution is roughly symmetric around three stars.By ownership
Non-profit agencies average the highest stars; government-operated agencies — the smallest cohort — average the lowest. Proprietary agencies dominate the population by a wide margin.
Selected quality measures vs national
Every row in fct_home_health_quality carries the CMS-published
national benchmark for its measure, so agency averages and the
national number are directly comparable within a measure. The
OASIS measures are all percentages (higher is better on the
"improve" measures; lower is better on pressure_ulcer and
major_falls). Averages below are unweighted across reporting
agencies, and on the improvement measures they run roughly 3–10
percentage points below the CMS-published national, which weights
by volume — smaller agencies with lower scores pull the
arithmetic mean down.
Claims-based measures — discharge-to-community, potentially preventable readmissions, and potentially preventable hospitalizations — publish a national observed rate CMS uses as the benchmark. Unweighted agency averages track the national closely on readmissions and hospitalizations (within a tenth of a point) and run about two and a half points above it on discharge-to-community.
Hospice
Reach
6,669 Medicare-certified hospice providers span 55 states and territories. Hospice ownership is dominated by for-profit providers, but the family-caregiver CAHPS star rating shifts materially by ownership — non-profit hospices average roughly half a star higher than for-profit hospices, and government hospices a full star higher.Top states
CAHPS family-caregiver survey
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey asks the primary caregiver of every hospice decedent about their family member's care. CMS publishes a summary star rating (1–5) plus top / middle / bottom-box percentages for seven composite topics. Hospices with too few completed surveys are unrated for the summary — that leaves
2,164 hospices with a numeric star.Top-box percentages vs national
The chart below reports the top-box ("always" / "definitely recommend" / rated 9–10) share for each composite topic. National CAHPS scores CMS publishes are the corresponding weighted top-box percentage across all reporting hospices; unweighted agency averages run within a point of them.
Where hospice care is delivered
The Hospice Item Set (HIS) reports the share of hospice-care days each provider delivered in each setting. Home is by far the most common — hospices in the average deliver roughly two-thirds of care days in the patient's home — with assisted-living and nursing facilities the two most common institutional settings.
Process-of-care compliance
HIS process measures track whether specific clinical processes were completed at hospice admission — e.g. screening for pain, assessing beliefs and values, screening for dyspnea. Every measure is a percent-compliant rate; comparisons across measures are apples-to- apples in units, but each addresses a different clinical process, so read them as a set rather than aggregating.
Caveats
- Snapshot vintage. Home-health provider and quality data both come from the Care Compare snapshot as of May 27, 2026 . Hospice provider data is as of August 19, 2026 , hospice provider-quality data as of August 7, 2026 , and hospice CAHPS as of August 7, 2026 . Every figure above is a point-in-time snapshot — the marts don't carry facility-level history.
- Unrated providers. Roughly a third of home-health agencies and two thirds of hospices lack a numeric star in the current vintage; those rows drop out of the star averages but still count in facility totals. That skews averages toward providers with enough case volume to be rated.
- Unweighted averages. All averages weight each agency or hospice equally, regardless of episode / patient volume. CMS's published national benchmarks weight by volume, so the two are not the same number — and the gap is systematic, not noise: on the OASIS improvement measures, unweighted agency averages run roughly 3–10 percentage points below the CMS-weighted national because smaller agencies with lower scores pull the arithmetic mean down.
- Score units vary within
fct_hospice_quality. The mart holds percentages, counts, denominators, index scores (0–10 for the Hospice Care Index composite), and per-beneficiary dollar amounts in a singlescore_numericcolumn, distinguished only bymeasure_code. This page never aggregates across measures in that fact — every chart above filters to a single measure family whose units are consistent. Not AvailablevsNot Applicable. Both CAHPS and provider-quality files carry text-shaped scores; suppressed numeric values arrive asNULLinscore_numericand are excluded from averages, while the rawscorecolumn preserves the sentinel so analysts can tell suppression apart from a measure that is not applicable to a given provider.