Missing care for hospice patients in crisis

By Darla Cameron, Dan Keating and Peter Whoriskey. Published May 4, 2014

When terminal patients need extra care to manage their illness, hospices participating in Medicare must have the ability to provide crisis care — either continuous nursing care at home or an inpatient bed at a medical facility. A Washington Post analysis found that more than 1 in 6 hospices provided neither type of crisis care for Medicare patients in 2012. It also found that the quality of hospice care varies widely from state to state. Every hospice in Florida, Kentucky, Connecticut, Delaware and some other states provided some general inpatient or continuous care. But in many states, a third or more of the facilities provided neither. The absence of crisis care does not necessarily indicate a violation of the rules. But hospice experts say it is unlikely that larger hospices had no patients who required such care. Some hospices that provided no crisis care, according to Medicare records, told The Post that they had no patients who needed it or that they provided crisis care in other ways that did not show up in cost reports. Read related article.

Select a state to see the list of hospices that did not report providing crisis care in 2012.

Percentage of hospices in each state that reported no continuous or general inpatient care in 2012.

  • None
  • Up to 9%
  • Up to 18% (national average)
  • Up to 30%
  • More than 30%

Hospice facilities without crisis care in

Hospice name Type City Patients
in 2012
Note
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Every hospice facility in has provided crisis care.

Note: Alaska does not have any hospice facilities, according to data based on cost reports provided by hospices to Medicare. If you are aware of errors in the data, please contact infographics@washpost.com.

SOURCE: Medicare hospice cost reports.