RIVER VALLEY HOSPICE
Provider Information
- Address
- 149350 UKIAH TRAIL SUITE 103
BIG RIVER, CA 92242 - Ownership Type
- For-Profit
- Medicare Certified Since
- June 30, 2015
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of May 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 5 |
| Licensed Practical Nurses (LPN) | 1 |
| Physicians | 2 |
| Volunteers | 3 |
12
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what RIVER VALLEY HOSPICE reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2018.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how RIVER VALLEY HOSPICE compares to hospices nationwide.
9.9 minutes
of nurse care per routine home care day, on average
That is the 24th percentile among hospices nationally. The national median is about 12 minutes.
10
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
Medicare reports this hospice billed for routine home care only from January 2022 through December 2024. Hospices can also provide continuous home care, inpatient care, and respite care when symptoms are harder to manage. There can be good reasons for this. Ask the provider how they handle a crisis at home.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day9.9 min
Ranks better than about 24% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends7.5%
Ranks better than about 45% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life79.3%
Ranks better than about 13% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits69.4%
Ranks better than about 27% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care5%
Ranks better than about 60% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months10%
Ranks better than about 95% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care5%
Ranks better than about 61% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice5%
Ranks better than about 11% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)52nd percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$14,117 · 29th percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 8 required care steps for new patients here, completed for 36.2% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment96.2%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Visits in the last days of life36.2%
- All care steps completed98.2%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer38%
- Dementia21%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Care for Families in Big River
River Valley Hospice serves the Big River community with dedicated end-of-life support. They are located at 149350 Ukiah Trail, Suite 103, in San Bernardino County. This provider focuses on comfort and quality of life for patients and their loved ones. When a serious illness progresses, this team steps in to help manage symptoms and provide emotional guidance. It is a local resource for those living in the 92242 area. The goal is to bring peace during a difficult time. They offer skilled care directly in the home setting. This helps families stay together in a familiar space. Getting the right support early makes a big difference. Their team works to ensure every patient feels heard and respected throughout their journey.
About RIVER VALLEY HOSPICE
River Valley Hospice has been a Medicare-certified provider since June 30, 2015. That means they have served the community for nearly a decade. They operate as a for-profit organization. Some families wonder if that changes the care quality. The truth is that all Medicare-certified hospices must meet the same federal standards. They are held to strict rules regarding patient safety and comfort. You should know that their team is built to handle complex medical needs. They coordinate closely with doctors to keep everyone on the same page. That is a huge relief for caregivers who feel overwhelmed. Choosing a long-standing provider like this one offers a sense of stability. You can trust that they have seen many different situations before. They know how to pivot when things change quickly. It is all about giving you one less thing to worry about.
High Quality Standards
Understanding Hospice Care in BIG RIVER
Finding the right care in San Bernardino County can feel like a maze. But hospice is a specific benefit that covers more than just medical needs. It includes social workers and spiritual support for the whole family. Many people think hospice is only for the very last days. That is a common myth. In reality, you can start services much sooner to improve your daily quality of life. The thing is, most families wish they had called for help earlier. Local providers like those in Big River are trained to handle pain and stress. They bring supplies and equipment right to your door. This removes the need for frequent trips to the hospital. You get to define what a good day looks like. And the hospice team does everything they can to make that happen. It is a partnership built on trust and compassion.
What to Ask When Choosing a Hospice Provider
You need to feel comfortable with the people entering your home. Start by asking how quickly they can respond to an urgent call at night. You also want to know who will be your main point of contact. It helps to have one person who knows your story well. Ask them how they handle pain management and if they have extra staff for support. Here is a simple list to get you started:
- How do you handle medical emergencies after hours?
- What specific staff members will visit my home?
- How do you support family caregivers who are tired?
- Can you tell me about your experience with this diagnosis?
Take your time with these questions. You deserve clear answers. If a provider seems rushed, keep looking. You are picking a partner for one of the most important chapters of your life.
Keep Your Family Stories Alive
During this time, memories are your most valuable treasure. Learn how to record and preserve the life stories of your loved ones for future generations.
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Helpful Guides for Families
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Some stories are worth writing down
Between the calls and the paperwork, many families wish they had asked more about the person at the center of it all. A recorded conversation, a favorite recipe, the story behind an old photo. Small things now can mean a great deal later. Our legacy guides show simple ways to start.