A1 HEALTHCARE
Provider Information
- Address
- 5006 SUNRISE BLVD, SUITE 202
FAIR OAKS, CA 95628 - Ownership Type
- For-Profit
- Medicare Certified Since
- August 21, 2020
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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) | 2 |
| Physicians | 1 |
| Volunteers | 1 |
15
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 A1 HEALTHCARE 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 2020.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how A1 HEALTHCARE compares to hospices nationwide.
12.4 minutes
of nurse care per routine home care day, on average
That is the 52nd percentile among hospices nationally. The national median is about 12 minutes.
72
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 day12.4 min
Ranks better than about 52% 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 weekends6.6%
Ranks better than about 34% 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 life89%
Ranks better than about 28% 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 visits25.8%
Ranks better than about 84% 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 care8.9%
Ranks better than about 33% 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 months46.7%
Ranks better than about 24% 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 care3.3%
Ranks better than about 71% 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 hospice1.1%
Ranks better than about 49% 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$26,296 · 85th 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 9 required care steps for new patients here, completed for 39.9% of patients or more. Most hospices score above 90 percent.
- Pain screening99.6%
- Pain assessment99%
- Breathing difficulty screening99.3%
- Breathing difficulty treatment92.7%
- Treatment preferences discussed100%
- Beliefs and values discussed97.8%
- Bowel care for patients on opioids100%
- Visits in the last days of life39.9%
- All care steps completed95.3%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer14%
- Dementia44%
- Lung and respiratory disease7%
- Stroke5%
- Other conditions29%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About A1 HEALTHCARE
A1 HEALTHCARE provides hospice services to families in Fair Oaks, California. They offer comfort and support for patients with serious illnesses. Their team works to improve the quality of life for those in their care. The agency is located on Sunrise Boulevard in Sacramento County. They focus on meeting the needs of patients and their loved ones during difficult times. Choosing a hospice provider is a major decision for any family. This provider has served the area since 2020. They are dedicated to helping patients stay comfortable in their own homes. Their staff works hard to provide care that honors the wishes of the patient. Families can reach out to their office at (916) 706-2513 to learn more about how they can help. They are ready to answer your questions and guide you through the process of starting hospice care today.
About A1 HEALTHCARE
A1 HEALTHCARE is a for-profit hospice agency. They have been certified by Medicare since August 21, 2020. Being Medicare certified means they meet federal standards for health and safety. Families should know that for-profit status is common in the hospice industry. It does not mean the care is better or worse than non-profit options. What matters most is how the team treats your loved one. You should look for a provider that listens to your goals and values. A1 HEALTHCARE operates out of their office in Fair Oaks. They are part of the local healthcare network in Sacramento County. When you meet with them, ask how they support family caregivers. Good hospice care involves the whole family, not just the patient. Feel free to ask about their staff and how they handle emergencies after business hours. They are there to serve you and your family during this time.
Quality Ratings Overview
Understanding Hospice Care in FAIR OAKS
Fair Oaks is a community with many resources for end-of-life care. Hospice is a special kind of care for people facing a terminal illness. The goal is to focus on comfort rather than a cure. Teams include doctors, nurses, and aides who visit the patient where they live. They also offer social workers and chaplains to help with emotional needs. In Sacramento County, you have several choices for hospice providers. Each agency has its own approach to care and support. It is important to find a team that feels right for your family. You can look at quality scores to see how agencies compare. However, the best way to choose is to talk with them directly. Ask about their response times and their specific services. Make sure they understand your family's unique situation and needs. Good hospice care can bring peace and comfort to everyone involved in the journey.
What to Ask When Choosing a Hospice Provider
Choosing a hospice team is a very personal choice. You should feel comfortable with the people who will enter your home. Here are some questions to help you decide:
- How quickly can a nurse get to our home if we have an emergency?
- How does your team support family members who are also caregivers?
- Can you explain your quality ratings and what they mean for my loved one?
- How often will a nurse or aide visit the patient each week?
- What happens if our needs change and we need more help at home?
Take your time when asking these questions. You deserve clear answers that make you feel at ease. A good hospice agency will be happy to talk with you. They should never rush you into a decision. Trust your instincts when you meet their staff. You are looking for a partner in your loved one's care.
Preserve Your Family Stories
This is a meaningful time to capture the wisdom and memories of your loved ones. We can help you save these precious stories for future generations to cherish.
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Helpful Guides for Families
Understanding Hospice Levels of Care: A Family Guide
Navigating end-of-life care is hard. Our guide to understanding hospice levels of care helps you make informed choices for your loved one with confidence.
What CMS Star Ratings Actually Mean for Your Family
Confused by hospice star ratings? Learn how CMS calculates these scores, what they reveal about care quality, and how to find the right provider for your family.
Understanding Medicare Hospice Benefit: A Family Guide
Confused by hospice coverage? Our guide to understanding Medicare hospice benefits helps you navigate care options and costs with confidence and clarity.
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.