AMERICAN QLH
Provider Information
- Address
- 5323 W HILLSDALE AVE
VISALIA, CA 93291 - Ownership Type
- For-Profit
- Medicare Certified Since
- May 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) | 1 |
| Licensed Practical Nurses (LPN) | 0 |
| Physicians | 1 |
| Volunteers | 1 |
5
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 AMERICAN QLH 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 AMERICAN QLH compares to hospices nationwide.
9.8 minutes
of nurse care per routine home care day, on average
That is the 23rd percentile among hospices nationally. The national median is about 12 minutes.
112
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
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 day9.8 min
Ranks better than about 23% 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 weekends5.3%
Ranks better than about 18% 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 life95.2%
Ranks better than about 63% 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 visits42.4%
Ranks better than about 64% 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 care10.3%
Ranks better than about 25% 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 months29.9%
Ranks better than about 69% 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 care16.5%
Ranks better than about 13% 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 hospice0%
Ranks better than about 55% 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$23,530 · 76th 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 19.1% of patients or more. Most hospices score above 90 percent.
- Pain screening99.1%
- Pain assessment91.8%
- Breathing difficulty screening100%
- Breathing difficulty treatment97.3%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids85.7%
- Visits in the last days of life19.1%
- All care steps completed93.8%
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%
- Dementia40%
- Heart and circulatory disease19%
- Lung and respiratory disease10%
- Stroke5%
- Other conditions14%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Compassionate Hospice Care in Visalia
AMERICAN QLH provides dedicated hospice care for families in Visalia, California. They focus on comfort, dignity, and support during a difficult time. Their team serves the Tulare County area with a commitment to high-quality care. Choosing a hospice provider is a big decision for your loved ones. This provider offers specialized services to help manage pain and improve daily life. They aim to make every moment meaningful for patients and their families. Their office is located on West Hillsdale Avenue. You can reach their team at (559) 409-2665 to discuss your specific needs. They are ready to answer your questions and guide you through the process. Whether you need care at home or in a facility, they provide support tailored to your situation. Their goal is to ensure comfort and peace for those they serve in the Visalia community.
About AMERICAN QLH
AMERICAN QLH is a for-profit hospice provider serving the people of Tulare County. They have been certified by Medicare since May 21, 2020. This certification means they meet federal standards for health and safety. Families should know that they have a strong track record of quality care. Being a for-profit provider, they focus on efficient service delivery and clinical excellence. They have earned high marks for the care they provide to patients. It is helpful to understand their background when you compare local hospice options. They are dedicated to meeting the needs of families in Visalia. They strive to provide clear communication throughout the care journey. You can feel confident knowing they have met strict government rules for many years. Their team is prepared to assist you with the transition to hospice care. They prioritize the comfort and well-being of every patient they support.
Understanding Hospice Care in Visalia
Hospice care is a special way to support people with serious illnesses. It is not just about the end of life. It is about living each day with as much comfort as possible. In Visalia, families have access to teams that include doctors, nurses, and counselors. These teams work together to manage pain and other symptoms. They also offer emotional support to family members. Hospice care can happen in your own home or in a care facility. It is important to know that you can choose your provider. You should look for a team that listens to your goals. A good hospice team respects your values and your wishes. They should be available to help you day or night. Hospice care ensures that your loved one is never alone. It brings peace of mind to the entire family during a tough journey.
What to Ask When Choosing a Hospice Provider
Selecting the right hospice provider is an important step for your family. Do not be afraid to ask questions until you feel comfortable. Here are a few things you should consider asking:
- How quickly can your team arrive if we have an emergency?
- How do you help manage pain and other difficult symptoms?
- What kind of support do you provide to family members during this time?
- How often will a nurse visit my loved one at home?
These questions will help you understand the level of service you can expect. A good provider will be happy to talk to you about these details. They want you to feel supported and informed every step of the way. Take your time to talk with the hospice staff. Listen to your gut feeling about their team. You deserve the best care for your loved one during this sensitive time.
Preserve Your Family Stories
Your loved one has a lifetime of stories and memories. Now is a perfect time to capture those precious moments for future generations to cherish forever.
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