MIDDLESEX HEALTH CARE AT HOME & HOSPICE PROGRAM
Provider Information
- Address
- 237 MAIN STREET
MIDDLETOWN, CT 06457 - Ownership Type
- Non-Profit
- Medicare Certified Since
- October 12, 1994
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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) | 2 |
| Licensed Practical Nurses (LPN) | 0 |
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 MIDDLESEX HEALTH CARE AT HOME & HOSPICE PROGRAM 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
- General inpatient care (for pain or symptoms that cannot be managed elsewhere)
- 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 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how MIDDLESEX HEALTH CARE AT HOME & HOSPICE PROGRAM compares to hospices nationwide.
9.1 minutes
of nurse care per routine home care day, on average
That is the 16th percentile among hospices nationally. The national median is about 12 minutes.
79
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 day9.1 min
Ranks better than about 16% 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 weekends7.9%
Ranks better than about 50% 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 life86%
Ranks better than about 21% 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 visits65.1%
Ranks better than about 33% 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 care8.3%
Ranks better than about 37% 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 months31.3%
Ranks better than about 65% 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 care2.1%
Ranks better than about 77% 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 hospice6.3%
Ranks better than about 6% 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)90th 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$13,650 · 26th 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 28.9% of patients or more. Most hospices score above 90 percent.
- Pain screening96.3%
- Pain assessment99.6%
- Breathing difficulty screening99.6%
- Breathing difficulty treatment99.3%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life28.9%
- All care steps completed95.4%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer28%
- Dementia10%
- Heart and circulatory disease18%
- Lung and respiratory disease8%
- Stroke13%
- Other conditions24%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Support for Your Loved Ones
Middlesex Health Care at Home & Hospice Program serves the Middletown, Connecticut community. They offer specialized care for patients who need comfort and support during a life-limiting illness. Choosing the right team makes a real difference for your family. Their staff works hard to manage pain and improve the quality of life at home. This focus allows your loved one to stay in a familiar space surrounded by those they care about most. It is about more than just medical care. It is about helping your family find peace during a difficult season.
About Middlesex Health Care at Home & Hospice Program
This program has provided hospice services since October 1994. That is three decades of experience in the Middlesex County area. They operate as a non-profit organization. This structure often means the focus stays entirely on patient needs rather than profits. Being Medicare-certified means they meet strict federal rules for safety and care quality. You can reach their office at 237 Main Street in Middletown by calling (860) 358-5600. When you call, ask them how their team coordinates with your family doctor. It is a good way to see if they are a right fit for your specific situation. The thing is, choosing a partner with a long history in your own town can bring extra comfort to your daily routine.
Quality of Care Insight
Understanding Hospice Care in Middletown
Hospice is a special way of caring for people with terminal illness. It is not about giving up. It is about choosing comfort over aggressive treatments that may not work. In Middletown, families have access to teams that include nurses, aides, social workers, and chaplains. These experts visit your home to provide care that fits your schedule. They help manage symptoms so your loved one can be as alert and comfortable as possible. But many people wait too long to start these services. Starting early means your family gets more time to build a relationship with the care team. This can make the transition much easier for everyone involved. You do not have to walk this path alone. Local resources are here to support your family every step of the way.
What to Ask When Choosing a Hospice Provider
You should feel confident in the team you invite into your home. Start by asking these questions to get a clear picture of their care style. First, ask how quickly a nurse can get to your home if an emergency happens at night. Second, ask how they handle pain management and if they have a doctor on call 24/7. Third, ask what kind of support they offer to family members after a loss. It is also smart to ask how they communicate with your primary care doctor. You want everyone on the same page. Do not be afraid to ask for specific examples of how they help with daily tasks. The right provider will be happy to answer these questions with patience and care. They know this is a hard time for you.
Preserve Your Family Stories
Your loved one has a lifetime of wisdom and memories. Capturing these stories can be a beautiful gift for future generations to cherish.
Learn How to Save MemoriesOther Hospice Providers Nearby
BRIGHTON HOSPICE CONNECTICUT, LLC
MASONICARE HOME HEALTH AND HOSPICE INC
CONNECTICUT HOSPICE INC, THE
GREATER MANCHESTER HOMECARE, LLC
FRANCISCAN FAMILY CARE CENTER,
MCLEAN HOME CARE AND HOSPICE
Helpful Guides for Families
Starting the End-of-Life Conversation: A Family Guide
Starting the end-of-life conversation is hard. Our guide provides scripts, expert tips, and Medicare insights to help you navigate this talk with confidence.
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.
Creating a Living Will Checklist: A Hospice Care Guide
Need help with end-of-life planning? Use our Creating a Living Will Checklist to ensure your loved one's medical wishes are honored. Start your planning today.
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.