BRISTOL HOSPICE - HAWAII, LLC
Provider Information
- Address
- 55 MERCHANT STREET, SUITE 2900
HONOLULU, HI 96813 - Ownership Type
- For-Profit
- Medicare Certified Since
- August 10, 2007
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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) | 71 |
| Licensed Practical Nurses (LPN) | 11 |
| Volunteers | 1 |
149
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 BRISTOL HOSPICE - HAWAII, LLC 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 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how BRISTOL HOSPICE - HAWAII, LLC compares to hospices nationwide.
10.4 minutes
of nurse care per routine home care day, on average
That is the 29th percentile among hospices nationally. The national median is about 12 minutes.
621
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 day10.4 min
Ranks better than about 29% 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 weekends6.8%
Ranks better than about 36% 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 life94.2%
Ranks better than about 55% 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 visits71.7%
Ranks better than about 23% 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 care11.1%
Ranks better than about 20% 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 months46.6%
Ranks better than about 25% 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 care6.9%
Ranks better than about 51% 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 hospice2.5%
Ranks better than about 31% 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)67th 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$26,080 · 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 60.1% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment100%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life60.1%
- All care steps completed100%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer15%
- Dementia40%
- Heart and circulatory disease18%
- Lung and respiratory disease5%
- Stroke13%
- Other conditions10%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Bristol Hospice - Hawaii, LLC
Bristol Hospice - Hawaii, LLC offers hospice services to families in Honolulu. This provider operates as a freestanding hospice and has been certified by Medicare since August 2007. They hold accreditation from the Accreditation Commission for Health Care. This group provides care for those needing end of life support in the Honolulu area.
Provider Background
This provider is a for-profit organization. The Accreditation Commission for Health Care reviews hospice agencies to ensure they meet high standards for safety and service. This accreditation shows that an outside group has checked their work. Families can look for this certification as a sign of quality. The agency maintains a large team of 149 employees. This includes 71 registered nurses and 11 licensed practical nurses. They also work with one volunteer. Having a large team of nurses is a major part of their operation. You should always ask about how these staff members will support your specific needs. Medicare certification means they must follow federal rules for patient care. It is a baseline for any hospice provider you consider.
What Is Hospice Care Like in HONOLULU?
Hospice care in Honolulu focuses on comfort rather than a cure. A team of experts comes to your home to help manage pain and other symptoms. This team often includes nurses, social workers, and aides. Bristol Hospice - Hawaii, LLC uses a large group of 71 registered nurses to provide this care. They work with families to create a plan that fits their daily life. The goal is to keep patients comfortable in their own surroundings. You might wonder how often a nurse visits your home. That depends on the level of care and the specific plan your doctor orders. Most hospice care happens where the patient lives. It is designed to support the whole family during a difficult time. This includes both medical help and emotional support for everyone involved in the care.
What to Ask When Choosing a Hospice Provider
Choosing the right hospice requires asking the right questions. Start by asking how many nurses they have available for after-hours calls. You need to know who will answer the phone at night or on weekends. Ask how they handle sudden changes in pain or symptoms. It is also good to ask how they support family caregivers at home. Ask them to explain their process for updating your doctor on your care. You should feel comfortable with the team members who will enter your home. Ask if they have experience with your specific medical condition. These answers help you see if their services match your family needs. Do not be afraid to ask for clarity on any part of the care plan.
Other Hospice Providers Nearby
ST FRANCIS HOSPICE
ISLANDS HOSPICE
KAISER PERMANENTE CARE AT HOME, OAHU HOSPICE
MALAMA OLA HEALTH SERVICES LLC
NAVIAN HAWAII
HOSPICE OF KONA
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