GENERATIONS HOSPICE CARE INC
Provider Information
- Address
- 1010 LONGVIEW RD, SUITE 101
MISSOURI VALLEY, IA 51555 - Ownership Type
- For-Profit
- Medicare Certified Since
- April 23, 2012
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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) | 3 |
| Licensed Practical Nurses (LPN) | 1 |
| Physicians | 1 |
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 GENERATIONS HOSPICE CARE INC 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 GENERATIONS HOSPICE CARE INC compares to hospices nationwide.
13.2 minutes
of nurse care per routine home care day, on average
That is the 60th percentile among hospices nationally. The national median is about 12 minutes.
13
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 day13.2 min
Ranks better than about 60% 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 weekends7.7%
Ranks better than about 47% 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 life89.4%
Ranks better than about 29% 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 visits48.3%
Ranks better than about 56% 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 care0%
Ranks better than about 81% 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 months60%
Ranks better than about 7% 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 care40%
Ranks better than about 1% 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)81st 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$13,121 · 23rd 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 1 required care step for new patients here.
- Visits in the last days of life50.7%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer17%
- Dementia32%
- Lung and respiratory disease19%
- Other conditions17%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Compassionate Care in Missouri Valley
Generations Hospice Care Inc offers end-of-life support for families living in Missouri Valley, Iowa. Located at 1010 Longview Road, the team focuses on comfort and dignity for patients in Harrison County. They work to manage pain and provide emotional support during a difficult season. The goal is simple: helping your loved one live their remaining days with peace and grace. Having a local team nearby makes a big difference when needs change quickly. They have been serving this community since April 2012. That is over a decade of local experience. Choosing the right provider is a heavy task, but knowing there is a Medicare-certified team in your backyard helps. They focus on the patient's wishes while supporting the entire family unit. It is about making sure every day counts, even when time feels short. You are not alone in this journey.
About Generations Hospice Care Inc
Generations Hospice Care Inc is a for-profit hospice provider. This means they operate as a business while following strict federal rules. Medicare certified them back in 2012, so they meet all the national standards for safety and care. What should families know? For-profit status does not change the high level of care they provide. The team is dedicated to meeting your family's needs with skill and care. They follow the same Medicare rules as non-profit groups. That said, it is always a good idea to meet the team yourself. Ask them how they handle weekend visits or after-hours emergencies. Getting a feel for their culture is just as important as reading their ratings. The staff here is trained to handle complex health needs while keeping the patient comfortable. Their history shows a long-term commitment to the people of Harrison County. They want to be a steady hand for you.
Quality Performance
Understanding Hospice Care in Missouri Valley
Hospice care in Iowa is designed to support the whole person. It is not just about medicine. It is about keeping your loved one at home whenever possible. In a small town like Missouri Valley, you want a provider that knows the local doctors and resources. The thing is, hospice is a team effort. You get nurses, aides, social workers, and chaplains working together. They visit the home regularly to check on the patient. They also provide equipment like hospital beds or oxygen tanks at no extra cost to you. Medicare pays for these services entirely if you choose a certified provider. Many people wait too long to call because they think hospice is only for the very last days. But starting early can help manage pain better. It lets the team build a real bond with your family. That connection creates a much more peaceful experience for everyone involved.
What to Ask When Choosing a Hospice Provider
Choosing a provider feels like a big decision because it is. You should feel comfortable asking hard questions before you start. Here are a few things to bring up during your first meeting. First, ask how quickly they can get a nurse to your home in an emergency. You need to know that help is just a phone call away. Second, ask how they handle pain management and symptoms like trouble breathing. You want to know they have a plan for tough nights. Third, ask about their staff's experience with your loved one's specific illness. Every condition is different, and you want experts on your side. Finally, ask what the transition process looks like if your loved one needs to go to a hospital. Do they have local partnerships? Knowing these answers now will save you stress later. Take your time. You deserve to feel confident in the team you pick.
Preserve Your Family's Story
This time is about more than just medical care. It is a chance to gather stories, capture memories, and share the lessons of a lifetime. We can help you record these moments to keep them safe for future generations.
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Helpful Guides for Families
Choosing a Hospice Provider: A 5-Step Quality Guide
Feeling overwhelmed? Use our expert 5-step guide to choosing a hospice provider that offers the compassionate, high-quality care your loved one deserves.
Hospice vs Palliative Care: Understanding the Difference
Confused about hospice vs palliative care? We break down the key differences, benefits, and how to choose the right end-of-life care for your loved one.
A Complete End of Life Planning Checklist for Families
Feeling overwhelmed by end of life planning? Use our comprehensive hospice planning checklist to organize your loved one's care and simplify difficult decisions.
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.