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 August 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. Percentiles are computed by CMS across all reporting hospices.
Generations Hospice Care Inc
Generations Hospice Care Inc provides end-of-life care for patients in Missouri Valley, Iowa. They operate as a freestanding hospice provider and have served the community since 2012. Families seeking support in Harrison County can reach them at 1010 Longview Road. This organization carries accreditation from the Accreditation Commission for Health Care. That status shows they meet specific standards for patient safety and care quality. They aim to serve families with a clear focus on comfort and symptom relief during difficult times.
About Generations Hospice Care Inc
This provider operates as a for-profit hospice agency in Missouri Valley. They have been certified by Medicare for over a decade. Accreditation from the Accreditation Commission for Health Care means an outside group checked their work. These groups look at how a hospice handles medicine and staff training. It is a sign of accountability. Families should know that this provider maintains a small, dedicated staff. They employ twelve people in total to manage care needs. This includes three registered nurses and one licensed practical nurse who handle daily patient visits. One physician also works with their team. Having a doctor on staff helps ensure that medical plans stay on track. You should feel comfortable asking how they coordinate with your own doctor. They should be able to explain their process clearly. Good communication is a hallmark of strong hospice care.
Quality of Care
What Is Hospice Care Like in MISSOURI VALLEY?
Hospice care in Harrison County centers on comfort rather than a cure. It brings medical help directly to the place you call home. The team at Generations Hospice Care Inc consists of twelve professionals. This includes three registered nurses and one licensed practical nurse. They work to manage pain and other symptoms for their patients. A physician is also part of their team. They provide regular check-ins to adjust the care plan as needed. The goal is to keep the patient calm and comfortable. Most families find that having a nurse visit regularly provides great peace of mind. It allows the family to focus on spending time together. You do not have to manage these medical tasks on your own. Professional support is available to walk beside you. This service helps keep things simple during a very hard time.
What to Ask When Choosing a Hospice Provider
Picking the right hospice team is a big decision for your family. You should ask about how quickly a nurse can arrive if a problem happens at night. It is also wise to ask how they handle medication refills. You need to know that your loved one will get medicine without long delays. Ask how they keep your primary doctor in the loop about changes. You want a team that works with your current doctor, not one that ignores them. Finally, ask how they provide emotional support to the rest of the family. Some agencies offer volunteers or counselors to help with the grief process. These services can make a difference in how your family copes. Take your time to get clear answers. You deserve to feel confident in the team you choose to bring into your home.
Preserve Your Family Stories
Your family history is a gift that should last for generations. We provide tools to help you record memories and share them with the people you love most.
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