EVERYSTEP
Provider Information
- Address
- 118 N MAIN STREET
MOUNT PLEASANT, IA 52641 - Ownership Type
- Other
- Medicare Certified Since
- April 10, 2000
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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 | 0 |
13
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 EVERYSTEP 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 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how EVERYSTEP compares to hospices nationwide.
16.4 minutes
of nurse care per routine home care day, on average
That is the 84th percentile among hospices nationally. The national median is about 12 minutes.
29
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 day16.4 min
Ranks better than about 84% 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 weekends8.8%
Ranks better than about 60% 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 life96.1%
Ranks better than about 71% 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 visits55%
Ranks better than about 47% 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 care7.3%
Ranks better than about 44% 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 months56.1%
Ranks better than about 10% 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 care0%
Ranks better than about 81% 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)79th 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$11,751 · 17th 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 51.6% 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 life51.6%
- 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.
- Cancer20%
- Dementia16%
- Heart and circulatory disease21%
- Lung and respiratory disease16%
- Stroke8%
- Other conditions20%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Hospice Care at EVERYSTEP
EVERYSTEP provides compassionate end-of-life care in Mount Pleasant, Iowa. Located at 118 N Main Street, they serve families throughout Henry County. This team focuses on comfort and dignity for every person they support. They have been a Medicare-certified provider since April 10, 2000. That is over two decades of local experience. Most families want to know that their loved ones are in steady, experienced hands. You can call them at (319) 385-4472 to learn more about how they can help your specific situation. Choosing the right partner for hospice is a big step. It is about finding a team that truly listens to your needs. And that is exactly what this provider aims to do every single day for the people of Mount Pleasant. They work hard to meet high standards of care while keeping the focus on your family's unique journey during a difficult time.
About EVERYSTEP
EVERYSTEP operates under an 'Other' ownership category. This often means they function as a non-profit or community-based organization. Many families find comfort in this structure. It usually means the focus stays on the patient rather than on profits. They have held Medicare certification for 24 years. That longevity matters. It shows they have a long history of meeting federal quality rules. You might wonder what this means for your daily care. It means they follow strict guidelines for safety and staff training. The team understands the weight of these choices. They know that you need clear answers and reliable support. So, they work to build trust with every family they meet. When you look for a provider, checking their history is a smart move. EVERYSTEP brings a stable presence to the local healthcare landscape. They are a familiar name in Henry County for a good reason.
Quality Performance
Understanding Hospice Care in MOUNT PLEASANT
Hospice care in Iowa is about more than just medicine. It is about making sure your loved one feels safe and loved at home. In Mount Pleasant, services usually include nursing, help with daily tasks, and emotional support. The goal is to manage pain while keeping the person comfortable. Many families think hospice means giving up. That is a myth. It is actually about choosing a different kind of care. It is about choosing quality of life. The team at EVERYSTEP works in your home or a facility. They bring equipment and supplies right to your door. This makes things much easier for you. You don't have to worry about trips to the pharmacy or medical supply store. Everything is handled by the experts. It is a relief for many tired caregivers. You are not alone in this process. There is a whole team ready to walk this path with you.
What to Ask When Choosing a Hospice Provider
Picking the right hospice is a heavy task. Start by asking about their response time. How fast can a nurse get to your home in an emergency? That is a big deal. You should also ask about their staff. Are they available 24/7 for phone calls? You need to know who will be there at 3:00 AM if you have a question. Another key question is about their volunteer services. Do they have people who can sit with your loved one to give you a break? You need that time to rest. Finally, ask how they handle pain management. Every person is different. You want a team that adjusts the plan to fit your loved one's specific needs. Do not be afraid to ask these questions. A good provider will be happy to answer them clearly. They want you to feel confident in your choice.
Preserve Your Family's Unique Story
Your family has a lifetime of memories that deserve to be kept safe. We offer a simple way to record your stories and keep them for future generations to cherish.
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Helpful Guides for Families
Starting Difficult Conversations: A Guide for Families
Struggling with end-of-life talks? Learn the best ways for starting difficult conversations with your aging parents to ensure their wishes are honored today.
Understanding Hospice Levels of Care: A Family Guide
Navigating end-of-life care is hard. Our guide to understanding hospice levels of care helps you make informed choices for your loved one with confidence.
Hospice at Home vs. Inpatient: Choosing the Right Care
Deciding between hospice at home and inpatient hospice? Discover the pros and cons of each care setting to help you make the right choice for your loved one.
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.