ORANGE CITY HOSPICE
Provider Information
- Address
- 400 CENTRAL AVENUE NW
ORANGE CITY, IA 51041 - Ownership Type
- Combination Government & Non-Profit
- Medicare Certified Since
- February 1, 2006
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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) | 9 |
| Licensed Practical Nurses (LPN) | 1 |
| Physicians | 1 |
| Volunteers | 0 |
18
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 ORANGE CITY HOSPICE 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 ORANGE CITY HOSPICE compares to hospices nationwide.
20 minutes
of nurse care per routine home care day, on average
That is the 95th percentile among hospices nationally. The national median is about 12 minutes.
11
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 day20 min
Ranks better than about 95% 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 weekends5.2%
Ranks better than about 17% 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 life99.1%
Ranks better than about 91% 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 visits8.6%
Ranks better than about 96% 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 care6.7%
Ranks better than about 47% 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 months46.7%
Ranks better than about 24% 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)94th 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$9,835 · 10th 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 76.6% of patients or more. Most hospices score above 90 percent.
- Pain screening97.6%
- Pain assessment98.7%
- 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 life76.6%
- All care steps completed96.5%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer22%
- Heart and circulatory disease36%
- Other conditions22%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Care in Orange City
Orange City Hospice serves families across Sioux County from their office on Central Avenue. They offer expert end-of-life care focused on comfort and dignity for your loved ones. This team works hard to support both patients and their families during difficult times. Choosing the right partner for hospice care makes a world of difference. You want a team that truly listens to your needs and responds quickly. That is exactly what this local provider strives to do every single day. Their staff understands the local community well. They bring care directly to your home or current residence. It is a level of service built on trust and deep roots in Iowa. If you live in or near Orange City, this team is ready to help you navigate these final chapters with grace and professional support.
About ORANGE CITY HOSPICE
This agency operates as a combination of government and non-profit entities. They have been Medicare certified since February 2006. That gives them nearly two decades of experience serving the local area. What does this mean for your family? It means they follow strict federal rules to ensure high standards of care. They are not just another provider. They are a stable, verified resource for your community. You should know that non-profit status often means they put patient needs above everything else. They focus on the mission of care rather than just the bottom line. It is a big deal to have a stable, long-term partner nearby. They have walked this path with many families for many years. You can feel confident in their history and their commitment to the people of Sioux County. They show up when it matters most.
Top Quality Care
Understanding Hospice Care in ORANGE CITY
Hospice is not about giving up. It is about choosing to focus on quality of life. In Sioux County, care teams include nurses, doctors, and social workers. They all work together to manage pain and provide emotional support. The thing is, many families wait too long to call for help. You do not have to wait for a crisis to occur. Hospice can start as soon as a doctor confirms a life-limiting illness. Early care allows the team to build a better relationship with the patient. It also gives the family more time to prepare and find peace. You deserve to have support before you feel completely overwhelmed. Many people find that hospice brings a sense of calm to the home. It is about making every single day count for your loved one. That is the true goal of the service.
What to Ask When Choosing a Hospice Provider
You have choices, so ask the right questions to find the best fit. Start by asking how quickly they can respond to an emergency call at night. You need to know that help is just a phone call away. Ask how they handle pain management and if they have a doctor on their team. It is also good to ask how they support the family after a loss. Grief support is a huge part of the care process. Ask about their staff turnover, too. Continuity matters when you invite strangers into your home. You want a team that feels like an extension of your own family. Do not be afraid to ask for specific examples of how they help in tough moments. Listen to your gut feeling during these calls. A good provider will be patient and kind while answering every single one of your questions.
Preserve Your Family Stories
The moments you share today are the memories of tomorrow. We offer simple ways to record and save the life stories of your loved ones.
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