HAND IN HAND HOSPICE CARE, LLC
Provider Information
- Address
- 135 EAST 5TH STREET
NATCHITOCHES, LA 71457 - Ownership Type
- For-Profit
- Medicare Certified Since
- March 10, 2020
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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) | 5 |
| Licensed Practical Nurses (LPN) | 1 |
| Physicians | 3 |
| Volunteers | 1 |
19
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 HAND IN HAND HOSPICE CARE, 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 2020.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how HAND IN HAND HOSPICE CARE, LLC compares to hospices nationwide.
12.5 minutes
of nurse care per routine home care day, on average
That is the 53rd percentile among hospices nationally. The national median is about 12 minutes.
25
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 day12.5 min
Ranks better than about 53% 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 weekends4.8%
Ranks better than about 14% 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 visits2.3%
Ranks better than about 99% 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 months36.8%
Ranks better than about 50% 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 care5.3%
Ranks better than about 60% 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 hospice10.5%
Ranks better than about 1% 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)52nd 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$19,256 · 57th 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 7 required care steps for new patients here, completed for 74.7% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Visits in the last days of life74.7%
- 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.
- Cancer13%
- Dementia31%
- Heart and circulatory disease22%
- Lung and respiratory disease14%
- Other conditions12%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
About Hand in Hand Hospice Care, LLC
Hand in Hand Hospice Care, LLC operates as a freestanding hospice provider in Natchitoches, Louisiana. They have provided services to the local community since March 2020. This provider maintains accreditation through CHAP. This group holds a high standing for their quality of care. Choosing a hospice provider often feels difficult for families. Knowing a team has met national standards can offer peace of mind. Their team works to support patients and their loved ones during this time. They focus on comfort and symptom management for those in their care. Every family deserves clear information about their hospice options. This provider serves the Natchitoches area with a dedicated team of professionals. They are ready to discuss how their services fit your specific goals. You can contact them at (318) 521-8068 to learn more about their current capacity and support programs.
About Hand in Hand Hospice Care, LLC
This agency operates as a for-profit hospice provider. They have been Medicare certified for several years. The team earns their accreditation through CHAP, which is the Community Health Accreditation Partner. CHAP checks that agencies follow strict rules for patient safety. They look at how the staff handles medication and how they document care. This process ensures the agency meets high benchmarks for health services. The staff includes 19 members total. This group features five registered nurses and one licensed practical nurse. Three physicians and one volunteer also work with the team. These professionals provide the medical oversight needed for hospice care. A for-profit status means they manage their own resources to meet patient needs. Families should look for these professional credentials when they interview a provider. You want to know who is on the care team. It helps to understand how they coordinate with your family doctor.
Quality Performance
What Is Hospice Care Like in Natchitoches?
Hospice care in Natchitoches focuses on comfort for patients and their families. The care happens wherever the patient calls home. This might be a private house or an assisted living facility. The goal is to manage pain and improve the quality of daily life. Hand in Hand Hospice Care, LLC uses a team approach to reach these goals. Their staff includes five registered nurses and one practical nurse. These nurses handle daily health checks and monitor symptoms. Three physicians provide the medical orders for the care plan. One volunteer rounds out the team to provide extra support. This mix of staff ensures that medical and emotional needs get met. Nurses visit the home to track changes in health. They talk with the doctors to adjust medicines as needed. The team works hard to keep the patient comfortable in their own space. It is a local service built on a team of nineteen total employees.
What to Ask When Choosing a Hospice Provider
You should feel confident before you sign any paperwork. Start by asking about the availability of the care team. Do they have a nurse on call for emergencies at night? Ask how they handle pain management for their patients. You should also ask how often a nurse will visit the home. It is good to know how they involve the family in decisions. Ask them how they handle requests for extra help or equipment. They should explain how they work with your current doctors. Ask if they have experience with your specific health needs. You can also ask about their volunteer services and what they do. Do not be afraid to ask for clarity on any part of the care plan. Get these answers in writing if you can. A good provider will answer your questions with patience and care. They want you to feel secure in your choice for your loved one.
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Capturing the memories and wisdom of your loved ones is a gift for future generations. Learn how to document their life stories in a simple way.
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