ABIGAIL HOSPICE, LLC
Provider Information
- Address
- 2790 W GRAND RIVER, SUITE 100
HOWELL, MI 48843 - Ownership Type
- For-Profit
- Medicare Certified Since
- November 7, 2022
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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.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how ABIGAIL HOSPICE, LLC compares to hospices nationwide.
13.5 minutes
of nurse care per routine home care day, on average
That is the 63rd percentile among hospices nationally. The national median is about 12 minutes.
18
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 day13.5 min
Ranks better than about 63% 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 weekends5.3%
Ranks better than about 18% 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 life92.3%
Ranks better than about 42% 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 visits33.3%
Ranks better than about 75% 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 months22.2%
Ranks better than about 84% 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 care22.2%
Ranks better than about 5% 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)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$17,690 · 49th 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 8 required care steps for new patients here, completed for 60% of patients or more. Most hospices score above 90 percent.
- Pain screening98.3%
- Pain assessment91.3%
- Breathing difficulty screening98.3%
- Breathing difficulty treatment91.3%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Visits in the last days of life60%
- All care steps completed89.7%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer16%
- Dementia31%
- Heart and circulatory disease19%
- Stroke19%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Abigail Hospice, LLC
Abigail Hospice, LLC serves families in Howell, Michigan. They offer end-of-life care for those in Livingston County. The team focuses on comfort and dignity for every patient. They have been certified by Medicare since November 2022. This shows they meet federal standards for hospice care. Choosing a provider is a big decision for any family. You deserve a team that listens to your needs. This provider works to support both the patient and their loved ones. They aim to make this time as peaceful as possible. It is a local choice for those living near West Grand River Avenue.
Provider Background
Abigail Hospice, LLC operates as a for-profit provider. Being a for-profit group means they report to owners rather than a board of directors. But they still follow the same strict Medicare rules as non-profits. They earned their Medicare certification in late 2022. That is a short history, but it means their systems are quite new. New systems can often mean updated equipment and fresh training. Families should know that Medicare checks these providers often. They look at how well the team manages pain and talks to families. You can feel better knowing they meet these national benchmarks. The thing is, every hospice is different. You should always meet the team before you decide on care.
Understanding Hospice Care in Howell
Hospice care in Livingston County is about more than just medicine. It is about supporting the whole person. The team usually includes nurses, aides, and social workers. They come to your home to help with daily tasks and pain control. Many people think hospice is only for the final few days of life. That is not true. You can ask for help much earlier to get better support. The goal is to keep your loved one comfortable at home. They help manage symptoms so you can focus on being a family member instead of a nurse. It makes a real difference. If you have questions about what they offer, just call them at (517) 292-8600 to talk through your options.
What to Ask When Choosing a Hospice Provider
You need clear answers to make the best choice. Start by asking how quickly they can get to your home in an emergency. Do they have staff on call 24 hours a day, even on holidays? This is a major factor for your peace of mind. Ask how they help with spiritual or emotional needs during this time. You should also ask how they talk to your regular doctor. Good communication is the key to good care. Finally, ask what happens if your loved one needs more help than home care can provide. Will they help you find a place if the needs change? Ask these questions to see if they are the right fit for your family.
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