A CHANGE OF SEASONS HOSPICE, INC.
Provider Information
- Address
- 8201 PORT AUSTIN RD
PIGEON, MI 48755 - Ownership Type
- For-Profit
- Medicare Certified Since
- October 22, 2019
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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) | 2 |
| Licensed Practical Nurses (LPN) | 0 |
| Volunteers | 0 |
4
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 A CHANGE OF SEASONS HOSPICE, 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 2019.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how A CHANGE OF SEASONS HOSPICE, INC. compares to hospices nationwide.
9 minutes
of nurse care per routine home care day, on average
That is the 16th percentile among hospices nationally. The national median is about 12 minutes.
17
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 day9 min
Ranks better than about 16% 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 weekends8.3%
Ranks better than about 54% 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 life98.6%
Ranks better than about 89% 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 visits54%
Ranks better than about 48% 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 care12.5%
Ranks better than about 15% 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 months31.3%
Ranks better than about 65% 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 care6.3%
Ranks better than about 54% 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)74th 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$20,385 · 63rd 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 8.9% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment96.2%
- Breathing difficulty screening100%
- Breathing difficulty treatment96.7%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Visits in the last days of life8.9%
- All care steps completed89.1%
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 disease45%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Compassionate Care in Pigeon
A Change of Seasons Hospice, Inc. serves families in Pigeon, Michigan and the surrounding Huron County area. They offer professional hospice care to support patients and their loved ones during difficult times. This team focuses on comfort and dignity for every person they serve. They provide end-of-life care that meets the physical and emotional needs of their patients. Choosing the right hospice is a very important step for your family. This provider works to bring peace and quality support to your home or current care setting. Their goal is to ensure that patients feel safe and valued throughout their hospice journey.
About A Change of Seasons Hospice, Inc.
A Change of Seasons Hospice, Inc. is a for-profit hospice provider. They have been Medicare certified since October 22, 2019. This certification shows they meet federal standards for health and safety. Families should know that this provider has earned a high reputation for their work. Being certified means they follow strict rules to protect patient rights and care quality. When you choose a Medicare-certified provider, you know they are held to national standards. This hospice focuses on delivering care that matters to you and your family. Their history shows a commitment to serving the Pigeon community with reliable and professional hospice services. You can trust that they are prepared to help you navigate this transition with care and respect.
Understanding Hospice Care in Pigeon
Hospice care in Pigeon is meant to provide comfort when a cure is no longer the goal. It is about making the patient as comfortable as possible. The team helps manage pain and other symptoms. They also provide emotional support to the family. In Huron County, hospice can be provided in your own home. It can also be provided in a nursing home or an assisted living facility. The hospice team visits the patient regularly to check on their status. They are available to answer your questions and provide guidance. You do not have to walk this path alone. Hospice care is designed to surround you and your loved one with a team of caring experts. They focus on the quality of life for the time that remains.
What to Ask When Choosing a Hospice Provider
It is normal to feel overwhelmed when you look for a hospice provider. Asking the right questions can help you feel more confident in your choice. Consider asking these questions during your first meeting:
- How quickly can your team reach our home if we have an emergency?
- What specific services do you provide for family members and caregivers?
- How do you manage pain and keep the patient comfortable?
- How often will a nurse or a team member visit us?
Take your time to listen to the answers. You want a team that makes you feel heard and understood. Trust your instincts when you talk with them. A good provider will be happy to answer all of your questions with patience and care. They should explain things clearly so you know exactly what to expect.
Preserve Your Family Stories
The stories and memories of your loved ones are precious. Now is a perfect time to record these moments for future generations to cherish.
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