CUSTOM HOSPICE, LLC
Provider Information
- Address
- 888 W BIG BEAVER RD, SUITE 900
TROY, MI 48084 - Ownership Type
- For-Profit
- Medicare Certified Since
- April 1, 2015
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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) | 1 |
| Physicians | 1 |
| Volunteers | 4 |
6
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 CUSTOM HOSPICE, 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 2015.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how CUSTOM HOSPICE, LLC compares to hospices nationwide.
12.7 minutes
of nurse care per routine home care day, on average
That is the 55th percentile among hospices nationally. The national median is about 12 minutes.
102
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 day12.7 min
Ranks better than about 55% 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 weekends7.4%
Ranks better than about 44% 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 life93%
Ranks better than about 46% 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 visits26.9%
Ranks better than about 82% 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 care13.2%
Ranks better than about 13% 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 months27.5%
Ranks better than about 75% 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 care11%
Ranks better than about 31% 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 hospice5.5%
Ranks better than about 9% 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)85th 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$13,614 · 26th 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 50.9% of patients or more. Most hospices score above 90 percent.
- Pain screening99.8%
- Pain assessment100%
- Breathing difficulty screening99.8%
- Breathing difficulty treatment99.3%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life50.9%
- All care steps completed99%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer21%
- Dementia26%
- Heart and circulatory disease12%
- Lung and respiratory disease15%
- Stroke2%
- Other conditions24%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Custom Hospice, LLC
Custom Hospice, LLC serves families in Troy, Michigan, from their office on Big Beaver Road. They provide specialized end-of-life care focused on comfort and dignity for patients in Oakland County. Choosing a hospice is a deeply personal decision that changes how your loved one spends their final months. This team works to manage pain and support the entire family through a difficult transition. You want a partner who listens and acts quickly when needs change. That is exactly what they aim to do for the residents of Troy. Their location in a central hub makes it easy for staff to reach patients throughout the local area. When you choose this provider, you are inviting a team of professionals into your home to help you navigate a challenging journey. It is a big step, but you do not have to walk it alone.
About Custom Hospice, LLC
Custom Hospice, LLC operates as a for-profit provider. They have been certified by Medicare since April 1, 2015, which shows a long commitment to meeting federal standards. Being Medicare-certified means they must follow strict rules about the care they provide. Families should know that this provider has an overall rating of 4.5 out of 5 stars from federal data. That is a strong score. It tells us they perform well on technical measures of care. However, they hold a 3 out of 5 star rating for patient satisfaction. This survey asks families about their personal experience with communication and support. While the medical care is rated highly, the patient feedback shows there might be room for better connection. Always remember that numbers are just one piece of the puzzle. You should always interview the staff to see if they feel like the right match for your family's unique needs.
Quality Performance Summary
Understanding Hospice Care in Troy
Hospice care in Troy and the wider Oakland County area focuses on comfort. It is not about curing an illness. Instead, it is about making sure your loved one stays pain-free and surrounded by people who care. The thing is, many families wait too long to start these services. You can begin hospice as soon as a doctor says life expectancy is six months or less. This gives the team more time to build a bond with your loved one. Most people think hospice only happens in a hospital. But in Troy, most care happens right where the patient lives. This could be their own home, an assisted living facility, or a nursing home. The goal is to keep life as normal as possible for as long as possible. And that is a comfort to many families who want to keep their loved ones close to home.
What to Ask When Choosing a Hospice Provider
You have the right to interview any hospice provider before you sign any papers. It is your life and your choice. Start by asking how quickly they can arrive at your home if there is a sudden emergency. You want a team that responds fast. Ask how they handle pain management during the night or on weekends. Do they have a nurse on call 24/7? That is a big deal. You should also ask how they support the family emotionally. Do they offer grief counseling? Do they have volunteers who can sit with your loved one? Finally, ask how they handle communication. Will you have one main nurse to talk to, or will it change every time? You need to feel comfortable with the people entering your home. If you do not feel a connection during your first talk, keep looking until you find the right fit.
Preserve Your Family Stories
Your loved one has a lifetime of memories that deserve to be kept safe. We can help you record their unique history so future generations can cherish those moments forever.
Start Your StoryOther Hospice Providers Nearby
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