HOMETOWN HOMECARE
Provider Information
- Address
- 101 FURR STREET
FAYETTE, MO 65248 - Ownership Type
- Non-Profit
- Medicare Certified Since
- August 8, 1995
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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 |
| Physicians | 0 |
5
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 HOMETOWN HOMECARE 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 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how HOMETOWN HOMECARE compares to hospices nationwide.
19.4 minutes
of nurse care per routine home care day, on average
That is the 94th 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 day19.4 min
Ranks better than about 94% 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 weekends7.7%
Ranks better than about 47% 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 life96.6%
Ranks better than about 76% 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 visits10.7%
Ranks better than about 95% 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 care30.8%
Ranks better than about 1% 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 months38.5%
Ranks better than about 45% 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 hospice7.7%
Ranks better than about 4% 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)67th 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$10,874 · 14th 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 76.4% of patients or more. Most hospices score above 90 percent.
- Pain screening99.2%
- Pain assessment100%
- Breathing difficulty screening99.2%
- Breathing difficulty treatment96.8%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life76.4%
- All care steps completed97.6%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer31%
- Heart and circulatory disease16%
- Lung and respiratory disease13%
- Other conditions28%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Hometown Homecare in Fayette
Hometown Homecare serves the Fayette area from their office on Furr Street. They offer home health services to residents in Howard County. This provider has served the community since August 1995. They operate as a non-profit organization. That is a big deal for families looking for mission-focused care. Their team is small but dedicated to supporting local patients and their loved ones during difficult times. You can reach their office directly at 660-248-2100 to learn more about how they support the Fayette area.
About Hometown Homecare
Hometown Homecare is a non-profit agency. This means they focus on patient needs rather than profit margins. They have stayed committed to Medicare standards for nearly thirty years. Their team consists of five employees, including two registered nurses. These nurses handle the medical needs of patients. They do not have physicians on staff. Families should know that non-profit status often means any extra funds go back into the care provided. Their long history of certification shows they follow federal rules for safety and quality. It is good to see a provider with such deep roots in Missouri. You want a team that knows the community well. That helps when you need care at home.
Quality of Care
Understanding Hospice Care in Fayette
Finding the right care in a small town like Fayette is important. You want a team that listens to your family. Hometown Homecare uses a small staff to manage care plans. With two registered nurses on the team, they focus on keeping patients comfortable. Hospice is about more than just medicine. It is about peace of mind for the whole family. The thing is, you should always check if their current staff can meet your specific needs. Ask them how they handle weekend or night calls. You deserve to know who will show up at your front door. Local care means they are likely neighbors in your community. That can make a big difference in how they connect with your loved ones.
What to Ask When Choosing a Hospice Provider
Choosing a hospice team is a personal process. Take your time to get the right answers. First, ask how the team handles pain management after normal office hours. You need to know who answers the phone at 2:00 AM. Second, ask how often a nurse will visit your home. Consistency helps everyone feel safe. Third, find out if they offer volunteer support for errands or companionship. This can be a huge help for tired caregivers. Finally, ask what happens if your condition changes and you need more intense care. A good provider will have a clear plan for these changes. Do not be afraid to ask these questions. You have to be your own best advocate.
Keep Your Family Stories Alive
Every life has a unique story worth saving for future generations. We offer tools to help you record memories and preserve your family legacy during this transition.
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Helpful Guides for Families
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Some stories are worth writing down
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