ALTERNATIVE HOSPICE, LLC
Provider Information
- Address
- 1749 GILSINN LANE
FENTON, MO 63026 - Ownership Type
- For-Profit
- Medicare Certified Since
- October 28, 2005
Are you this hospice's administrator? Update your information
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) | 6 |
| Licensed Practical Nurses (LPN) | 6 |
28
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 ALTERNATIVE 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 2020.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how ALTERNATIVE HOSPICE, LLC compares to hospices nationwide.
13.8 minutes
of nurse care per routine home care day, on average
That is the 66th percentile among hospices nationally. The national median is about 12 minutes.
103
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 day13.8 min
Ranks better than about 66% 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 weekends3.7%
Ranks better than about 7% 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 life88.2%
Ranks better than about 26% 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 visits34.6%
Ranks better than about 74% 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 care2.1%
Ranks better than about 78% 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 months48.3%
Ranks better than about 21% 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 care7%
Ranks better than about 51% 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 hospice0.7%
Ranks better than about 53% 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$16,234 · 40th 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 22% of patients or more. Most hospices score above 90 percent.
- Pain screening97%
- Pain assessment68.8%
- Breathing difficulty screening98.8%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed99.7%
- Bowel care for patients on opioids100%
- Visits in the last days of life22%
- All care steps completed75.7%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer18%
- Dementia22%
- Heart and circulatory disease20%
- Lung and respiratory disease10%
- Stroke5%
- Other conditions30%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Alternative Hospice, LLC
Alternative Hospice, LLC is located in Fenton, Missouri. They serve families in the Jefferson County area who need end-of-life care. The team focuses on comfort and support for patients during their final months. They offer specialized hospice services to help manage pain and improve quality of life. Choosing the right hospice is a big decision for any family. This provider has been serving the community since 2005. They work to ensure patients feel safe and cared for in their own homes or care facilities. Their goal is to provide dignity and peace during a difficult time. Families can rely on their experience to help navigate the hospice journey. You can find their office at 1749 Gilsinn Lane. They are ready to answer your questions and provide the support your loved one needs. Please reach out to their team if you need guidance on hospice care options in the Fenton area today.
About Alternative Hospice, LLC
Alternative Hospice, LLC is a for-profit hospice provider. They have been Medicare certified since October 28, 2005. This means they meet federal standards for hospice care. Families should know that being Medicare certified is an important sign of quality. It ensures the provider follows strict rules for patient safety and care. When you choose a for-profit hospice, it is helpful to look at their ratings. Alternative Hospice has been in the Fenton community for many years. This long history shows their commitment to local families. They have built a foundation of care over nearly two decades. It is important to talk with them about your specific needs. Ask them how they handle daily care and emergency support. Understanding their history can help you feel more comfortable. They are a local resource for those living in Fenton and the surrounding Jefferson County area. Their team is there to help your family through every step of this process.
Quality Care Insights
Understanding Hospice Care in Fenton
Hospice care is a special way to support people with serious illnesses. It focuses on comfort rather than a cure. In Fenton, Missouri, families have several choices for hospice services. The goal is to help patients live as well as they can for as long as they can. Hospice teams include doctors, nurses, and aides. They also have social workers and chaplains to help with emotional needs. Care often happens where the patient lives. This could be a private home or a nursing facility. It is important to find a team that fits your family's values. You should feel comfortable asking them about their daily routines. Good hospice care involves the whole family in the plan. It provides support for the patient and the caregivers too. Knowing what to expect can help reduce stress during this time. Take your time to learn about the services available in your local area.
What to Ask When Choosing a Hospice Provider
Choosing a hospice provider is a major step. It is helpful to ask clear questions to find the right fit. Here are a few things to consider asking during your first meeting:
- How quickly can a nurse or doctor get to our home in an emergency?
- What specific services do you offer to support family caregivers at home?
- How do you manage pain and other symptoms for your patients?
- What is your process for keeping the family updated on care changes?
It is okay to ask these questions to any provider. A good hospice team will be happy to give you honest answers. They should listen to your worries with care. You want a team that works well with your family. Do not feel rushed to make a choice. Take the time to talk with them and see if you feel a connection. Your peace of mind is very important throughout this journey.
Preserve Your Family's History
Your loved one has a unique life story that deserves to be remembered. We can help you capture these memories and preserve your family stories for future generations to cherish.
Start Preserving MemoriesOther Hospice Providers Nearby
THREE RIVERS HOSPICE WEST
PATHWAYS HOSPICE AND PALLIATIVE CARE
PHOENIX HOME CARE AND HOSPICE
FREUDENTHAL HOSPICE
JOURNEY HOSPICE, LLC
CROWN HOSPICE, INC
Helpful Guides for Families
Choosing a Hospice Provider: A 5-Step Quality Guide
Feeling overwhelmed? Use our expert 5-step guide to choosing a hospice provider that offers the compassionate, high-quality care your loved one deserves.
Hospice vs Palliative Care: Understanding the Difference
Confused about hospice vs palliative care? We break down the key differences, benefits, and how to choose the right end-of-life care for your loved one.
What Does Medicare Cover for Hospice Care?
Confused about medicare hospice coverage? Discover exactly what is covered, how to manage costs, and navigate your benefits with our simple, expert guide.
Some stories are worth writing down
Between the calls and the paperwork, many families wish they had asked more about the person at the center of it all. A recorded conversation, a favorite recipe, the story behind an old photo. Small things now can mean a great deal later. Our legacy guides show simple ways to start.