LEGACY HOSPICE
Provider Information
- Address
- 733 WEST MAIN ST, STE C
FREDERICKTOWN, MO 63645 - Ownership Type
- For-Profit
- Medicare Certified Since
- May 31, 2000
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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 August 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) | 7 |
| Licensed Practical Nurses (LPN) | 4 |
| Physicians | 1 |
| Volunteers | 18 |
29
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 LEGACY HOSPICE 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 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how LEGACY HOSPICE compares to hospices nationwide.
14.8 minutes
of nurse care per routine home care day, on average
That is the 74th percentile among hospices nationally. The national median is about 12 minutes.
56
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 day14.8 min
Ranks better than about 74% 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 weekends6.4%
Ranks better than about 31% 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 life96.9%
Ranks better than about 78% 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 visits10.6%
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 care3.1%
Ranks better than about 72% 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 months65.6%
Ranks better than about 4% 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 care12.5%
Ranks better than about 24% 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$17,437 · 47th 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 75% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment100%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life75%
- All care steps completed100%
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%
- Dementia19%
- Heart and circulatory disease16%
- Lung and respiratory disease14%
- Other conditions28%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
Legacy Hospice in Fredericktown
Legacy Hospice serves families in Fredericktown, Missouri, and the surrounding Madison County area. They provide end-of-life care for those who need support with comfort and pain management. This provider is certified by Medicare and holds accreditation from CHAP. This means they meet high standards for safety and care quality. Their team offers support at a location on West Main Street. They focus on helping people live their final days with dignity and comfort. It is a local option for those living in the 63645 zip code area.
About Legacy Hospice
Legacy Hospice operates as a for-profit provider. They have been certified by Medicare since May 2000. This long history shows they have worked in the region for over two decades. The provider earned accreditation from the Community Health Accreditation Partner, or CHAP. This group checks hospice agencies to see if they follow strict health rules. They look at how a team manages medicine and how they train staff members. A CHAP accreditation tells you that an outside group reviewed their work. It confirms they follow national standards for patient safety. Families should know that this provider maintains a team of 29 employees. This includes seven registered nurses and four licensed practical nurses who provide daily care. They also have one physician on staff to oversee medical needs. Having these professionals available helps ensure that care plans are followed closely. Their team also includes 18 volunteers who assist with patient needs.
Quality Performance
What Is Hospice Care Like in Fredericktown?
Hospice care in this part of Missouri focuses on keeping patients comfortable in their own homes. The team at Legacy Hospice works to manage pain and other symptoms for those with serious illness. Staff members visit patients to check on their health and offer emotional support. They have a team of 29 people ready to help when needs arise. This includes nurses, a doctor, and many volunteers who give their time to help patients. Because they have many nurses on staff, they can keep a close eye on changes in health. The goal is to avoid hospital stays when possible. They provide care that aims to keep the patient at home with their loved ones. This approach lets families spend more quality time together. The staff is trained to help with both physical needs and the stress that comes with a terminal illness.
What to Ask When Choosing a Hospice Provider
Choosing a hospice provider is a big decision for any family. You should feel comfortable with the people who will enter your home. First, ask how quickly a nurse can get to your house if an emergency happens at night. You should also ask how the team will help manage pain or other hard symptoms. Another good question is how they involve the family in the daily care plan. It is also wise to ask what support they offer to family members after a death occurs. Finally, check if they provide care in the specific town where your loved one lives. Getting clear answers to these questions helps you understand what to expect. You deserve to know how the team works and how they will support your loved one. Take your time to get the details you need before making a final choice.
Preserve Your Family Stories
Your loved one has a unique life story that deserves to be remembered by future generations. Use our tools to record and save these memories for your family to look back on forever.
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Helpful Guides for Families
Understanding Medicare Hospice Benefit: A Family Guide
Confused by hospice coverage? Our guide to understanding Medicare hospice benefits helps you navigate care options and costs with confidence and clarity.
What Does Medicare Cover for Hospice Care?
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How to Choose a Hospice Provider: A Family’s Complete Guide
Feeling overwhelmed? Our hospice selection guide helps you compare providers, understand Medicare benefits, and make the best choice for your loved one today.
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.