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 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) | 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, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Support at Home in Fredericktown
Legacy Hospice provides compassionate end-of-life care for families in Fredericktown, Missouri. Based on West Main Street, their team focuses on comfort, dignity, and quality of life for those facing a life-limiting illness. They offer medical, emotional, and spiritual support to ensure patients remain as comfortable as possible. Choosing the right care team is a heavy decision. That is why having a local partner in Madison County can make such a big difference for your loved one. They bring care directly to where the patient lives. Whether that is a private home or a care facility, the goal is always the same. It is about making every day count. You deserve a team that listens to your needs and responds with kindness. This local provider is ready to help your family during this difficult season of life.
About Legacy Hospice
Legacy Hospice has been a Medicare-certified provider since May 31, 2000. They operate as a for-profit organization, which is a common model for many hospice agencies across the country. Being Medicare-certified means they meet strict federal standards for patient care and safety. This is a big deal because it ensures they are held accountable for the service they provide. When you look at a provider, you want to know their history. Having served the community for over two decades shows a long-term commitment to the area. They focus on managing pain and symptoms while supporting the family unit. The thing is, hospice is not just about the patient. It is about the whole circle of people who love them. You should feel comfortable asking about their specific team structure and how they handle after-hours calls. Understanding their background helps you feel more confident in your choice.
Quality Performance
Understanding Hospice Care in Fredericktown
Hospice care in Madison County is designed to provide comfort rather than a cure. Many people wait too long to start these services. The truth is, hospice can provide support for months, not just the final days. It includes nurses, aides, social workers, and chaplains who work as a team. They provide necessary medical supplies and medications related to the terminal illness. You do not have to do this alone. The local team in Fredericktown knows the area and can coordinate with your existing doctors. And here is a secret: most hospice care happens in the patient's own home. It allows your loved one to stay in a familiar space surrounded by memories. The team visits regularly to check on the patient and support the caregivers. So, do not be afraid to reach out early to learn how they can help your specific situation.
What to Ask When Choosing a Hospice Provider
Picking the right hospice is a personal journey. You need to feel like you are in good hands. Start by asking how quickly they can respond to an urgent call in the middle of the night. You should also ask about the specific team members who will visit your home. Will it be the same nurse every time, or will it rotate? It helps to know who you are dealing with. Ask them how they manage pain and if they have experience with your loved one’s specific health needs. Another good question is how they support family caregivers who might be feeling tired or overwhelmed. Do they offer respite care to give you a break? These are simple but vital questions. Don't feel rushed to decide. You have the right to ask as many questions as you need to feel safe.
Preserve Your Family's Unique Story
During this time, the stories and wisdom of your loved one are more precious than ever. We can help you capture those memories for future generations to cherish.
Start Preserving MemoriesOther Hospice Providers Nearby
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ELARA CARING
CROWN HOSPICE, INC
JOURNEY HOSPICE, LLC
COMFORT CARE HOSPICE
MERCY HOSPICE SOUTH-DE GREEFF HOSPICE HOUSE
Helpful Guides for Families
Understanding Hospice Levels of Care: A Family Guide
Navigating end-of-life care is hard. Our guide to understanding hospice levels of care helps you make informed choices for your loved one with confidence.
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.
What CMS Star Ratings Actually Mean for Your Family
Confused by hospice star ratings? Learn how CMS calculates these scores, what they reveal about care quality, and how to find the right provider for your family.
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.