TREK HEALTHCARE
Provider Information
- Address
- 2445 S 3RD ST. W
MISSOULA, MT 59801 - Ownership Type
- Other
- Medicare Certified Since
- September 14, 2016
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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) | 6 |
| Licensed Practical Nurses (LPN) | 1 |
| Physicians | 1 |
17
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 TREK HEALTHCARE 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 2016.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how TREK HEALTHCARE compares to hospices nationwide.
6.2 minutes
of nurse care per routine home care day, on average
That is the 3rd percentile among hospices nationally. The national median is about 12 minutes.
35
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
Medicare reports this hospice billed for routine home care only. Hospices can also provide continuous home care, inpatient care, and respite care when symptoms are harder to manage. There can be good reasons for this. Ask the provider how they handle a crisis at home.
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 day6.2 min
Ranks better than about 3% 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 weekends5%
Ranks better than about 15% 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 life66.7%
Ranks better than about 7% 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 visits87%
Ranks better than about 7% 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 care7.7%
Ranks better than about 41% 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 months25%
Ranks better than about 79% 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 care9.6%
Ranks better than about 38% 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 hospice1.9%
Ranks better than about 39% 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$22,872 · 74th 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 6 required care steps for new patients here, completed for 37.3% of patients or more. Most hospices score above 90 percent.
- Pain screening90.9%
- Breathing difficulty screening87.9%
- Treatment preferences discussed93.9%
- Beliefs and values discussed93.9%
- Visits in the last days of life37.3%
- All care steps completed78.8%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer14%
- Dementia29%
- Heart and circulatory disease14%
- Other conditions31%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
About Trek Healthcare
Trek Healthcare serves the Missoula community from their office on South 3rd Street West. This freestanding hospice provider offers end-of-life support to local families. They have been certified by Medicare since September 2016. Their team is dedicated to providing care that meets national standards. The agency holds accreditation from CHAP. This means they invite outside experts to check their work regularly. These experts ensure the agency follows strict rules for patient safety and comfort. Choosing a hospice is a serious step for any family. You want to know that the team follows high standards. Having this outside review helps show they meet these goals. It gives families peace of mind during a hard time.
Quality and Care
Trek Healthcare operates as a freestanding hospice provider. This means they focus only on hospice services rather than being part of a larger hospital system. They are currently managed under an other ownership structure. The team includes 17 staff members in total. This group features six registered nurses and one licensed practical nurse. They also have one physician on staff to oversee medical needs. This mix of staff helps ensure that patients have access to medical eyes when they need them most. The agency earns solid marks for their quality of care based on the latest CMS Hospice Care Index reports. These scores look at how well the agency manages pain and meets patient needs. Good scores show they have clear processes in place. They work to keep patients comfortable at home or in their preferred setting. You should feel comfortable asking about their specific team size.
Quality Note
What Is Hospice Care Like in Missoula?
Hospice care in Missoula focuses on comfort and dignity for those with a life-limiting illness. The goal is to manage pain and symptoms so patients can spend time with their loved ones. Most care happens in the home where people feel most at ease. But some patients may receive care in other settings depending on their needs. A hospice team usually includes nurses, doctors, and social workers. They work together to support the whole family. You will find that providers in Montana often travel to reach rural areas. This ensures that help is available even if you live outside the city center. The team will talk with you about your goals. They listen to what matters to you most. This is the core of hospice service. It is about living each day as fully as possible. You are the partner in this process.
What to Ask When Choosing a Hospice Provider
Choosing the right hospice team is a big decision. You should feel free to ask questions that help you understand how they work. Start by asking how quickly a nurse can get to your home if an emergency happens at night or on the weekend. This is a common concern for many families. Ask how the team handles pain medication and symptom management. You want to know they have a plan for fast relief. It is also good to ask how often the nurse will visit your home. Some agencies visit more often than others. You should also ask if they have volunteers who can sit with your loved one. Volunteers can provide helpful companionship during long days. Finally, ask how they help the family cope with grief. Good support makes a difference.
Preserve Your Family Stories
Your loved one has a lifetime of memories and wisdom to share. Capturing these stories now can be a meaningful gift for your family to cherish for generations.
Start a StoryOther Hospice Providers Nearby
Helpful Guides for Families
How to Start Hospice Conversations: A Practical Guide
Learn how to start hospice conversations with your loved ones. Get expert scripts, signs it is time, and tools to find quality care near you with Hospice Scout.
A Complete End of Life Planning Checklist for Families
Feeling overwhelmed by end of life planning? Use our comprehensive hospice planning checklist to organize your loved one's care and simplify difficult decisions.
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.
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.