TREK HEALTHCARE
Provider Information
- Address
- 2445 S 3RD ST. W
MISSOULA, MT 59801 - Ownership Type
- For-Profit
- 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 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) | 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 from January 2022 through December 2024. 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 screening93.8%
- Breathing difficulty screening90.6%
- Treatment preferences discussed96.9%
- Beliefs and values discussed96.9%
- Visits in the last days of life37.3%
- All care steps completed75%
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, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Serving the Missoula Community
Trek Healthcare offers hospice services to families throughout Missoula, Montana. Their team works from their office on South 3rd Street West to support patients facing life-limiting illnesses. They focus on providing comfort and dignity during a challenging time. Hospice care is not about giving up on life. It is about making the time that remains as peaceful and meaningful as possible. The team at Trek Healthcare is dedicated to this mission for every patient they serve in the Missoula area.
About TREK HEALTHCARE
Trek Healthcare is a for-profit hospice provider. They have been Medicare certified since September 14, 2016. That is over seven years of experience in the hospice field. For-profit status simply means the organization is structured as a business. This does not mean they provide less care than non-profit groups. Medicare sets high standards for all certified providers. Trek Healthcare must follow these rules to keep their certification active. When choosing a provider, look at their specific history and how they talk to your family. You want a team that listens to your needs. The thing is, every hospice provider has a unique personality and approach. Make sure theirs matches what your loved one wants for their end-of-life care.
Quality Performance
Understanding Hospice Care in MISSOULA
Hospice care in Missoula is a specialized service for people with a terminal diagnosis. The goal is to manage pain and symptoms while supporting the entire family. It is a team effort involving doctors, nurses, and social workers. Most care happens right where the patient lives. This could be a private home or a local care facility. The focus stays on quality of life rather than curing an illness. That is a big shift for many families to process. In Montana, hospice teams are often accustomed to traveling to reach patients in rural areas. But in a city like Missoula, you have access to a wider range of resources. Use that to your advantage when building your care plan. Ask about their local staff presence and how quickly they can arrive if an emergency happens at night.
What to Ask When Choosing a Hospice Provider
Choosing the right hospice team can feel overwhelming. Start by asking clear, direct questions. Here are a few to get you started:
- How quickly can your staff get to our home in an emergency?
- What is your approach to managing difficult pain or symptoms?
- How do you support family members who are grieving or stressed?
- What kind of training do your volunteers and staff members receive?
Preserve Your Family's Story
The stories and memories you share today are a gift for the future. We can help you record your loved one's life experiences so their voice and wisdom are never lost.
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Understanding Medicare Hospice Benefit: A Family Guide
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Understanding Hospice Levels of Care: A Family Guide
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Some stories are worth writing down
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