VNA HOME HEALTH AND HOSPICE SERVICES, INC
Provider Information
- Address
- 1070 HOLT AVE STE 1400
MANCHESTER, NH 03109 - Ownership Type
- Other
- Medicare Certified Since
- August 23, 1990
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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) | 14 |
| Licensed Practical Nurses (LPN) | 1 |
31
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 VNA HOME HEALTH AND HOSPICE SERVICES, INC 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 VNA HOME HEALTH AND HOSPICE SERVICES, INC compares to hospices nationwide.
12.6 minutes
of nurse care per routine home care day, on average
That is the 54th percentile among hospices nationally. The national median is about 12 minutes.
88
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 day12.6 min
Ranks better than about 54% 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 weekends8.4%
Ranks better than about 56% 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 life96.1%
Ranks better than about 71% 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 visits60.8%
Ranks better than about 38% 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 care11.7%
Ranks better than about 18% 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 months27.2%
Ranks better than about 76% 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 care4.9%
Ranks better than about 62% 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)67th 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$11,514 · 16th 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 75.3% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment99.5%
- Breathing difficulty screening99.8%
- Breathing difficulty treatment99.7%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life75.3%
- All care steps completed99.3%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer29%
- Dementia35%
- Heart and circulatory disease19%
- Lung and respiratory disease9%
- Other conditions8%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
VNA Home Health and Hospice Services, Inc in Manchester
VNA Home Health and Hospice Services, Inc provides compassionate end-of-life care for residents in Manchester, New Hampshire. Located at 1070 Holt Ave, this team supports families throughout Hillsboro County. They focus on comfort and dignity during a difficult time. Their staff helps manage pain and offers emotional support for patients and their loved ones. Getting the right care at home makes a world of difference. The team works hard to ensure every patient feels heard and respected. This is their core mission. By focusing on the whole person, they help families find peace during the final stages of life. They are a local resource you can trust when the need for hospice care arises.
About VNA Home Health and Hospice Services, Inc
This provider has been Medicare certified since August 23, 1990. That is over three decades of service to the community. Having a long history like this matters. It shows they have deep roots and a stable team. The provider is listed under "Other" ownership, which often means they operate as a non-profit or community-based organization. What does this mean for your family? It often means their primary goal is patient care rather than profit. Choosing a team with such a long track record gives many families peace of mind. You want to work with people who know the local system well. They understand the unique needs of people living in New Hampshire. Experience counts for a lot when you are making these big decisions for a loved one.
Quality Performance
Understanding Hospice Care in Manchester
Finding the right care in Manchester can feel like a heavy task. But you are not alone in this search. Many families in New Hampshire choose hospice to focus on quality of life. It is not just about medical care. It is about spending time together without the stress of hospital trips. The thing is, hospice is a team effort. You will work with nurses, aides, and social workers. They come to your home to help with daily needs. This keeps your loved one in a familiar, comforting space. And that is the biggest benefit of all. Most people find that having this extra support allows them to focus on being a family again. It turns a medical situation into a time of connection and love.
What to Ask When Choosing a Hospice Provider
Do not be afraid to ask questions. You are the expert on your loved one's needs. First, ask how quickly their nurses can get to your home in an emergency. Speed matters when someone is in pain. Second, ask how they help with emotional and spiritual support. It is not just about medicine. Third, find out if they have volunteers who can sit with your loved one. This gives you a much-needed break to rest or run errands. Finally, ask what their plan is for after-hours calls. You need to know someone is available at 2:00 a.m. on a Sunday. Getting clear answers helps you feel confident in your choice. It is your right to know exactly how they will care for your family.
Keep Their Stories Alive
Your loved one has a lifetime of stories that deserve to be remembered. We can help you capture those precious memories for future generations to treasure.
Start Preserving MemoriesOther Hospice Providers Nearby
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BETH ISRAEL LAHEY HEALTH AT HOME
Helpful Guides for Families
Understanding Medicare Hospice Benefits: A Family Guide
Navigating end-of-life care is complex. Our guide to Understanding Medicare Hospice Benefits helps you manage costs, coverage, and care with confidence today.
What Nearly 17,000 Hospice Inspection Reports Reveal
CMS released 16,894 hospice inspection reports from late 2021 to early 2026. See what surveyors cited most, what serious findings mean, and how to use them.
Hospice at Home vs. Inpatient: Choosing the Right Care
Deciding between hospice at home and inpatient hospice? Discover the pros and cons of each care setting to help you make the right choice for your loved one.
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.