HOMECARE & HOSPICE
Provider Information
- Address
- 115 EAST MAIN STREET
ALLEGANY, NY 14076 - Ownership Type
- Non-Profit
- Medicare Certified Since
- January 28, 1992
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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) | 19 |
| Licensed Practical Nurses (LPN) | 3 |
| Physicians | 6 |
| Volunteers | 14 |
90
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 HOMECARE & 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 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how HOMECARE & HOSPICE compares to hospices nationwide.
7.6 minutes
of nurse care per routine home care day, on average
That is the 7th percentile among hospices nationally. The national median is about 12 minutes.
42
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 day7.6 min
Ranks better than about 7% 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 weekends3.1%
Ranks better than about 4% 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 life70.6%
Ranks better than about 8% 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 visits72%
Ranks better than about 23% 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 care16.7%
Ranks better than about 6% 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 months11.1%
Ranks better than about 95% 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 care1.9%
Ranks better than about 78% 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 hospice9.3%
Ranks better than about 2% 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$6,659 · 2nd 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 16.9% of patients or more. Most hospices score above 90 percent.
- Pain screening99.8%
- Pain assessment94.3%
- Breathing difficulty screening100%
- Breathing difficulty treatment94.3%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids94.3%
- Visits in the last days of life16.9%
- All care steps completed94.8%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer55%
- Dementia11%
- Heart and circulatory disease10%
- Lung and respiratory disease7%
- Stroke4%
- Other conditions13%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Care in Allegany
HOMECARE & HOSPICE serves the Allegany area from their office on East Main Street. They provide comfort-focused care for patients in Cattaraugus County. This team works to help families manage life-limiting illnesses with dignity. Finding the right support close to home makes a world of difference. When you live in a smaller community, having local providers matters. They focus on pain management and emotional support for your loved ones. This group has served the local region for many years. It is a vital resource for those needing end-of-life care in Western New York. You can reach them at (716) 372-5735 to learn about their specific programs. Choosing a local partner helps keep the focus on the patient's needs. That is the core goal of their mission.
About HOMECARE & HOSPICE
This provider operates as a non-profit organization. That means they put their resources back into patient care rather than profits. They first earned Medicare certification on January 28, 1992. That is over thirty years of serving this community. Experience like that counts for a lot when you face difficult decisions. Most families feel better knowing a provider has a long track record. Being non-profit often shapes how they treat each family. They aim to balance medical needs with personal wishes. You should know that Medicare covers hospice services for those who qualify. This provider works within those federal rules to deliver care. It is a good idea to call them and ask how their team handles daily visits. They can explain exactly how their non-profit status benefits your family.
Quality Ratings Summary
Understanding Hospice Care in Allegany
Hospice is about living well for as long as possible. It is not about giving up. Instead, it is about shifting the focus to comfort and peace. The team in Allegany provides nurses, aides, and social workers to help at home. Many people think hospice only happens in a hospital. That is a myth. Most care actually happens wherever the patient calls home. In Cattaraugus County, this means you can stay in your own bed. The team visits you there. They help with pain, symptoms, and stress. The thing is, hospice is a team effort. You, the patient, and the staff work together. It is designed to take the burden off your shoulders. You deserve to focus on your family while the experts manage the medical details.
What to Ask When Choosing a Hospice Provider
You need to feel confident in your choice. Start by asking how quickly a nurse can get to your home in an emergency. This is crucial. Ask about their after-hours support. Does a real person answer the phone at night? You should also ask how they handle pain management. Every patient has different needs. Make sure they have a plan that matches your specific situation. Ask how they support the family after a loss, too. Grief support is a big part of what good hospice teams do. Do not be afraid to ask for a meeting with their staff. A quick conversation can tell you a lot about their culture. Trust your gut feeling when you talk to them. You are looking for a partner you can trust during a very sensitive time.
Keep Your Family Stories Alive
Your loved one has a lifetime of stories and wisdom. Now is the perfect time to capture those memories for the future. We offer tools to help you record and preserve the history that makes your family unique.
Start Preserving MemoriesOther Hospice Providers Nearby
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HOSPICE AND PALLIATIVE CARE OF ST LAWRENCE VALLEY
LIVINGSTON COUNTY HOSPICE
LEWIS COUNTY GENERAL HOSPITAL HOSPICE
HOSPICE OF CENTRAL NEW YORK
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.
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.
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.