FOUR SEASONS THE CARE YOU TRUST
Provider Information
- Address
- 571 SOUTH ALLEN ROAD
FLAT ROCK, NC 28731 - Ownership Type
- Non-Profit
- Medicare Certified Since
- July 1, 1988
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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) | 78 |
| Licensed Practical Nurses (LPN) | 3 |
| Physicians | 7 |
250
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 FOUR SEASONS THE CARE YOU TRUST reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Provided directly by this hospice
- Type of inpatient care
- Respite care (up to five days at a time, to give family caregivers a break)
- 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 2019.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how FOUR SEASONS THE CARE YOU TRUST compares to hospices nationwide.
11.1 minutes
of nurse care per routine home care day, on average
That is the 37th percentile among hospices nationally. The national median is about 12 minutes.
556
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 day11.1 min
Ranks better than about 37% 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 weekends7.7%
Ranks better than about 47% 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 life87.7%
Ranks better than about 25% 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 visits64.2%
Ranks better than about 34% 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 care9%
Ranks better than about 33% 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 months31.5%
Ranks better than about 65% 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 hospice1.1%
Ranks better than about 49% 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)92nd 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$12,500 · 21st 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 46.6% of patients or more. Most hospices score above 90 percent.
- Pain screening99.9%
- Pain assessment99.8%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed99.9%
- Bowel care for patients on opioids99.8%
- Visits in the last days of life46.6%
- All care steps completed99.6%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer23%
- Dementia27%
- Heart and circulatory disease16%
- Lung and respiratory disease8%
- Stroke9%
- Other conditions18%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Compassionate Care in Flat Rock
Four Seasons The Care You Trust serves families in Flat Rock, North Carolina. They focus on comfort, dignity, and quality of life for patients with life-limiting illnesses. Their team provides medical support, emotional guidance, and spiritual care for your loved ones. Choosing the right hospice is a big decision during a difficult time. Having a local team that knows your community makes a real difference. They offer care wherever the patient calls home. This could be a private house, an assisted living facility, or a nursing home. Their goal is to manage pain and help the whole family through the transition. You deserve a partner that listens to your needs and respects your wishes. That is exactly what this team strives to do every single day.
About FOUR SEASONS THE CARE YOU TRUST
Four Seasons operates as a non-profit organization. Being non-profit often means they put any extra money back into patient services. They have been Medicare certified since July 1, 1988. That is over 35 years of experience serving the local community. Long-standing roots matter when you need reliable care. Families should know that Medicare certification ensures they meet strict federal standards. This covers everything from medical staffing to how they handle emergency calls at night. It is a sign of stability in a field where quality varies. They are located at 571 South Allen Road in Henderson County. If you need to reach them, their phone number is (828) 692-6178. It helps to call early and ask questions about how they support families. You are not alone in this search.
Quality Performance
Understanding Hospice Care in FLAT ROCK
Hospice is about living well for as long as possible. Many people think hospice is only for the very last days of life. But that is a common myth. The truth is that hospice provides the most benefit when started sooner. It brings a team of nurses, aides, and social workers to your door. In Henderson County, you have access to specialized care that focuses on the person, not just the disease. The team works to keep your loved one comfortable and pain-free. They also provide equipment and medicines at no extra cost to you under the Medicare benefit. This relieves a huge burden from family caregivers. It allows you to spend your time being a spouse or child again, rather than a full-time nurse. That change can mean everything to a family.
What to Ask When Choosing a Hospice Provider
Picking a hospice team is a personal choice. Do not be afraid to interview them. First, ask how quickly they can arrive if there is an emergency at night or on a weekend. Response time is vital for peace of mind. Second, ask how they handle pain management and if they have a specific philosophy. Every provider has a different approach to comfort. Third, ask how they support family members with grief counseling after a loss. You need to know that your support system will not vanish when the hospice care ends. Finally, ask what happens if your loved one needs to go to a hospital or a higher level of care. A good provider will have clear plans for every step of the journey. Take your time to get the answers that feel right for your family.
Preserve Your Family's Unique Story
Your loved one has a lifetime of memories worth saving. We make it simple to record their stories, wisdom, and favorite moments for future generations to cherish.
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Helpful Guides for Families
Choosing a Hospice Provider: A 5-Step Quality Guide
Feeling overwhelmed? Use our expert 5-step guide to choosing a hospice provider that offers the compassionate, high-quality care your loved one deserves.
What Does Medicare Cover for Hospice Care?
Confused about medicare hospice coverage? Discover exactly what is covered, how to manage costs, and navigate your benefits with our simple, expert guide.
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.
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.