MADISON HOME CARE AND HOSPICE
Provider Information
- Address
- 590 MEDICAL PARK DRIVE
MARSHALL, NC 28753 - Ownership Type
- Non-Profit
- Medicare Certified Since
- June 7, 1989
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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) | 58 |
| Licensed Practical Nurses (LPN) | 1 |
| Physicians | 1 |
77
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 MADISON HOME CARE AND 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
- Supplied directly by this hospice
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 MADISON HOME CARE AND HOSPICE compares to hospices nationwide.
10.1 minutes
of nurse care per routine home care day, on average
That is the 26th percentile among hospices nationally. The national median is about 12 minutes.
8
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 day10.1 min
Ranks better than about 26% 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 weekends6.8%
Ranks better than about 36% 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 life84.3%
Ranks better than about 18% 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 visits77.8%
Ranks better than about 16% 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 care13.3%
Ranks better than about 12% 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 months0%
Ranks better than about 97% 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 care6.7%
Ranks better than about 52% 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 hospice0%
Ranks better than about 55% 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$9,997 · 10th 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 8 required care steps for new patients here, completed for 44.7% of patients or more. Most hospices score above 90 percent.
- Pain screening97.9%
- Pain assessment96.4%
- Breathing difficulty screening97.9%
- Breathing difficulty treatment73.3%
- Treatment preferences discussed100%
- Beliefs and values discussed85.4%
- Visits in the last days of life44.7%
- All care steps completed60.4%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer27%
- Heart and circulatory disease29%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Supportive Hospice Care in Marshall
Madison Home Care and Hospice provides comfort-focused care for patients in Marshall, North Carolina. They serve families throughout Madison County by offering professional medical and emotional support during difficult seasons. Their team helps patients manage pain and improve their daily quality of life at home. That is their primary goal. Since 1989, they have been a steady presence for neighbors in need. Choosing a hospice partner is a heavy task. It helps to know that local experts are ready to walk this path with your family. They focus on dignity and comfort above all else. When your loved one needs extra care, this team is prepared to step in with kindness and skill. They understand the local community well. This makes a big difference when time is short and comfort matters most. You are not alone in this journey.
About Madison Home Care and Hospice
Madison Home Care and Hospice operates as a non-profit organization. That is important. Non-profits often reinvest their resources directly into patient services and community support. They have been Medicare certified since June 7, 1989. That is over three decades of dedicated service to this region. Longevity like that shows a deep commitment to the area. Families should know that this provider meets strict federal standards to maintain that certification. Being in business for this long means they have seen and supported many families through various health challenges. Their office is located at 590 Medical Park Drive. It is easy to reach them at (828) 649-9566 to discuss your options. They prioritize the needs of the patient and the family unit. You can trust that they have the experience to handle complex care needs with a steady hand. They are a staple in the local healthcare landscape.
Quality of Care
Understanding Hospice Care in Marshall
Hospice is not about giving up. It is about choosing a different kind of care. In Marshall, many families find peace by shifting the focus from curing an illness to managing comfort. This care happens wherever the patient calls home. It includes visits from nurses, aides, and social workers. They work together to keep pain away and spirits high. The thing is, most people wait too long to start these services. Starting early allows the team to build a real relationship with your loved one. That bond makes the care much more effective. Medicare pays for these services in full for eligible patients. This includes all medications and equipment related to their terminal diagnosis. You do not have to handle this alone. The goal is to make every single day count for the patient. It is about quality, not just the number of days.
What to Ask When Choosing a Hospice Provider
Choosing the right team can feel overwhelming. Start by asking clear questions to get the answers you need. First, ask how quickly a nurse can reach your home in an emergency. You need to know that help is available 24/7. Second, ask how they manage pain and other symptoms. You deserve a clear plan. Third, ask how they support the family after the patient passes. Grief support is a vital part of hospice care. Finally, ask if they provide volunteers to sit with your loved one. Sometimes, a friendly face is the best medicine. Keep a notebook handy during your calls. Write down the answers so you can compare your options later. Do not feel rushed to make a decision. Take the time to find the group that feels like the right fit for your family's specific values.
Preserve Your Family’s Story
Your loved one has a lifetime of wisdom and memories. Capturing their stories now creates a lasting treasure for future generations to cherish.
Start Preserving MemoriesOther Hospice Providers Nearby
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RICHMOND COUNTY HOSPICE INC
JOHNSTON HEALTH HOME CARE AND HOSPICE
ALEXANDER HOSPICE
TILLERY COMPASSIONATE CARE
LOWER CAPE FEAR LIFECARE
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