MONUMENT HEALTH HOME PLUS HOSPICE
Provider Information
- Address
- 224 ELK STREET POST OFFICE BOX 6000
RAPID CITY, SD 57709 - Ownership Type
- For-Profit
- Medicare Certified Since
- May 21, 1986
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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 August 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) | 11 |
| Licensed Practical Nurses (LPN) | 2 |
| Physicians | 0 |
| Volunteers | 1 |
28
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 MONUMENT HEALTH HOME PLUS HOSPICE 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
- 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 2019.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how MONUMENT HEALTH HOME PLUS HOSPICE compares to hospices nationwide.
43.9 minutes
of nurse care per routine home care day, on average
That is the 99th percentile among hospices nationally. The national median is about 12 minutes.
53
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 day43.9 min
Ranks better than about 99% 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 weekends22.8%
Ranks better than about 97% 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 life94.9%
Ranks better than about 60% 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 visits21.6%
Ranks better than about 88% 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 care19%
Ranks better than about 4% 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 months21.4%
Ranks better than about 85% 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 care11.9%
Ranks better than about 27% 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 hospice2.4%
Ranks better than about 32% 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$9,085 · 8th 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 64.5% of patients or more. Most hospices score above 90 percent.
- Pain screening99.5%
- Pain assessment99.6%
- Breathing difficulty screening97.5%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life64.5%
- All care steps completed96.8%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer38%
- Dementia8%
- Heart and circulatory disease12%
- Lung and respiratory disease8%
- Stroke6%
- Other conditions29%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
Monument Health Home Plus Hospice
Monument Health Home Plus Hospice serves the Rapid City area from its office on Elk Street. This provider offers end of life support to people in Pennington County. They have been certified by Medicare since 1986. This long history shows they have helped local families for many decades. The team works to manage pain and comfort for patients in their own homes.
About Monument Health Home Plus Hospice
This agency operates as a for-profit provider. It holds a long history of Medicare certification. Families should know that this status means they meet federal standards for care. The agency employs 28 staff members in total. This group includes 11 registered nurses and 2 licensed practical nurses. They also work with one volunteer to support their mission. Having a large nursing staff helps them handle clinical needs for their patients. Medicare certification acts as a baseline for quality. It ensures the agency follows specific rules for patient safety and health outcomes. You can feel better knowing they have met these requirements for many years.
Quality Overview
What Is Hospice Care Like in Rapid City?
Hospice care in South Dakota focuses on comfort and dignity. It allows patients to stay in familiar surroundings near their loved ones. The team at Monument Health Home Plus Hospice uses a specific group of experts to help. With 11 registered nurses and 2 licensed practical nurses on staff, they have a clear focus on medical needs. These nurses manage symptoms like pain or trouble breathing. They also teach family members how to help with daily tasks. Social workers or chaplains often join the team to offer emotional support. This approach aims to address the whole person instead of just the illness. It is about making each day count. You will find that hospice care changes based on the needs of the patient at that moment.
What to Ask When Choosing a Hospice Provider
Choosing a hospice team is a big decision for your family. You should feel free to ask direct questions during your first meeting. Start by asking how quickly a nurse can get to your home if an emergency happens at night. Ask how they handle pain management and what medicines they provide. You might also ask how often a nurse will visit your loved one each week. It is also good to ask how they support family members who are grieving. Do they offer counseling or support groups? These questions help you understand if the agency matches your specific needs. Take your time to get clear answers before you decide.
Keep Your Family Stories Alive
Preserving memories of your loved ones helps keep their legacy strong for future generations.
Start Preserving StoriesOther Hospice Providers Nearby
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