MONUMENT HEALTH HOME PLUS HOSPICE
Provider Information
- Address
- 931 E COLORADO BLVD
SPEARFISH, SD 57783 - Ownership Type
- For-Profit
- Medicare Certified Since
- December 17, 1997
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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) | 6 |
| Licensed Practical Nurses (LPN) | 1 |
| Physicians | 0 |
11
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
- 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 2021.
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.
11.8 minutes
of nurse care per routine home care day, on average
That is the 45th percentile among hospices nationally. The national median is about 12 minutes.
9
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 day11.8 min
Ranks better than about 45% 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 weekends6.9%
Ranks better than about 37% 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 life83.9%
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 visits28%
Ranks better than about 81% 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 care0%
Ranks better than about 81% 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 months8%
Ranks better than about 96% 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 care0%
Ranks better than about 81% 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 hospice8%
Ranks better than about 3% 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)74th 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$8,305 · 6th 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 34.2% of patients or more. Most hospices score above 90 percent.
- Pain screening98.9%
- Pain assessment100%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life34.2%
- All care steps completed98.9%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer41%
- Other conditions31%
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 Spearfish
Monument Health Home Plus Hospice serves patients and families in Spearfish, South Dakota. This provider focuses on comfort and dignity during the final stages of life. Their team works hard to meet the physical and emotional needs of every person they serve. They offer specialized support for those dealing with a life-limiting illness. Choosing the right hospice team is a big decision for your family. This local provider is ready to walk with you through this journey. They focus on quality of life in the comfort of your own home or a care setting. You can reach them at (605) 644-4444 to learn more about how they can help your loved one today.
About Monument Health Home Plus Hospice
Monument Health Home Plus Hospice operates as a for-profit hospice provider. They have served the community since their Medicare certification on December 17, 1997. This long history shows a commitment to meeting strict federal standards for patient care. Being Medicare-certified means they must follow specific rules to ensure high quality. Families should know that this provider is located at 931 E Colorado Blvd in Lawrence County. They have a strong track record of serving the Spearfish area for many years. When picking a provider, it is helpful to look at their history and their dedication to the community. You can feel confident knowing they have been part of the local healthcare system for a long time. They aim to provide comfort and peace to those facing difficult health challenges.
High Quality Care
Understanding Hospice Care in Spearfish
Hospice care in South Dakota is a special way to provide comfort. It is not about giving up hope. Instead, it is about making sure your loved one is pain-free and comfortable. The team in Spearfish includes nurses, doctors, and aides. They also have volunteers and counselors to help your whole family. You can receive this care at home or in a facility. The main goal is to improve the quality of each day. Your team will help manage symptoms like pain or trouble breathing. They also provide emotional support for the stress of a serious illness. Hospice is a team approach to care that puts the patient first. You will have a plan that fits your family's unique needs and values. Do not be afraid to ask questions about how this care works in your local area.
What to Ask When Choosing a Hospice Provider
Choosing a hospice provider is a very personal choice for your family. You should feel comfortable with the team you pick. Here are some simple questions to help you decide:
- How quickly can a nurse get to my home if we have a sudden problem?
- What kind of support do you offer for family members who are grieving?
- How does your team handle pain and other symptoms to keep my loved one comfortable?
- Can you tell me how often a nurse or aide will visit us each week?
Preserve Your Family Stories
This time of life is important for sharing memories and stories. We can help you capture your family history to keep for future generations to enjoy.
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Helpful Guides for Families
Understanding Hospice Levels of Care: A Family Guide
Navigating end-of-life care is hard. Our guide to understanding hospice levels of care helps you make informed choices for your loved one with confidence.
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.
Creating a Living Will Checklist: A Hospice Care Guide
Need help with end-of-life planning? Use our Creating a Living Will Checklist to ensure your loved one's medical wishes are honored. Start your planning 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.