TROPICAL HEALTH LLC A HEALTH AND HOSPICE SERVICE
Provider Information
- Address
- 7 AND 8 ALTONA AND WELGUNST STE 302
ST THOMAS, VI 00802 - Ownership Type
- Other
- Medicare Certified Since
- March 20, 2020
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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) | 4 |
| Physicians | 2 |
14
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 TROPICAL HEALTH LLC A HEALTH AND HOSPICE SERVICE 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
- 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.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2020.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how TROPICAL HEALTH LLC A HEALTH AND HOSPICE SERVICE compares to hospices nationwide.
5.6 minutes
of nurse care per routine home care day, on average
That is the 2nd percentile among hospices nationally. The national median is about 12 minutes.
13
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
Medicare reports this hospice billed for routine home care only from January 2022 through December 2024. Hospices can also provide continuous home care, inpatient care, and respite care when symptoms are harder to manage. There can be good reasons for this. Ask the provider how they handle a crisis at home.
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 day5.6 min
Ranks better than about 2% 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 weekends21.4%
Ranks better than about 96% 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 life92.1%
Ranks better than about 41% 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 visits98.4%
Ranks better than about 1% 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 care5.3%
Ranks better than about 58% 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 months52.6%
Ranks better than about 14% 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 care7.9%
Ranks better than about 46% 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 hospice2.6%
Ranks better than about 30% 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)52nd 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$20,409 · 63rd 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 6 required care steps for new patients here, completed for 36.4% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Breathing difficulty screening95.5%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Visits in the last days of life36.4%
- All care steps completed86.4%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Dementia62%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Tropical Health LLC
Tropical Health LLC provides hospice services to families in St Thomas, Virgin Islands. They have been certified by Medicare since early 2020. This agency holds accreditation from the Community Health Accreditation Partner, known as CHAP. Accreditation shows a provider meets high standards for patient care and safety. They operate out of their office on Altona and Welgunst. The team includes 14 staff members to support local patients. This includes four registered nurses and two physicians who oversee medical care. Having medical experts on staff helps ensure that patients receive proper attention for their symptoms. Families often look for this level of professional oversight when they choose hospice. It provides a clear path for medical management during a difficult time. The agency remains focused on serving the St Thomas community through their established home health and hospice programs.
Understanding Their Care
This provider operates under an other ownership structure and maintains a high standing in quality of care. Their marks from the CMS Hospice Care Index reflect a positive experience for patients. CHAP accreditation serves as a mark of quality. It means an outside group checked the agency to ensure they follow strict rules. These rules cover everything from how they handle medicine to how they train their staff. Families should know that this accreditation is voluntary but shows a commitment to excellence. The agency has been serving the area for several years now. They maintain a steady team of 14 people to keep operations running smoothly. What most people do not realize is that hospice care is about more than just medicine. It is about comfort and dignity for the person receiving care. This agency works to meet those needs through their local presence in the Virgin Islands.
Quality of Care
What Is Hospice Care Like in ST THOMAS?
Hospice care in St Thomas focuses on comfort for people with serious illnesses. It brings care directly to the home. The team at Tropical Health LLC includes four registered nurses and two physicians. These professionals work together to manage pain and other symptoms for those in their care. Having doctors on the team allows for quick changes to care plans. Nurses visit the home to provide hands-on support. They also teach family caregivers how to help their loved ones. This partnership between the medical team and the family is a core part of hospice. It allows the patient to remain in a familiar place. The goal is to improve the quality of daily life for the patient. Local care means that the team understands the specific needs of the community. They are ready to respond to requests for help in the St Thomas area.
What to Ask When Choosing a Hospice Provider
Choosing a hospice provider is a big step for your family. You should ask questions to feel sure about your decision. First, ask how quickly a nurse can get to the home if an emergency happens. You need to know that support is available around the clock. Second, ask how the team will handle pain management and comfort needs. It is important to have a plan that changes as the patient changes. Third, ask how they involve the family in daily care decisions. You want a provider that listens to your goals for the patient. Finally, ask how they coordinate with the primary doctor. Good communication between the hospice team and the regular doctor is a sign of a strong agency. Take your time to get clear answers. This helps you choose the right path for your loved one.
Save Family Stories
Your loved one has a lifetime of stories. We can help you record their memories and preserve them for the future.
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