HORIZON HOSPICE
Provider Information
- Address
- 608 E HOLLAND AVE
SPOKANE, WA 99218 - Ownership Type
- For-Profit
- Medicare Certified Since
- June 19, 1998
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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) | 44 |
| Licensed Practical Nurses (LPN) | 1 |
| Physicians | 3 |
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 HORIZON 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
- 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 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how HORIZON HOSPICE compares to hospices nationwide.
16.8 minutes
of nurse care per routine home care day, on average
That is the 86th percentile among hospices nationally. The national median is about 12 minutes.
160
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 day16.8 min
Ranks better than about 86% 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 weekends9.9%
Ranks better than about 69% 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 life99.6%
Ranks better than about 92% 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 visits43.8%
Ranks better than about 62% 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 months42.1%
Ranks better than about 35% 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 care3.5%
Ranks better than about 70% 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 hospice4.4%
Ranks better than about 14% 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$18,626 · 54th 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 93.1% of patients or more. Most hospices score above 90 percent.
- Pain screening99.8%
- Pain assessment100%
- Breathing difficulty screening99.7%
- Breathing difficulty treatment98.8%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life93.1%
- 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.
- Cancer20%
- Dementia36%
- Heart and circulatory disease16%
- Lung and respiratory disease7%
- Stroke9%
- Other conditions12%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
Horizon Hospice in Spokane
Horizon Hospice provides care for families in Spokane, Washington. This provider offers end-of-life support services to those in need of comfort and symptom management. They have been certified by Medicare since 1998. The team holds accreditation from the Joint Commission, which is a rare mark of high standards in the medical field. This means they meet strict safety and quality rules set by independent experts. They focus on delivering care that follows national best practices for hospice providers. Families can feel confident knowing this organization meets these high benchmarks. The team works hard to support patients throughout their time in the program. You should know that their staff includes 44 registered nurses and 3 physicians. That is a large team for one office. They are ready to help you and your loved ones today.
About Horizon Hospice
Horizon Hospice operates as a for-profit provider. They have maintained their Medicare certification for over 25 years. This longevity shows a long history of serving the Spokane region. Their accreditation from the Joint Commission matters because it serves as a sign of quality. These experts visit the facility to check if staff follow safe, smart rules for patient care. It is not an easy process to pass their review. Most providers do not seek this extra step. But this group chooses to do so to prove their dedication to excellence. When you look for a hospice, checking for this seal is a good way to narrow your search. It shows they care about the details. They have 77 employees who focus on daily patient needs. This ensures the team has enough support to handle different situations as they arise.
Top Quality Marks
What Is Hospice Care Like in Spokane?
Hospice in Spokane focuses on comfort and dignity for patients nearing the end of life. Local teams provide care where the patient lives. This often includes their own home or a care facility. The staff manages pain and other symptoms so the patient stays comfortable. They also offer support to family members who are helping with care. At Horizon Hospice, the team is quite large. They have 44 registered nurses and 3 physicians on staff. They also have one licensed practical nurse available to help. This means patients have access to a deep pool of medical knowledge. Care plans are tailored to meet unique needs. You can talk to them about how they handle after-hours calls or weekend needs. Spokane families rely on these services to keep their loved ones peaceful. It is a vital service that helps everyone involved during a difficult time.
What to Ask When Choosing a Hospice Provider
Choosing the right hospice is a big decision for your family. You should feel comfortable asking many questions before you sign any paperwork. First, ask how quickly a nurse can reach your home if an emergency happens at night. Second, ask how the team will help manage specific pain or symptoms. Third, ask how often a nurse will visit the patient in a typical week. Finally, ask how they provide support to family members who are tired or stressed. You deserve clear answers about these services. Do not be afraid to press for details until you feel satisfied. The best providers will be happy to explain their process. They want you to feel at ease with your choice. Take your time to get the answers you need before moving forward with any specific hospice company.
Keep Your Family History
This time is hard, but your family stories are important. Recording memories can help you hold onto the things that matter most.
Start Preserving StoriesOther Hospice Providers Nearby
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Helpful Guides for Families
Understanding Medicare Hospice Benefit: A Family Guide
Confused by hospice coverage? Our guide to understanding Medicare hospice benefits helps you navigate care options and costs with confidence and clarity.
Hospice at Home vs. Inpatient: Choosing the Right Care
Deciding between hospice at home and inpatient hospice? Discover the pros and cons of each care setting to help you make the right choice for your loved one.
A Complete End of Life Planning Checklist for Families
Feeling overwhelmed by end of life planning? Use our comprehensive hospice planning checklist to organize your loved one's care and simplify difficult decisions.
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.