ENVISION HOSPICE
Provider Information
- Address
- 1818 S UNION AVE STE 1A
TACOMA, WA 98405 - Ownership Type
- For-Profit
- Medicare Certified Since
- February 19, 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) | 2 |
| Physicians | 0 |
| Volunteers | 0 |
5
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 ENVISION 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 2020.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how ENVISION HOSPICE compares to hospices nationwide.
9.7 minutes
of nurse care per routine home care day, on average
That is the 22nd percentile among hospices nationally. The national median is about 12 minutes.
136
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 day9.7 min
Ranks better than about 22% 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 weekends5.1%
Ranks better than about 16% 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 life86.3%
Ranks better than about 22% 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 visits63.5%
Ranks better than about 35% 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 care18.8%
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 months30.6%
Ranks better than about 67% 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 care4.7%
Ranks better than about 63% 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 hospice10.6%
Ranks better than about 1% 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$17,215 · 46th 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 52.9% of patients or more. Most hospices score above 90 percent.
- Pain screening99.2%
- Pain assessment100%
- Breathing difficulty screening100%
- Breathing difficulty treatment98.9%
- Treatment preferences discussed100%
- Beliefs and values discussed99.7%
- Bowel care for patients on opioids97.2%
- Visits in the last days of life52.9%
- All care steps completed98%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer25%
- Dementia26%
- Heart and circulatory disease16%
- Lung and respiratory disease5%
- Stroke13%
- Other conditions17%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
ENVISION HOSPICE in Tacoma
ENVISION HOSPICE serves families in Tacoma, Washington, from their office on South Union Avenue. They offer hospice care for patients needing comfort and support. The agency has been certified by Medicare since early 2020. They hold accreditation from CHAP, which proves they meet high standards for health care services. This group works in Pierce County to help patients manage their symptoms at home or in other settings. Choosing the right support is a large decision for any family. This provider stands out for their commitment to meeting national quality benchmarks. Their team works hard to provide care that meets the needs of the local community. It is a local choice for those in the Tacoma area who want professional care. They focus on maintaining quality standards set by federal experts.
About ENVISION HOSPICE
ENVISION HOSPICE operates as a for-profit hospice provider. Being a for-profit agency means they must follow strict federal rules to keep their Medicare certification. The team includes two registered nurses who coordinate daily care needs for their patients. CHAP accreditation is a big deal. This group sends independent experts to check that the hospice follows safe and effective rules. They look at how the agency handles medical records and patient safety. Most families find comfort knowing an outside group reviewed the agency. This provider does not list physicians or volunteers on their current staff list. You should ask how they handle doctor visits or extra support if you need more help. They have been active since 2020. This gives them a track record of service in the Pierce County area. They continue to focus on the quality of their clinical care.
Quality Performance
What Is Hospice Care Like in TACOMA?
Hospice care in Tacoma focuses on comfort and dignity for people with serious illnesses. The goal is to manage pain and help patients spend time with their families. Many providers in Pierce County offer nurses, aides, and social workers to assist with daily tasks. ENVISION HOSPICE provides care through their staff of two registered nurses. They do not currently employ physicians or volunteers. This means the nurses lead the care plan and talk with your own doctor. Some families prefer this model as it keeps the focus on the nurse and patient bond. You can expect regular visits to monitor symptoms and offer emotional support. The care team works to make sure the patient stays as comfortable as possible. It is a local service built to support the specific needs of residents in Washington. They aim to provide professional help when it matters most.
What to Ask When Choosing a Hospice Provider
You should feel confident before you sign any paperwork. Ask these questions to get a clear picture of the care. First, ask how quickly a nurse can reach your home during an emergency or at night. Second, ask how they will work with your primary care doctor to manage medications. Third, ask about the specific roles of the staff members who will visit your house. You might also ask how they help family members cope with the stress of caregiving. It is a good idea to know who to call on weekends. Do not be afraid to ask for a second opinion or interview more than one group. You deserve to understand the plan for care. Make sure the answers make sense to you and your family. The right choice will listen to your needs and respond with clear information.
Keep Family Stories Alive
Preserving the memories and history of your loved ones is a gift for future generations. Start capturing their stories today.
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