SYMBII HOSPICE
Provider Information
- Address
- 770 S WASHINGTON ST, STE B
AFTON, WY 83110 - Ownership Type
- For-Profit
- Medicare Certified Since
- February 5, 2010
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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) | 8 |
| Licensed Practical Nurses (LPN) | 2 |
17
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 SYMBII 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
- Both supplied directly and through outside suppliers
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 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how SYMBII HOSPICE compares to hospices nationwide.
10.8 minutes
of nurse care per routine home care day, on average
That is the 34th percentile among hospices nationally. The national median is about 12 minutes.
12
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 day10.8 min
Ranks better than about 34% 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 weekends6.7%
Ranks better than about 35% 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 life93.4%
Ranks better than about 49% 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 visits52.9%
Ranks better than about 50% 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 months36.8%
Ranks better than about 50% 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 hospice0%
Ranks better than about 55% 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$12,371 · 20th 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 64.3% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment98.5%
- 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 life64.3%
- All care steps completed99%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer37%
- Heart and circulatory disease18%
- Other conditions23%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Symbii Hospice in Afton
Symbii Hospice serves families in Afton, Wyoming. They offer end of life care to help patients stay comfortable at home. The team provides support to Lincoln County residents who need medical and emotional care during a difficult time. This provider has been certified by Medicare since February 2010. They focus on giving quality care to every person they serve.
About SYMBII HOSPICE
Symbii Hospice operates as a for-profit provider in Afton. Being Medicare certified means they meet federal standards for safety and care. They have provided these services for over fourteen years. That is a long time in the world of hospice care. Families should know that for-profit status does not change the high standards they must follow. Their main goal is keeping patients pain-free and comfortable. It is good to see a provider with such a long history in the region. They have built a track record of service that neighbors can look at when making decisions. You deserve to know how a provider handles their duties. This history of certification shows they stay committed to the rules set by Medicare.
Top Quality Rating
Understanding Hospice Care in Afton
Finding the right care in Lincoln County is a big task. Hospice focuses on comfort rather than a cure. The team at this office includes 17 staff members. They have 8 registered nurses and 2 licensed practical nurses on the team. These nurses visit homes to check on symptoms and offer medicine. They also work with families to manage pain and stress. The thing is, having a strong team of nurses makes a real difference. It means someone is always watching over the medical needs of your loved one. You can ask how often these nurses will come to your house. They should explain their schedule clearly so you feel ready. Good care is about having the right people there when you need them most.
What to Ask When Choosing a Hospice Provider
You should feel confident before you sign any paperwork. Do not be afraid to ask hard questions. Here are a few things to bring up with the team:
- How quickly can a nurse get to my home if an emergency happens at night?
- What specific training does your staff have to help with pain?
- How do you support family members who are feeling sad or overwhelmed?
- Can you tell me how you will coordinate with my current doctor?
These questions help you see if their values match your needs. Take your time with this. You are doing a good thing by asking for clear answers. A good provider will be happy to talk through these points with you.
Preserve Your Family Stories
Your loved one has a life full of memories that deserve to be kept safe. We can help you record and save these stories for future generations.
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Helpful Guides for Families
Understanding Medicare Hospice Benefits: A Family Guide
Navigating end-of-life care is complex. Our guide to Understanding Medicare Hospice Benefits helps you manage costs, coverage, and care with confidence today.
What Nearly 17,000 Hospice Inspection Reports Reveal
CMS released 16,894 hospice inspection reports from late 2021 to early 2026. See what surveyors cited most, what serious findings mean, and how to use them.
10 Essential Hospice Questions for Evaluating Providers
Evaluating hospice care for a loved one? Use these 10 essential hospice questions to interview providers and ensure your family receives the best possible support.
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.