Black River Hospice



  
311 County Highway A Suite 1, Black River Falls
Wisconsin, 54615

 (71-5) -284-3662   Maps & Directions
Black River Hospice is a hospice care center situated at Black River Falls, Wisconsin. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Black River Hospice accommodated approx. 102 Medicare beneficiaries whose average age was 82 years in CY2022. Unique hospice identification number provided by medicare to this hospice care is 521570. Black River Hospice comes under the CMS regional office located at Chicago. This CMS regional office covers all hospices located in Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin. Services provided at Black River Hospice mainly includes home health aide, counseling, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, speech pathology services.
Black River Hospice provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient’s family or caregiver.


Complete Hospice Profile:
Black River Memorial Hospital Inc type, unique identification code, ownership type, accreditation,short term inpatient care type, address, contact number, fax number and all other information is provided as below. Recipients can directly walkin or can call on the below given phone number for appointment.
Hospice ID (CCN) 521570
Hospice’s Ownership Type:Non-Profit (02 Voluntary Non-Profit - Private)
Accreditation Joint Commission (JC)
Hospice Address:311 County Highway A Suite 1, Black River Falls,
Wisconsin, 54615
County:Jackson
Phone:(71-5) -284-3662
Fax:715-284-1390
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Black River Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:21 Apr, 2003
Current Status: Voluntary Merger/closure
Latest visit of the Health or LSC survey: 10 Feb, 2010
Certificate Provider: CMS Regional Office
Provider's Billing ID: 1063516078
CBSA Code 99952 (Rural)
Federal Certification Status Terminated (as on 01 Apr, 2024)
National Hospice Spending and Utilization (2022):
National Hospice Spending and Utilization based on FY 2022 for Black River Hospice are stated below it includes number of beneficiaries, average age of beneficiaries accommodated in hospice, total medicare payment amount received by hospice, total charge amount of the hospice.
Beneficiaries 102
RHC Days (in %) 99
Episode or Stay Count 103
Total Nursing Minutes 110100 Minutes (1835 Hours)
Days of Service 4,658
Average Age of Beneficiary 82 year
Average Risk Score of Beneficiaries 2.24
Total Medicare Payment Amount $ 822,976
Total Medicare Standard Payment Amount $ 868,195
Total Medicare Allowed Payment Amount $ 822,976
Total Charge Amount $ 1,948,904

Average Hospice Visit Count


Black River Hospice have 1561 skilled nursing visits, 312 social work visits and 1362 Number of home health aide visits provided by the home health agency or hospice.


Beneficiaries by Gender


Black River Hospice rendered hospice services to 38% Male and 62% Female Medicare beneficiaries in a Fiscal year.

Beneficiaries by Race


Black River Hospice provided hospice care to 95% White, 5% not disclosed Medicare beneficiaries in a Fiscal year.

Medicare/Medicaid Eligible Beneficiaries


At Black River Hospice,86% of Medicare beneficiaries received their Medicare correspondence in a rural area based on having a Core-based Statistical Area (CSBA) designation equal to Non-CBSA.
37% of Medicare beneficiaries qualified to receive Medicare and Medicaid benefits, (also be referred to as dual eligibility). Beneficiaries are classified as a dual if in any month in the given calendar year they were receiving full or partial Medicaid benefits.


Beneficiaries with Primary Disease Diagnosis

At Black River Hospice, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 32 of Neoplasms & Diseases of the Blood and Blood forming organs, 13 of Diseases of the Nervous System, 29 of Diseases of the Circulatory System, 15 of Diseases of the Respiratory System,

Services Provided:
Services available at Black River Hospice are mentioned below along with the information that who will provide the service like whether it will be provided by hospice staff or will be arranged from any 3rd source or outer source.
Services AvailableProvided By
Home Health AideHospice Staff
CounselingHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesHospice Staff
Nursing ServicesHospice Staff
Occupational TherapyHospice Staff
Physician ServicesHospice Staff
Physical TherapyHospice Staff
Short Term Inpatient CareHospice Staff
Speech Pathology ServicesHospice Staff

Quality of Patient Care:
Quality of patient care is measured based on the survey done by the patients who received the hospice care, as well as the experiences of their informal primary caregivers. Main points included in the survey are treatment preferences, beliefs/values addressed (if desired by the patient), pain screening, pain assessment, dyspnea screening, dyspnea treatment,patients treated with an opioid who are given a bowel regimen.
Measure NameScore (in %)National Average
Treatment Preferences 100.098.3
Beliefs/Values Addressed (if desired by the patient) 81.193.6
Pain Screening 100.093.9
Pain Assessment 98.377.7
Dyspnea Screening 99.197.3
Dyspnea Treatment 93.394.6
Patients Treated with an Opioid who are Given a Bowel Regimen Not Available93.3
Employee Count:
Black River Hospice employee information is available below according to the service area, it is also divided among volunteer and employed count.
Services Employed CountVolunteer Count
Home Health Aide13.00.0
Counseling1.0 0.0
Medical Social Services2.00.0
Registered Nurses10.00.0
Practical/Vocational Nurses1.0 0.0
Other Personnel4.0 64.0
Physician Services0.0 1.0
TOTAL31.065.0
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this hospice are as below. Person's position and contact details are also mentioned below.
Name: Mary Beth White-jacobs
Position: President & Ceo
Contact Number: 715-284-5361
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of stated hospice are as mentioned below.
NPI Number: 1063516078
NPI Enumeration Date: 11 Sep, 2006
NPI Last Update On: 16 Dec, 2016
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Black River Hospice are as mentioned below.
SpecializationLicense NumberStateStatus
Hospice Care, Community Based 1037WisconsinPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
43189700MedicaidWisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 711 W Adams St,
Black River Falls, Wisconsin
Zip: 54615
Phone Number: 715-284-5361
Fax Number: 715-284-1390
Patients can reach Black River Memorial Hospital Inc at 311 County Highway A Suite 1, Black River Falls, Wisconsin or can call to book an appointment on (71-5) -284-3662.
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