Good Samaritan Hospice



  
11190 Country Club Rd, Lawrenceville
Illinois, 62439

 800-604-9203   Maps & Directions
Good Samaritan Hospice, also known as Home Health is a hospice care center situated at Lawrenceville, Illinois. This palliative care is medicare certified, hence if you are covered by medicare, medicare will pay the hospice for your care. Good Samaritan Hospice accommodated approx. 89 Medicare beneficiaries whose average age was 81 years in CY2016. Unique hospice identification number provided by medicare to this hospice care is 141640. Good Samaritan 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 Good Samaritan Hospice mainly includes home health aide, counseling, homemaker, medical social services, medical supply services, nursing services, occupational therapy, physician services, physical therapy, short term inpatient care, speech pathology services.
Good Samaritan 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:
Home Health 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) 141640
Hospice’s Ownership Type:Combination Government & Non-Profit
Short-term inpatient care provided:Acute & Respite care
Accreditation Joint Commission (JC)
Hospice Address:11190 Country Club Rd, Lawrenceville,
Illinois, 62439
County:Lawrence
Phone:800-604-9203
Fax:618-943-7396
CMS Regional Office Chicago
Medicare Certification:
Medicare certification details of Good Samaritan Hospice with certification date, type, current status, certification provider, MAC, CBSA Code are stated below.
Medicare Certified:Yes
Medicare Certification Date:21 Dec, 2011
Current Status: Active Provider
Latest visit of the Health or LSC survey: 21 Dec, 2011
Status at the time of certification survey: In Compliance
Waiver of any life safety code: No
Latest Certification Type: Initial
Certificate Provider: Chicago CMS Regional Office
MAC Palmetto Hhh C
CBSA Code 99914 (Rural)
National Hospice Spending and Utilization (2016):
National Hospice Spending and Utilization based on CY2016 for Good Samaritan 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 89
RHC Days (in %) 92
Average Age of Beneficiary 81 year
Total Medicare Payment Amount $ 394,751
Total Medicare Standard Payment Amount $ 443,784
Total Charge Amount $ 632,321

Average Service Hours per Day

Good Samaritan Hospice provided an average of 0.23 hours per day of home health, 0.29 hours per day of Skilled Nursing, 0.06 hours per day of Social Service hospice care.

Average Hospice Care Days

Good Samaritan Hospice have 44 Medicare beneficiaries with 7 or fewer hospice care days, 11 Medicare beneficiaries with more than 60 hospice care days, Medicare beneficiaries with more than 180 hospice care days.


Beneficiaries by Gender


Good Samaritan Hospice rendered hospice services to 36 Male and 53 Female Medicare beneficiaries in a calendar year.

Beneficiaries by Race


Good Samaritan Hospice provided hospice care to 88 White, 1 not disclosed Medicare beneficiaries in a calendar year.

Medicare/Medicaid Eligible Beneficiaries


At Good Samaritan Hospice, beneficiaries enrolled in Medicare Advantage and 23 beneficiaries were eligible for Medicaid for at least one month of hospice care in the calendar year.


Beneficiaries with Primary Disease Diagnosis

At Good Samaritan Hospice, distinct Medicare beneficiaries who received hospice care for a primary diagnosis are 23 of Cancer, 20 of Heart Disease, 14 of Respiratory 15 of Other Diseases

Site-of-service Hospice Beneficiaries

At Good Samaritan Hospice, distinct Medicare beneficiaries who received the majority of their hospice care days are 28 at home, 25 in a long term care or non-skilled nursing facility, 30 in an inpatient hospital,

Services Provided:
Services available at Good Samaritan 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
HomemakerHospice Staff
Medical Social ServicesHospice Staff
Medical Supply ServicesProvided under Arrangement
Nursing ServicesHospice Staff
Occupational TherapyHospice Staff
Physician ServicesHospice Staff
Physical TherapyHospice Staff
Short Term Inpatient CareProvided under Arrangement
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) 100.093.6
Pain Screening 100.093.9
Pain Assessment 98.277.7
Dyspnea Screening 100.097.3
Dyspnea Treatment 100.094.6
Patients Treated with an Opioid who are Given a Bowel Regimen 95.793.3
Employee Count:
Good Samaritan 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 Aide2.80
Counseling0.03 0
Homemaker10
Medical Social Services1.010
Registered Nurses6.410
Other Personnel0.03 0
Physician Services1 0
TOTAL12.280
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: Tina Lyden
Position: Director Of Patient Accounts
Contact Number: 618-943-2609
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: 1154376069
NPI Enumeration Date: 23 May, 2006
NPI Last Update On: 18 Jun, 2018
Medical Licenses:
Hospice can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Good Samaritan Hospice are as mentioned below.
SpecializationLicense NumberStateStatus
Home Health 1001833IllinoisPrimary
Other Medical Identifiers:
Other legacy medical identifiers of the hospice such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
687236OtherIllinoisHealthlink
9753OtherIllinoisBlue Cross Blue Shield
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Po Box 516,
Lawrenceville, Illinois
Zip: 62439-0516
Phone Number: 618-943-4663
Fax Number: 618-943-7396
Patients can reach Home Health at 11190 Country Club Rd, Lawrenceville, Illinois or can call to book an appointment on 800-604-9203.

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