Four Seasons the Care You Trust

CCN

341530The number CMS certifies the facility under, not a provider identifier

Status

Active

Provider type

Hospice

Ownership

Non-Profit

Control type

Non-Profit - Other

Participating since

Jul 1, 1988

Last certification

Oct 24, 2019

Address

571 South Allen Road
Flat Rock, NC 28731
(828) 692-6178

• Hospice of Henderson County, Inc.

  • Community Based Hospice Care Agency
  • Flat Rock, NC
  • NPI 1275524621
  Medicare enrollment

• Caregivers rated the hospice agency a 9 or 10 88
  • State average 86
  • National average 83
  • Period from 10/01/2023-09/30/2025
• The hospice team always communicated well 85
  • State average 85
  • National average 82
  • Period from 10/01/2023-09/30/2025
• The hospice team always provided timely help 81
  • State average 81
  • National average 78
  • Period from 10/01/2023-09/30/2025
• The hospice team always treated the patient with respect 95
  • State average 93
  • National average 91
  • Period from 10/01/2023-09/30/2025
• The hospice team provided the right amount of emotional and spiritual support 94
  • State average 92
  • National average 91
  • Period from 10/01/2023-09/30/2025
• The patient always got the help they needed for pain and symptoms 79
  • State average 79
  • National average 76
  • Period from 10/01/2023-09/30/2025
• YES, they would definitely recommend the hospice 92
  • State average 88
  • National average 85
  • Period from 10/01/2023-09/30/2025

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

• Tariku Mekonnen Assen, MD

  • Hospitalist Physician
  • Atlanta, GA
  • NPI 1982232229
• Elizabeth Ann Bammer, M.D.

  • Family Medicine Physician
  • Asheville, NC
  • NPI 1821364894
• Misgana Lemma Bedane

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1427780022
• Marie Alyssa Malaya Belmonte, DO

  • Internal Medicine Physician
  • Asheville, NC
  • NPI 1144807439
• Sarah Elizabeth Bentley, FNP-C

  • Family Nurse Practitioner
  • Hendersonville, NC
  • NPI 1548714223
• Lashanda Yvette Brown, GNP

  • Gerontology Nurse Practitioner
  • Asheville, NC
  • NPI 1154616332
• Zain Ali Burney, MD

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1295467074
• Eric Wayne Byrd, MD

  • Internal Medicine Physician
  • Hendersonville, NC
  • NPI 1184699621
• Marty D Casebier, MD

  • Internal Medicine Physician
  • Powderly, KY
  • NPI 1588665053
• James Joseph Caserio Jr., M.D.

  • Internal Medicine Physician
  • Hendersonville, NC
  • NPI 1558320945
• Joy Marie Ciaccio, FNP

  • Family Nurse Practitioner
  • Hickory, NC
  • NPI 1356326920
• Randall Kevin Cope

  • Internal Medicine Physician
  • Brevard, NC
  • NPI 1215040613
• Katherine Grimes Crum, M.D.

  • General Practice Physician
  • Asheville, NC
  • NPI 1336374081
• Harrison Alexander Daves, DO

  • Family Medicine Physician
  • Jefferson, NC
  • NPI 1942761630
• Dewey Todd Detar, DO

  • Family Medicine Physician
  • Summerville, SC
  • NPI 1750499604
• Ryan Edward Eichhorn, DO

  • Family Medicine Physician
  • Hendersonville, NC
  • NPI 1871857433
• Mark A Engel, MD

  • Family Medicine Physician
  • Bryson City, NC
  • NPI 1851352793
• Everett Courtney Engstrom, MD

  • Family Medicine Physician
  • Flat Rock, NC
  • NPI 1578141081
• David Alan Franks, M.D.

  • Internal Medicine Physician
  • Franklin, NC
  • NPI 1437162732
• Ruslan Garcia, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Pittsburgh, PA
  • NPI 1659802445
• Neal H Guffey Jr., M.D.

  • Family Medicine Physician
  • Sparta, NC
  • NPI 1184776155
• Jeffrey Theodore Hainsworth, DO

  • Internal Medicine Physician
  • Concord, NC
  • NPI 1639437981
• Steven Saul Hauser, M.D.

  • Hospitalist Physician
  • Winston Salem, NC
  • NPI 1437444221
• Sherry Leigh Hill, MD

  • Emergency Medicine Physician
  • Asheville, NC
  • NPI 1760445431
• Blair Lyn Holl, MD

  • Internal Medicine Physician
  • Asheville, NC
  • NPI 1780630897

• Beliefs & Values Addressed (if desired by the patient) 99.97
  • State average 99.7
  • National average 99.27
  • Period from 10/01/2024 - 09/30/2025
• Burdensome transitions, Type 1 (% live discharges) 4.9
  • State average 5.8
  • National average 8.5
  • Period from 01/01/2023 - 12/31/2024
• Burdensome transitions, Type 2 (% live discharges) 1.1
  • State average 1.7
  • National average 2.1
  • Period from 01/01/2023 - 12/31/2024
• CHC/GIP provided (% days) 1.5
  • State average 1.8
  • National average 0.5
  • Period from 01/01/2023 - 12/31/2024
• Early live discharges (% live discharges) 9
  • State average 8.9
  • National average 7.3
  • Period from 01/01/2023 - 12/31/2024
• Gaps in nursing visits (% elections) 64.2
  • State average 49.8
  • National average 52.4
  • Period from 01/01/2023 - 12/31/2024
• Hospice and Palliative Care Composite Process Measure 99.67
  • State average 97.95
  • National average 96.15
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Dyspnea Screening 100
  • State average 99.87
  • National average 99.53
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Dyspnea Treatment 100
  • State average 99.24
  • National average 98.59
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Pain Assessment 99.77
  • State average 98.65
  • National average 98.27
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Pain Screening 99.97
  • State average 99.6
  • National average 99
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Treatment Preferences 99.97
  • State average 99.94
  • National average 99.8
  • Period from 10/01/2024 - 09/30/2025
• Hospice Care Index Overall Score 10
  • State average 9.5
  • National average 8.8
  • Period from 01/01/2023 - 12/31/2024
• Hospice Visits in the Last Days of Life 46.6
  • State average 64.4
  • National average 48.3
  • Period from 01/01/2023 - 12/31/2024
• Late live discharges (% live discharges) 31.5
  • State average 33.3
  • National average 37.4
  • Period from 01/01/2023 - 12/31/2024
• Nurse care minutes per routine home care days (minutes) 11.1
  • State average 14
  • National average 19.9
  • Period from 01/01/2023 - 12/31/2024
• Patient Treated with an Opioid Who Are Given a Bowel Regimen 99.62
  • State average 99.36
  • National average 98.46
  • Period from 10/01/2024 - 09/30/2025
• Per-beneficiary spending (U.S. dollars $) 12,500
  • State average 14,453.32 (computed here)
  • National average 19,227
  • Period from 01/01/2023 - 12/31/2024
• Skilled nursing minutes on weekends (% minutes) 7.7
  • State average 9.4
  • National average 9.6
  • Period from 01/01/2023 - 12/31/2024
• Visits near death (% decedents) 87.7
  • State average 93.5
  • National average 89.3
  • Period from 01/01/2023 - 12/31/2024

• Provider of Services: the certification, provider type, beds and status.
• Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
• NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.