Guardian Healthcare

CCN

458041The number CMS certifies the facility under, not a provider identifier

Status

Active

Provider type

Home health agency

Ownership

Proprietary

Control type

Proprietary

Participating since

Apr 18, 1994

Last certification

Jun 5, 2019

Overall star rating

4.5 of 5Care Compare

Address

117 1St Street SE
Paris, TX 75460
(903) 737-9865

• S Fisher & S Thomas, Inc.

  • Home Health Agency
  • Paris, TX
  • NPI 1457354664
  Medicare enrollment

• Care started in a timely manner 99.91
  • State average 93.32 (computed here)
  • National average 93.98 (computed here)
  • 1,120 patients
• Checked whether patients received a flu shot 65.27
  • State average 62.94 (computed here)
  • National average 62.68 (computed here)
  • 740 patients
• Discharge function score 89.66
  • State average 52.29 (computed here)
  • National average 61.19 (computed here)
  • 725 patients
• Health information given to the patient 98.91
  • State average 88.74 (computed here)
  • National average 90.76 (computed here)
  • 732 patients
• Health information passed to the next provider 98.17
  • State average 77.89 (computed here)
  • National average 78.53 (computed here)
  • 383 patients
• Medicare spending per episode, against the national average 0.97
  • State average 0.96 (computed here)
  • National average 0.97 (computed here)
  • 1,060 patients
• Patients got better at bathing 96.96
  • State average 80.64 (computed here)
  • National average 85.61 (computed here)
  • 727 patients
• Patients got better at getting in and out of bed 98.64
  • State average 78.31 (computed here)
  • National average 83.24 (computed here)
  • 727 patients
• Patients got better at taking their drugs correctly by mouth 93.38
  • State average 78.41 (computed here)
  • National average 81.2 (computed here)
  • 720 patients
• Patients got better at walking or moving around 96.56
  • State average 78.54 (computed here)
  • National average 83.22 (computed here)
  • 727 patients
• Patients who fell with major injury 0.72
  • State average 1.39 (computed here)
  • National average 1.06 (computed here)
  • 1,115 patients
• Patients' breathing improved 96.3
  • State average 76.59 (computed here)
  • National average 84.54 (computed here)
  • 716 patients
• Physician-recommended actions on medication issues were timely 97.15
  • State average 91.02 (computed here)
  • National average 90.52 (computed here)
  • 1,121 patients
• Potentially preventable hospitalisations during care 12.77
  • State average 13.43 (computed here)
  • National average 10.9 (computed here)
  • Same as national rate
  • 297 patients
• Potentially preventable readmissions within 30 days 3.69
  • State average 4.07 (computed here)
  • National average 4.13 (computed here)
  • Same as national rate
  • 323 patients
• Pressure ulcers or injuries that are new or worsened 0
  • State average 0.36 (computed here)
  • National average 0.28 (computed here)
  • 752 patients
• Quality of patient care star rating Better4.5 of 5
  • State average 2.93 (computed here)
  • National average 3.25 (computed here)
• Successful return to home or community Better84.48
  • State average 67.34 (computed here)
  • National average 80.17 (computed here)
  • Better than national rate
  • 546 patients

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

• Uyioghosa Albert Asemota, MBBS

  • Internal Medicine Physician
  • Paris, TX
  • NPI 1275013336
• Brandilyn Kay Chadwick, RN, FNPC

  • Family Nurse Practitioner
  • Paris, TX
  • NPI 1245331792
• Candice Daughtrey, APRN, FNP-C

  • Family Nurse Practitioner
  • Paris, TX
  • NPI 1164963088
• Marla Davy, FNP-C

  • Family Nurse Practitioner
  • Sherman, TX
  • NPI 1053784587
• Diakhomba Diaby, NP-C

  • Family Nurse Practitioner
  • Paris, TX
  • NPI 1477063006
• Mark Bennett Gibbs, M.D.

  • Orthopaedic Surgery Physician
  • Paris, TX
  • NPI 1568685873
• Ellen Jones, FNP-C

  • Family Nurse Practitioner
  • Texarkana, TX
  • NPI 1730552944
• Diane Ruth Keahey, DNP APRN FNP-BC

  • Family Nurse Practitioner
  • Sherman, TX
  • NPI 1912013988
• Polly Knight, MD

  • Family Medicine Physician
  • Van Alstyne, TX
  • NPI 1164446308
• Kendra Deann Proctor, RN, CFNP

  • Nurse Practitioner
  • Paris, TX
  • NPI 1396764981
• Matthew Hawthorne Ramage, M.D.

  • Family Medicine Physician
  • Texarkana, TX
  • NPI 1558568253
• Aditi Swami, M.D.

  • Infectious Disease Physician
  • Sherman, TX
  • NPI 1386851566
• Aniwelyn Tan, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Sherman, TX
  • NPI 1477056356
• Alefia A Tapia, MD

  • Internal Medicine Physician
  • Paris, TX
  • NPI 1063614436
• Jason S Taporco, MD

  • Family Medicine Physician
  • Sherman, TX
  • NPI 1639743917
• Jimmy L Tarpley, DO

  • Family Medicine Physician
  • Denison, TX
  • NPI 1255377487
• Jeremy Urbanczyk, D.O.

  • Orthopaedic Surgery Physician
  • Sherman, TX
  • NPI 1518164011
• Ian Watson, NP

  • Nurse Practitioner
  • Texarkana, TX
  • NPI 1871052050
• Nathan A Watson Jr., MD

  • Internal Medicine Physician
  • Sherman, TX
  • NPI 1467464503
• Kaitlyn Smith Werner, MD

  • Internal Medicine Physician
  • Paris, TX
  • NPI 1093210429
• Paul A Westmoreland II, MD

  • Family Medicine Physician
  • Van Alstyne, TX
  • NPI 1841215076
• Donald L Wikoff, M.D.

  • Urology Physician
  • Paris, TX
  • NPI 1336112473
• Ronald A Woods Jr., MD

  • Family Medicine Physician
  • Sherman, TX
  • NPI 1659460608

• 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.