Total Home Health Care Inc

CCN

491557The number CMS certifies the facility under, not a provider identifier

Status

Active

Provider type

Hospice

Ownership

For-Profit

Control type

Proprietary - Corporation

Participating since

Aug 2, 2000

Last certification

Jun 23, 2021

Address

1935 Front Street
Richlands, VA 24641
(276) 964-4202

• Total Home Health Care, Inc.

  dba Medical Services of America Home Health and Hospice

  • Community Based Hospice Care Agency
  • Richlands, VA
  • NPI 1629025911
  Medicare enrollment

• Caregivers rated the hospice agency a 9 or 10 86
  • State average 81
  • National average 83
  • Period from 10/01/2023-09/30/2025
• The hospice team always communicated well 91
  • State average 81
  • National average 82
  • Period from 10/01/2023-09/30/2025
• The hospice team always provided timely help 85
  • State average 76
  • National average 78
  • Period from 10/01/2023-09/30/2025
• The hospice team always treated the patient with respect 95
  • State average 90
  • National average 91
  • Period from 10/01/2023-09/30/2025
• The hospice team provided the right amount of emotional and spiritual support 92
  • State average 90
  • National average 91
  • Period from 10/01/2023-09/30/2025
• The patient always got the help they needed for pain and symptoms 82
  • State average 76
  • National average 76
  • Period from 10/01/2023-09/30/2025
• YES, they would definitely recommend the hospice 89
  • State average 83
  • 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.

• Bruce Carter Higinbothom, M.D.

  • Family Medicine Physician
  • Abingdon, VA
  • NPI 1336181593
• Donald Robert Quinn, MD

  • Internal Medicine Physician
  • Bristol, TN
  • NPI 1447219688
• Bernie Norman Sergent, DO

  • Internal Medicine Physician
  • Versailles, KY
  • NPI 1366536237

• Beliefs & Values Addressed (if desired by the patient) 100
  • State average 99.51
  • National average 99.27
  • Period from 10/01/2024 - 09/30/2025
• Burdensome transitions, Type 1 (% live discharges) 21.7
  • State average 9.5
  • National average 8.5
  • Period from 01/01/2023 - 12/31/2024
• Burdensome transitions, Type 2 (% live discharges) 6
  • State average 2.4
  • National average 2.1
  • Period from 01/01/2023 - 12/31/2024
• CHC/GIP provided (% days) 0
  • State average 0.4
  • National average 0.5
  • Period from 01/01/2023 - 12/31/2024
• Early live discharges (% live discharges) 13.3
  • State average 8.8
  • National average 7.3
  • Period from 01/01/2023 - 12/31/2024
• Gaps in nursing visits (% elections) 32.7
  • State average 47.5
  • National average 52.4
  • Period from 01/01/2023 - 12/31/2024
• Hospice and Palliative Care Composite Process Measure 97.5
  • State average 96.57
  • National average 96.15
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Dyspnea Screening 99.58
  • State average 99.52
  • National average 99.53
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Dyspnea Treatment 98.66
  • State average 99
  • National average 98.59
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Pain Assessment 100
  • State average 97.8
  • National average 98.27
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Pain Screening 99.58
  • State average 98.97
  • National average 99
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Treatment Preferences 100
  • State average 99.87
  • National average 99.8
  • Period from 10/01/2024 - 09/30/2025
• Hospice Care Index Overall Score 8
  • State average 9.2
  • National average 8.8
  • Period from 01/01/2023 - 12/31/2024
• Hospice Visits in the Last Days of Life 55.6
  • State average 59.2
  • National average 48.3
  • Period from 01/01/2023 - 12/31/2024
• Late live discharges (% live discharges) 42.2
  • State average 35.2
  • National average 37.4
  • Period from 01/01/2023 - 12/31/2024
• Nurse care minutes per routine home care days (minutes) 16.6
  • State average 13.1
  • National average 19.9
  • Period from 01/01/2023 - 12/31/2024
• Patient Treated with an Opioid Who Are Given a Bowel Regimen 96.51
  • State average 99.02
  • National average 98.46
  • Period from 10/01/2024 - 09/30/2025
• Per-beneficiary spending (U.S. dollars $) 14,652
  • State average 13,998.4 (computed here)
  • National average 19,227
  • Period from 01/01/2023 - 12/31/2024
• Skilled nursing minutes on weekends (% minutes) 7
  • State average 8.1
  • National average 9.6
  • Period from 01/01/2023 - 12/31/2024
• Visits near death (% decedents) 95.6
  • State average 92.2
  • 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.