By the Bay Health

Non-Profit41 years operating

Larkspur, California — Marin County

By the Bay Health is an established non-profit hospice provider that scores well above average overall, ranking in the 98th percentile in California. They perform particularly well in end-of-life presence, clinical care practices, overall care quality indicators, and family communication, meeting or exceeding state benchmarks in these areas. As a larger provider, they serve a high volume of patients — ask about nurse-to-patient ratios and how quickly they respond to after-hours calls.

Wayven Quality Score

Excellent

Better than 98% of hospices in California

Independent & data-driven — no paid listings

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Quality breakdown

Three pillars that make up the overall score. Tap to explore individual measures.

Visits in last days of life34.5

State avg: 28.3

Pain screening100

State avg: 90.9

Pain assessment99.9

State avg: 90.9

Breathing difficulty screening100

State avg: 90.9

Breathing difficulty treatment99.7

State avg: 90.9

Bowel care for pain medication patients99.5

State avg: 90.9

Note: Family satisfaction scores are from the California CAHPS Hospice Survey (state-level, not provider-specific). Providers in this state share these benchmarks.

Overall rating (9-10)78
Would recommend81
Timely care73
Team communication79
Respect88
Emotional & spiritual support88
Symptom management73
Caregiver training73
Treatment preferences documented99.9

State avg: 90.9

Beliefs & values addressed99.9

State avg: 90.9

10

HCI Score

out of 10

98%

Percentile

in California

#54

State Rank

in California

HCI composite score10

State avg: 8.4

HIS composite score99.6

State avg: 90.9

Continuous care / inpatient days0
Gaps in nursing visits74.6
Nurse care minutes per day11.7

About this provider

By the Bay Health performs strongly in Process Integrity, placing them among the better providers in California.

Ask about their staffing approach for end-of-life visits — their current rate is below the state benchmark.

Based on federal CMS quality data, updated February 2026.

Hospice Care Index Components

Overall HCI score
10 / 10
Continuous care / inpatient days
0
Gaps in nursing visits
74.6
Nurse care minutes per day
11.7
Visits near death
83.5
Per-beneficiary spending
$23527

Process Quality Measures (HIS)

Composite score
99.6
Treatment preferences
99.9
Beliefs & values
99.9
Pain screening
100
Pain assessment
99.9
Dyspnea screening
100
Dyspnea treatment
99.7
Opioid bowel care
99.5

Utilization & Operations

Visits in last days of life
34.5%
Nurse care minutes / day
11.7
Per-beneficiary spending
$23527
Avg daily census
365 patients

Patient Mix

Cancer
28%
Dementia
16%
Heart disease
12%
Respiratory
6%
Stroke
5%

Data Sources

CCN
051508
CMS Region
9

All scores come directly from CMS. Providers cannot edit or influence their profile on this site.

Contact

Larkspur, CA 94939

(415) 927-2273