Care Initiatives Hospice - Greenfield

Other16 years operating

Greenfield, Iowa — Adair County

Care Initiatives Hospice - Greenfield is an established hospice provider that scores well above average overall, ranking in the 55th percentile in Iowa. They perform particularly well in clinical care practices, overall care quality indicators, and family communication, meeting or exceeding state benchmarks in these areas. Worth noting: their rate of visits in a patient's final days is below the state average. When speaking with them, ask about their approach to after-hours care, how they communicate changes in a patient's condition, and what support they offer to caregivers.

Wayven Quality Score

Excellent

Better than 55% of hospices in Iowa

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 life51.2

State avg: 73.6

Pain screening99.6

State avg: 95.2

Pain assessment95.1

State avg: 95.2

Breathing difficulty screening99.6

State avg: 95.2

Breathing difficulty treatment98.1

State avg: 95.2

Bowel care for pain medication patients98.4

State avg: 95.2

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

Overall rating (9-10)85
Would recommend88
Timely care80
Team communication83
Respect93
Emotional & spiritual support93
Symptom management75
Caregiver training77
Treatment preferences documented100

State avg: 95.2

Beliefs & values addressed99.2

State avg: 95.2

10

HCI Score

out of 10

55%

Percentile

in Iowa

#32

State Rank

in Iowa

HCI composite score10

State avg: 9.6

HIS composite score95.6

State avg: 95.2

Continuous care / inpatient days0.1
Gaps in nursing visits68.6
Nurse care minutes per day13.7

About this provider

Care Initiatives Hospice - Greenfield performs strongly in Process Integrity, placing them among the better providers in Iowa.

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
0.1
Gaps in nursing visits
68.6
Nurse care minutes per day
13.7
Visits near death
95.1
Per-beneficiary spending
$13893

Process Quality Measures (HIS)

Composite score
95.6
Treatment preferences
100
Beliefs & values
99.2
Pain screening
99.6
Pain assessment
95.1
Dyspnea screening
99.6
Dyspnea treatment
98.1
Opioid bowel care
98.4

Utilization & Operations

Visits in last days of life
51.2%
Nurse care minutes / day
13.7
Per-beneficiary spending
$13893
Avg daily census
55 patients

Patient Mix

Cancer
15%
Dementia
29%
Heart disease
24%
Respiratory
10%
Stroke
5%

Data Sources

CCN
161595
CMS Region
7

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

Contact

Greenfield, IA 50849

(641) 743-6226