Generations Hospice Care Inc.

For-Profit13 years operating

Missouri Valley, Iowa — Harrison County

Generations Hospice Care Inc. is an established for-profit hospice provider that scores well above average overall, ranking in the 6th percentile in Iowa. They perform particularly well in family communication, meeting or exceeding state benchmarks in this area. Worth noting: their rate of visits in a patient's final days is below the state average and their Hospice Care Index falls below the state average. This is a smaller-census provider, which can mean more personalized care — ask how they manage staffing during weekends and holidays.

Wayven Quality Score

Excellent

In the bottom 94% 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.

3 measures not reported

Visits in last days of life50.7

State avg: 73.6

Pain screening100

State avg: 95.2

Pain assessmentNot reported
Breathing difficulty screening95.5

State avg: 95.2

Breathing difficulty treatmentNot reported
Bowel care for pain medication patientsNot reported

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 addressed100

State avg: 95.2

8

HCI Score

out of 10

6%

Percentile

in Iowa

#66

State Rank

in Iowa

HCI composite score8

State avg: 9.6

HIS composite score86.4

State avg: 95.2

Continuous care / inpatient days0.4
Gaps in nursing visits48.3
Nurse care minutes per day13.2

About this provider

Generations Hospice Care Inc. performs strongly in Family Support, 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
8 / 10
Continuous care / inpatient days
0.4
Gaps in nursing visits
48.3
Nurse care minutes per day
13.2
Visits near death
89.4
Per-beneficiary spending
$13121

Process Quality Measures (HIS)

Composite score
86.4
Treatment preferences
100
Beliefs & values
100
Pain screening
100
Pain assessment
Not reported
Dyspnea screening
95.5
Dyspnea treatment
Not reported
Opioid bowel care
Not reported

Utilization & Operations

Visits in last days of life
50.7%
Nurse care minutes / day
13.2
Per-beneficiary spending
$13121
Avg daily census
13 patients

Patient Mix

Cancer
17%
Dementia
32%
Heart disease
Not reported
Respiratory
19%
Stroke
Not reported

Data Sources

CCN
161599
CMS Region
7

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

Contact

Missouri Valley, IA 51555

(712) 642-4222