Big Sky Hospice

For-Profit23 years operating

Missoula, Montana — Missoula County

Big Sky Hospice is an established for-profit hospice provider that scores well above average overall, ranking in the 29th percentile in Montana. They perform particularly well in end-of-life presence, clinical care practices, and family communication, meeting or exceeding state benchmarks in these areas. Worth noting: their Hospice Care Index falls 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

Above 29% of hospices in Montana

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 life62.4

State avg: 58.4

Pain screening99.5

State avg: 90.5

Pain assessment99.1

State avg: 90.5

Breathing difficulty screening99

State avg: 90.5

Breathing difficulty treatment100

State avg: 90.5

Bowel care for pain medication patients100

State avg: 90.5

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

Overall rating (9-10)82
Would recommend87
Timely care79
Team communication83
Respect93
Emotional & spiritual support91
Symptom management76
Caregiver training77
Treatment preferences documented100

State avg: 90.5

Beliefs & values addressed99

State avg: 90.5

8

HCI Score

out of 10

29%

Percentile

in Montana

#23

State Rank

in Montana

HCI composite score8

State avg: 8.9

HIS composite score98.4

State avg: 90.5

Continuous care / inpatient days0
Gaps in nursing visits80.5
Nurse care minutes per day11.2

About this provider

Big Sky Hospice performs strongly in Comfort & Pain Management, placing them among the better providers in Montana.

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
Gaps in nursing visits
80.5
Nurse care minutes per day
11.2
Visits near death
92.4
Per-beneficiary spending
$17559

Process Quality Measures (HIS)

Composite score
98.4
Treatment preferences
100
Beliefs & values
99
Pain screening
99.5
Pain assessment
99.1
Dyspnea screening
99
Dyspnea treatment
100
Opioid bowel care
100

Utilization & Operations

Visits in last days of life
62.4%
Nurse care minutes / day
11.2
Per-beneficiary spending
$17559
Avg daily census
65 patients

Patient Mix

Cancer
23%
Dementia
23%
Heart disease
26%
Respiratory
14%
Stroke
7%

Data Sources

CCN
271525
CMS Region
8

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

Contact

Missoula, MT 59801

(406) 543-4408