Four Seasons the Care You Trust
Flat Rock, North Carolina — Henderson County
Four Seasons the Care You Trust is an established non-profit hospice provider that scores well above average overall, ranking in the 72nd percentile in North Carolina. 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. 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 72% of hospices in North Carolina
Independent & data-driven — no paid listings
CompareQuality breakdown
Three pillars that make up the overall score. Tap to explore individual measures.
State avg: 65.4
State avg: 96.6
State avg: 96.6
State avg: 96.6
State avg: 96.6
State avg: 96.6
Note: Family satisfaction scores are from the North Carolina CAHPS Hospice Survey (state-level, not provider-specific). Providers in this state share these benchmarks.
State avg: 96.6
State avg: 96.6
10
HCI Score
out of 10
72%
Percentile
in North Carolina
#22
State Rank
in North Carolina
State avg: 9.5
State avg: 96.6
About this provider
Four Seasons the Care You Trust performs strongly in Process Integrity, placing them among the better providers in North Carolina.
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
- 1.5
- Gaps in nursing visits
- 64.2
- Nurse care minutes per day
- 11.1
- Visits near death
- 87.7
- Per-beneficiary spending
- $12500
Process Quality Measures (HIS)
- Composite score
- 99.5
- Treatment preferences
- 100
- Beliefs & values
- 99.8
- Pain screening
- 99.9
- Pain assessment
- 99.8
- Dyspnea screening
- 100
- Dyspnea treatment
- 100
- Opioid bowel care
- 99.6
Utilization & Operations
- Visits in last days of life
- 46.6%
- Nurse care minutes / day
- 11.1
- Per-beneficiary spending
- $12500
- Avg daily census
- 556 patients
Patient Mix
- Cancer
- 23%
- Dementia
- 27%
- Heart disease
- 16%
- Respiratory
- 8%
- Stroke
- 9%
Data Sources
- CCN
- 341530
- CMS Region
- 4
All scores come directly from CMS. Providers cannot edit or influence their profile on this site.