Madison Home Care and Hospice

Non-Profit36 years operating

Marshall, North Carolina — Madison County

Madison Home Care and Hospice is an established non-profit hospice provider that scores well above average overall, ranking in the 27th percentile in North Carolina. They perform particularly well in 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. 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

Above 27% of hospices in North Carolina

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.

1 measure not reported

Visits in last days of life44.7

State avg: 65.4

Pain screening97.7

State avg: 96.6

Pain assessment100

State avg: 96.6

Breathing difficulty screening97.7

State avg: 96.6

Breathing difficulty treatment79.2

State avg: 96.6

Bowel care for pain medication patientsNot reported

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

Overall rating (9-10)84
Would recommend88
Timely care80
Team communication84
Respect92
Emotional & spiritual support91
Symptom management77
Caregiver training78
Treatment preferences documented100

State avg: 96.6

Beliefs & values addressed68.2

State avg: 96.6

10

HCI Score

out of 10

27%

Percentile

in North Carolina

#56

State Rank

in North Carolina

HCI composite score10

State avg: 9.5

HIS composite score50

State avg: 96.6

Continuous care / inpatient days0.1
Gaps in nursing visits77.8
Nurse care minutes per day10.1

About this provider

Madison Home Care and Hospice performs strongly in Family Support, 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
0.1
Gaps in nursing visits
77.8
Nurse care minutes per day
10.1
Visits near death
84.3
Per-beneficiary spending
$9997

Process Quality Measures (HIS)

Composite score
50
Treatment preferences
100
Beliefs & values
68.2
Pain screening
97.7
Pain assessment
100
Dyspnea screening
97.7
Dyspnea treatment
79.2
Opioid bowel care
Not reported

Utilization & Operations

Visits in last days of life
44.7%
Nurse care minutes / day
10.1
Per-beneficiary spending
$9997
Avg daily census
8 patients

Patient Mix

Cancer
27%
Dementia
Not reported
Heart disease
29%
Respiratory
Not reported
Stroke
Not reported

Data Sources

CCN
341540
CMS Region
4

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

Contact

Marshall, NC 28753

(828) 649-9566