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Beth Israel Lahey Health At Home

4 Alumni Drive, Exeter, NH 03833 · Medicare-certified hospice

3/5
family caregiver rating
3 of 5

This star comes only from bereaved families who returned a survey — it measures communication and support, not clinical quality, and it lags by a year or more. CMS does not publish the number of completed surveys here, so a smaller hospice’s star can rest on a thin sample. Treat it as one signal, not a verdict.

This hospice cared for an average of 70 patients a day. 71% of its care was delivered in a private home. Its Hospice Care Index score is 10 out of 10, against 8.8 nationally. 84% of surveyed families said they would definitely recommend it.

What families said (CAHPS Hospice survey)

MeasurePercent of families
Rated the hospice 9 or 10 out of 1080%
Would definitely recommend it84%
The team always treated the patient with respect89%
The patient always got the help they needed for pain and symptoms74%
The team always communicated well81%
The team always provided timely help73%
The team gave the right amount of emotional and spiritual support88%
Rated the hospice 6 or lower8%
Would probably or definitely not recommend it5%

Asked of bereaved family caregivers several months after the death. The last rows are the least favourable answers — shown because a page that prints only the good ones is an advertisement.

The seven care processes

MeasureThis hospiceNational
Treatment preferences documented
310 patients
100%99.8%about the same
Beliefs and values addressed, when the patient wanted that
310 patients
100%99.27%about the same
Screened for pain
310 patients
100%99%about the same
Given a full pain assessment
175 patients
100%98.27%about the same
Screened for shortness of breath
310 patients
100%99.53%about the same
Treated for shortness of breath
188 patients
99.47%98.59%about the same
Given a bowel regimen with an opioid
66 patients
100%98.46%too few patients to compare
Received all seven care processes
310 patients
99.68%96.15%about the same

Medicare checks seven things every hospice should do when a patient is admitted. Nearly every hospice scores in the nineties, so a few points below the national figure is a real gap rather than a rounding difference. “Better” and “worse” here mean this provider differs from the national figure by more than 10% of it and by more than half a percentage point; anything closer reads “about the same”. That second test matters on the rare-event rows — a national rate of 0.2% would otherwise make almost any provider look remarkable. CMS does not publish a significance test for these measures, so where fewer than 100 patients sit behind a rate — or where the national rate is low enough that a handful of events would swing it — we print both numbers and decline to grade, rather than call a named provider worse than average on the strength of three patients.

Hospice Care Index

10/10
Hospice Care Index
IndicatorThis hospicePercentile
Continuous or inpatient care provided
% of days
1.3%91th percentile
Gaps in nursing visits
% of elections
42.1%36th percentile
Early live discharges
% of live discharges
6.5%51th percentile
Late live discharges
% of live discharges
32.3%37th percentile
Burdensome transitions, type 1
% of live discharges
6.5%46th percentile
Burdensome transitions, type 2
% of live discharges
1.1%51th percentile
Per-patient Medicare spending
$
$13,74627th percentile
Nurse minutes per routine home-care day
min
16.8 min86th percentile
Skilled-nursing minutes on weekends
% of minutes
7%39th percentile
Visits near death
% of decedents
95.9%69th percentile

The Care Index is ten separate checks on how a hospice actually operates — whether nurses visit near the end, whether patients are discharged alive unusually often, how much care is delivered at weekends. The score is how many of the ten it passes. The percentile says where this hospice sits among all hospices on that row, and for rows where a lower number is better a low percentile is the good end.

Who this hospice cared for, and where

Main condition of the patients it served

ConditionPercent of patients
Cancer33%
Dementia11%
Circulatory or heart disease18%
Respiratory disease11%
Stroke10%
Other conditions19%

Where its care was delivered

SettingPercent of care
In a private home71%
In an assisted-living community7%
In a nursing facility7%
In a skilled-nursing facility13%
In an inpatient hospice unit2%
In a hospital1%

Visits in the last days of life: 68.3% (national: 48.3%) — how often a nurse or social worker visited in the final three days.

About this hospice

Ownership: Non-Profit
Medicare-certified since: 06/29/1993

Other Medicare-certified hospices in New Hampshire

Families are usually choosing between several hospices, not evaluating one. Each link opens the same record for that hospice. See all hospices in New Hampshire.

What this rating measures

This star reflects the family caregiver survey (CAHPS Hospice) — how families rate the hospice’s communication, timeliness, help with symptoms, and emotional support. Learn more in our guides to hospice vs. palliative care and hospice and end-of-life care — the second explains the four levels of care Medicare covers (including continuous home care during a crisis and inpatient care), which families are routinely never told about.

Full quality record

The complete, current CMS record for this provider — every quality measure and patient-experience result — lives on Medicare’s official Care Compare tool. We link straight to it rather than repackaging a stale copy.

View Beth Israel Lahey Health At Home on Medicare Care Compare ↗

Certification, contact details, and star rating from the CMS Care Compare dataset (public domain), retrieved 2026-07-17. Quality measures from the CMS hospice public reporting file, August 2026 release. Care Compare is the authoritative source for the full quality record and for the provider’s current phone number.

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