ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

Hand In Hand Hospice Care, Llc

135 East 5Th Street -, Natchitoches, LA 71457

(318) 521-8068
B

Above average

72 / 100

Ownership
For-Profit
Medicare certified
March 2020
Patients on any given day
25
CCN
191690

Share this profile

Hand In Hand Hospice Care, ElderGrade B summary card

This is the card people see when this page is shared or linked, built from the same federal figures shown above.

What this costs you

If the patient has Medicare Part A and a doctor certifies a life expectancy of six months or less, the Medicare Hospice Benefit pays this provider directly. The family pays nothing for hospice visits, nursing, medicines related to the terminal illness, or equipment. No hospice may charge you for those and none may ask for a deposit. Medicare paid this provider an average of $19,256 per patient over the measurement period. That is what the federal government spent, not what a family pays, we publish it because it is the number the provider is paid on.

How we graded it

Our method
  • Family caregiver experience

    19.5 / 30

    What bereaved family caregivers said about the hospice afterwards, in the CMS-run CAHPS Hospice Survey.

    • No family survey published, CMS suppresses results below a minimum number of completed surveys. Scored just under the national average rather than guessed at, because suppression tracks how small a hospice is, not how good it is
  • Presence at the end

    20 / 25

    Whether a nurse or social worker was actually there in the final days, which is the single thing families remember.

    • 75% of patients had a nurse or social worker visit in their last three days (national median 61%)
  • Nursing presence

    13 / 20

    How much registered-nurse time patients get, and how often visits lapse for days at a time.

  • Discharge integrity

    9.75 / 15

    How often patients are signed off hospice alive, the pattern that shows up when a provider enrols people who were never dying, or drops people who become expensive.

  • Care process

    10 / 10

    Whether the basics were done at admission: pain screened, breathlessness treated, treatment preferences and beliefs asked about.

    • 100% of admissions got the full set of screenings (national median 96.5%)

Was anyone there at the end?

Hospice is judged on the last few days more than anything else. These are this provider's numbers against the national average.

Patients visited by a nurse or social worker in their last three days75%
National average 56%Better than average
Patients who had a visit close to death96%
Admissions that got the full set of screenings, pain, breathlessness, treatment wishes, beliefs100%
National average 92%Better than average
Nurse minutes per routine home care day12.5 min
National average 20.1 minBelow average

What bereaved families said

CMS has not published survey results for this hospice. It only reports them once enough family caregivers have completed the questionnaire, so smaller providers often have none. That is a gap in the data, not a mark against the provider, ask them directly whether they run their own bereavement survey and what it showed.

Where they provide care

  • In their own home 52%
  • In a nursing facility 46%
  • In a skilled nursing facility 1%

Who they care for

Main diagnosis of their patients.

  • Dementia 31%
  • Heart and circulatory disease 22%
  • Respiratory disease 14%
  • Cancer 13%
  • Other conditions 12%

Other hospices nearby

Questions families ask about Hand In Hand Hospice Care, Llc

Does Hand In Hand Hospice Care, Llc cost anything?
No. If the patient has Medicare Part A and a doctor certifies a life expectancy of six months or less, the Medicare Hospice Benefit pays Hand In Hand Hospice Care, Llc directly for visits, nursing, equipment and medicines related to the terminal illness. The family is not billed for those and no hospice may ask for a deposit.
How often does Hand In Hand Hospice Care, Llc visit patients in their final days?
CMS records that 75% of this hospice's patients were visited by a registered nurse or social worker in the last three days of life, against a national average of 56%.
How is Hand In Hand Hospice Care, Llc graded?
ElderGrade grades it B, above average, scoring 72 out of 100 on the federal hospice record: what bereaved families reported, visits in the last days of life, nurse time per home care day, live-discharge patterns and admission screenings. We take no payment from hospices.
Where does Hand In Hand Hospice Care, Llc provide care?
Most of this hospice's care is delivered in their own home, 52% of its patients. Hospice is a service rather than a place, so the team travels to wherever the patient is living.

Source: CMS Hospice Provider Data (10/01/2024 - 09/30/2025) and the CAHPS Hospice Survey (10/01/2023-09/30/2025), published by the Centers for Medicare & Medicaid Services. ElderGrade takes no payment from hospices, chains or placement agencies, and holds no photographs of this provider. Graded 3 November 2026. How we source our data.