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8 out of 10
CMS builds this single score out of ten separate indicators drawn from claims. A provider earns a point for each indicator where it is not an outlier against national thresholds. This one scores mid-range.
| Indicator | This provider | Read as |
|---|---|---|
| Visits near death | 98.3% | higher is better |
| Gaps in nursing visits | 43.7% | lower is better |
| Early live discharges | 2.1% | lower is better |
| Late live discharges | 60.4% | lower is better |
| Burdensome transitions, Type 1 | 6.3% | lower is better |
| Burdensome transitions, Type 2 | 2.1% | lower is better |
| Skilled nursing minutes on weekends | 5.8% | higher is better |
| Nurse care minutes per routine home care days | 15.50 min | higher is better |
| CHC/GIP provided | 0.0% | higher is better |
| Per-beneficiary spending | $23,548 | context, not a quality score |
Why live discharges matter. Hospice is for people expected to die within six months. A patient leaving hospice alive is sometimes the right outcome — they got better, or chose to resume curative treatment. But an unusually high rate can also indicate patients were enrolled who did not qualify, or were discharged when their care became expensive. CMS publishes early and late live-discharge rates for exactly this reason. Treat a high number as a question to ask, not a verdict.
| Practice | Patients receiving it | |
|---|---|---|
| Composite process measure (all seven care practices) | 70.2% | |
| Pain screening | 74.6% | |
| Pain assessment | 95.7% | |
| Shortness-of-breath screening | 100.0% | |
| Shortness-of-breath treatment | 96.3% | |
| Treatment preferences documented | 100.0% | |
| Beliefs and values addressed | 98.5% |
Share of patients for whom the provider documented each practice. These are process measures — they record whether something was done, not how well.
Average daily census: 32 patients.
Each row is a filed role, not a separate shareholding. The same person or organization may appear more than once. Do not add percentages across direct ownership, indirect ownership, officer and management roles. Management roles alone do not establish equity ownership.
| Owner | Role | Share | Associated since | CMS type flags |
|---|---|---|---|---|
| MMA TRI HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 8/29/2018 | — |
| MMA TRI HOLDINGS, LLC | LIMITED PARTNERSHIP INTEREST | 100% | 8/29/2018 | — |
| NICHOLE BOREN | W-2 MANAGING EMPLOYEE | 100% | 4/6/2026 | — |
| ROBERT CARL SCHREIMAN | CONTRACTED MANAGING EMPLOYEE | 100% | 10/1/2025 | — |
| STEVEN ALFONSI | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 8/29/2018 | — |
| STEVEN ALFONSI | LIMITED PARTNERSHIP INTEREST | 100% | 8/29/2018 | — |
| STEVEN ALFONSI | W-2 MANAGING EMPLOYEE | 100% | 8/29/2018 | — |
| STEVEN ALFONSI | OPERATIONAL/MANAGERIAL CONTROL | 100% | 8/29/2018 | — |
Source: CMS Hospice All Owners file, linked to this provider through its Medicare enrollment record. Medicare's Care Compare does not present ownership in this form.
Everything on this page is reproduced from the CMS Provider Data Catalog (snapshot dates and measure periods vary by dataset) and, where shown, the CMS ownership and Medicare enrollment files. Star ratings and comparison categories are from CMS; explanatory notes provide context. If you believe a figure is wrong, email data@carerecords.org with the CCN and we verify against the official file within 5 business days.
How to cite this page: CareRecords, "Royal Hospice Care LLC — hospice records, Scottsdale, AZ." Compiled from the CMS Provider Data Catalog (downloaded CMS snapshots (measure periods vary) release), CCN 031688. https://carerecords.org/hospice/arizona/royal-hospice-care-llc-scottsdale/