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HospiceNorth Carolina › Flat Rock

Four Seasons the Care You Trust

Hospice in Flat Rock, North Carolina · CCN 341530

Contact and basics

  • Address571 South Allen Road -
    Flat Rock, NC 28731
  • Phone(828) 692-6178
  • CMS certification number341530
  • Ownership typeNon-Profit
  • Medicare-certified since07/01/1988
  • CountyHenderson

Hospice Care Index

10 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 at or near the top of the scale.

IndicatorThis providerRead as
Visits near death87.7%higher is better
Gaps in nursing visits64.2%lower is better
Early live discharges9.0%lower is better
Late live discharges31.5%lower is better
Burdensome transitions, Type 14.9%lower is better
Burdensome transitions, Type 21.1%lower is better
Skilled nursing minutes on weekends7.7%higher is better
Nurse care minutes per routine home care days11.10 minhigher is better
CHC/GIP provided1.5%higher is better
Per-beneficiary spending$12,500context, 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.

What families said

★★★★★ 5/5 family survey rating

Survey questionFamilies answering "always" / top box
Rated this hospice 9 or 10 out of 1088.0%
Would definitely recommend92.0%
Family member treated with respect95.0%
Got the emotional and spiritual support they wanted94.0%

CAHPS Hospice Survey, completed by caregivers after the patient's death. Providers with too few responses are not scored.

Care practices at admission

PracticePatients receiving it
Composite process measure (all seven care practices)99.7%
Pain screening100.0%
Pain assessment99.8%
Shortness-of-breath screening100.0%
Shortness-of-breath treatment100.0%
Bowel regimen for patients on opioids99.6%
Treatment preferences documented100.0%
Beliefs and values addressed100.0%

Share of patients for whom the provider documented each practice. These are process measures — they record whether something was done, not how well.

Who this hospice serves

Average daily census: 556 patients.

Where care was delivered

  • Patient's home51.0%
  • Assisted living facility19.0%
  • Nursing facility29.0%
  • Skilled nursing facility0.0%
  • Inpatient hospice facility1.0%
  • Inpatient hospital1.0%

Primary diagnosis mix

  • Dementia27.0%
  • Cancer23.0%
  • Circulatory / heart disease16.0%
  • Respiratory disease8.0%
  • Stroke9.0%
  • Other conditions18.0%

Who owns this hospice

OwnerRoleShareAssociated sinceCMS type flags
CAROL HUNTERCORPORATE DIRECTOR10/1/2020
CORY DONOHUECORPORATE DIRECTOR1/1/2024
DARYL CROUSECORPORATE DIRECTOR10/1/2020
HEATHER HALFORDW-2 MANAGING EMPLOYEE9/2/2014
JASON BRADSHAWCORPORATE DIRECTOR1/1/2025
KEN ADAMSCORPORATE DIRECTOR1/1/2025
KORAL ALMANCORPORATE DIRECTOR10/1/2021
LEEANN TUCKERCORPORATE DIRECTOR1/1/2024
MALINDA VERA CRUZCORPORATE DIRECTOR10/1/2019
MARY COFFEYCORPORATE DIRECTOR1/1/2024
MILLICENT BURKE-SINCLAIRW-2 MANAGING EMPLOYEE8/5/2014
MONICA WATTSW-2 MANAGING EMPLOYEE2/10/2003
NANCY BOUVETCORPORATE DIRECTOR10/1/2019
NATASHA MICHAELSCORPORATE DIRECTOR1/1/2024
NAVIN ANTHONYCORPORATE DIRECTOR10/1/2020
PAIGE WHEELERW-2 MANAGING EMPLOYEE7/8/2019
PAULA WAGNERCORPORATE DIRECTOR1/1/2024
RICHELLE HOOPERW-2 MANAGING EMPLOYEE9/1/2020
RUTH THOMSONW-2 MANAGING EMPLOYEE12/20/2021
SUSAN KERSBERGENCORPORATE DIRECTOR1/1/2024
TINA GENTRYCORPORATE DIRECTOR1/1/2025
VICTORIA FLANAGANCORPORATE DIRECTOR10/1/2019
WILLIAM MCKIBBINCORPORATE DIRECTOR10/1/2016

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.

Where these records come from

Everything on this page is reproduced from the CMS Provider Data Catalog (July 2026 release) and, where shown, the CMS ownership and Medicare enrollment files. Nothing here is a rating or opinion of ours. 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, "Four Seasons the Care You Trust — hospice records, Flat Rock, NC." Compiled from the CMS Provider Data Catalog (July 2026 release), CCN 341530. https://carerecords.org/hospice/north-carolina/four-seasons-the-care-you-trust-flat-rock/