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North Country Home Health & Hospice Agency

Hospice ยท 536 Cottage Street, Littleton, NH 03561

๐Ÿ“ž (603) 444-5317

Family caregiver survey rating
66/ 100
Above average

At a glance

Ownership
Other
Medicare-certified
Since 09/20/1994 ยท CCN 301518
Rank in New Hampshire
#8 of 20 scored hospices
Average daily census
86 patients
County
Grafton
Service area
44 ZIP codes (see list)

Quality of care

Quality measures: better than the national average on 3 of 3 reported measures, worse on 0.

MeasureThis providerStateNationalvs. national
Composite process measure (7 care processes)99.7%95.9%96.2%Better
Visits in the last days of life70.2%โ€”48.3%Better
Hospice Care Index (0-10)109.78.8Better

The composite process measure covers 7 care processes at admission. The Hospice Care Index runs 0โ€“10.

What families say (CAHPS Hospice survey)

Survey results: better than the national average on 4 of 7 reported measures, worse on 0.

MeasureThis providerStateNationalvs. national
Team always communicated well86%82%82%Better
Always provided timely help80%78%78%Better
Always treated patient with respect91%93%91%About the same
Right amount of emotional and spiritual support91%92%91%About the same
Always got help for pain and symptoms80%78%76%Better
Rated hospice 9 or 10 out of 1084%84%83%About the same
Would definitely recommend91%88%85%Better

Hospice Care Index details

Claims-based indicators: better than the national average on 5 of 10 reported measures, worse on 4.

MeasureThis providerStateNationalvs. national
Continuous home care or inpatient care provided (% days)0.2%โ€”0.5%About the same
Gaps in nursing visits (% elections) (lower is better)46.2%โ€”52.4%Better
Early live discharges (% live discharges) (lower is better)8.5%โ€”7.3%Worse
Late live discharges (% live discharges) (lower is better)32.2%โ€”37.4%Better
Burdensome transitions, type 1 (% live discharges) (lower is better)3.4%โ€”8.5%Better
Burdensome transitions, type 2 (% live discharges) (lower is better)5.1%โ€”2.1%Worse
Per-beneficiary spending ($) (lower is better)$15,515โ€”$19,227Better
Nurse care minutes per routine home care day15โ€”19.9Worse
Skilled nursing minutes on weekends (% of minutes)7.4%โ€”9.6%Worse
Visits near death (% of decedents)93.4%โ€”89.3%Better

These ten indicators are combined into the Hospice Care Index. Spending is per Medicare beneficiary.

Who this hospice cares for

Patient diagnoses

Cancer26%
Dementia18%
Stroke3%
Heart/circulatory disease24%
Respiratory disease11%
Other conditions19%

Where care is provided

Private home79%
Assisted living9%
Skilled nursing facility12%

Location and service area

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ZIP codes served (44)

03045, 03054, 03223, 03251, 03255, 03256, 03262, 03266, 03276, 03279, 03282, 03285, 03293, 03301, 03465, 03561, 03570, 03574, 03576, 03579, 03580, 03581, 03582, 03583, 03584, 03585, 03586, 03588, 03590, 03592, 03593, 03595, 03597, 03598, 03740, 03765, 03768, 03771, 03774, 03777, 03779, 03780, 03785, 03845

Frequently asked questions

Is North Country Home Health & Hospice Agency Medicare-certified?
Yes. North Country Home Health & Hospice Agency (CMS Certification Number 301518) has been Medicare-certified since 09/20/1994, which means it meets federal requirements and Medicare will pay for covered hospice services.
How does North Country Home Health & Hospice Agency compare to other hospices in Littleton?
North Country Home Health & Hospice Agency is the only hospice based in Littleton; providers in nearby cities may also serve the area.
What areas does North Country Home Health & Hospice Agency serve?
North Country Home Health & Hospice Agency reports serving 44 ZIP codes to CMS, including 03045, 03054, 03223, 03251, 03255. Call (603) 444-5317 to confirm coverage of your address.

Source: CMS Provider Data Catalog (2026-09-23). Home Health Scorecard is not affiliated with North Country Home Health & Hospice Agency. Data may lag real-world changes; verify with the provider. Is this your agency? Report a correction.