Hospice Quality Scores in Michigan: Lily Hospice on Medicare Care Compare
Updated October 2026. Written and reviewed by the Lily Hospice clinical team.
Medicare publishes quality scores for all 173 Medicare-certified hospices in Michigan, including Lily Hospice in Troy. The measures that matter most are the Hospice Care Index (0 to 10), the share of patients visited by a nurse or social worker in their last three days of life, and the family survey stars. Lily scores 9 on the index and 71.3% on last-days visits, against a Michigan average of 63.3% and a national average of 48.3%, in the August 2026 release.
Published by Lily Hospice from data released by the Centers for Medicare & Medicaid Services. Verify any number at Medicare Care Compare (provider number 231684).
Every Medicare-certified hospice is measured by CMS and the results are public. Most families never see them because they are buried on a government website. We would rather you saw ours. Below are Lily Hospice’s current Care Compare results next to the national and Michigan averages, with a plain-English note on what each one means. All figures are from the CMS provider data files current as of September 2026.
| Measure | Lily Hospice | National avg. | Michigan avg. | What it means |
|---|---|---|---|---|
| Hospice Care Index (0–10) Jan 2023 – Dec 2024 |
9 | 8.8 | 9.0 | A ten-point score Medicare builds from claims data: nursing visits, visits near death, discharges, weekend care and more. Higher is better. |
| Patients visited by a nurse or social worker in the last 3 days of life Jan 2023 – Dec 2024 |
71.3% | 48.3% | 63.3% | The measure families ask about most. It shows whether the hospice was physically present when it mattered. |
| Patients with a visit near death Jan 2023 – Dec 2024 |
89.9% | 89.3% | 91.6% | Part of the Hospice Care Index: the share of patients who received a skilled visit in the final week. |
| Early live discharges Jan 2023 – Dec 2024 |
3.2% | 7.3% | 9.0% | Patients discharged alive within seven days of admission. Lower is better; it suggests careful admissions rather than rushed decisions. |
| Treatment preferences documented Oct 2024 – Sep 2025 |
100% | 99.8% | 99.9% | Whether the patient’s wishes about life-sustaining treatment were discussed and recorded at admission. |
| Beliefs and values addressed Oct 2024 – Sep 2025 |
98.6% | 99.3% | 99.5% | Whether spiritual and personal beliefs were asked about, if the patient wanted. |
| Pain screening at admission Oct 2024 – Sep 2025 |
98.6% | 99.0% | 99.2% | Whether pain was screened within the first days of care. |
| Shortness-of-breath screening Oct 2024 – Sep 2025 |
100% | 99.5% | 99.6% | Whether breathing difficulty was screened within the first days of care. |
New: Compare hospices by ZIP code. Type your ZIP to see every hospice that serves it and compare up to three side by side.
New: see how every hospice here compares with the rest of the state in our table of all 173 Medicare-certified hospices in Michigan, with Care Index, last-days visits and family stars.
Hospice quality scores in Michigan: how to compare any hospice
The same measures exist for every hospice in the state, so you can put any Michigan hospice next to Lily, or next to each other, in a few minutes. There are three worth starting with. The Hospice Care Index is a ten-point score Medicare builds from claims data; the Michigan average is 9.0, and in the August 2026 release 62 Michigan hospices score a full 10, so a 10 by itself does not separate one hospice from another. The last-days visit rate (patients seen by a nurse or social worker in the last three days of life) varies far more, from well under half of patients at some hospices to more than 70% at a few; the Michigan average is 63.3% and the national average 48.3%. Among the 52 hospices based in Oakland, Macomb and Wayne counties that have a published rate, Lily’s 71.3% ranks ninth. The family survey stars (CAHPS) are published only for hospices with enough completed surveys over two years, which is why many smaller hospices, Lily included, show none yet.
The admission measures (treatment preferences, beliefs and values, pain and breathing screening) sit near 100% almost everywhere in Michigan and mostly confirm that basic assessments were done; a hospice well below 95% on one of them is worth a question. Early live discharges (patients discharged alive within seven days of admission) run 9.0% on average in Michigan; a low number, like Lily’s 3.2%, usually means careful admissions. To compare, open our table of all 173 Medicare-certified hospices in Michigan, which sorts on every measure above, or the Metro Detroit hospice directory for the 104 that serve the three counties, then use the questions in how to choose a hospice in Michigan. If you are not yet sure hospice is the right step, start with our Is It Time? guide.
About the family caregiver survey
Care Compare also reports a star rating from the CAHPS Hospice Survey, which is mailed to family caregivers after a patient’s death. Medicare publishes a hospice’s rating only after a minimum number of surveys have been completed over a two-year window. Lily Hospice is a small, locally owned hospice, and our family survey results are not yet published on Care Compare for that reason. Some third-party directories show a “would recommend” percentage or a family rating for Lily; those numbers do not come from Medicare, which has not published any family-survey result for Lily yet. Until they are, the best public record of what families think is our Google reviews, and the best private one is a phone call to a facility or family we have served; ask us and we will connect you.
To see how these numbers compare with every other hospice serving the three counties, use our Metro Detroit Hospice Directory (all 104 hospices, sortable) and read The State of Hospice in Metro Detroit, 2026.
How to read these numbers
No single score tells the whole story. The Hospice Care Index and the last-days-of-life visit rate come from Medicare claims, so they reflect what actually happened, not what was promised. The admission measures (preferences, beliefs, pain and breathing screening) are near 100% for most hospices and mainly confirm that basic assessments were done. A hospice with strong claims-based measures and specific, detailed family reviews is usually a hospice that shows up. If you want to compare us with another hospice, open Care Compare, search their name, and put the pages side by side. We are comfortable being compared.
For the measures where we trail the national average, and what we are doing about them, read Is Lily Hospice a good hospice? An honest answer.
What we are working on
We publish these numbers because we believe families should choose hospice with their eyes open, and because publishing them keeps us honest. Where a measure is below the state average, we treat it as a to-do list, not a footnote. Our clinical leadership reviews this data every quarter.
Questions about our care?
Call (248) 955-5100. A real person answers day or night, and we are glad to walk you through any of these measures. For a checklist to use on any hospice, read How to choose a hospice in metro Detroit.
Source: CMS Provider Data Catalog, Hospice Provider Data, National Data and State Data files (data.cms.gov/provider-data), accessed September 2026. Reporting periods vary by measure and are shown under each measure name. Lily Hospice, 2125 Butterfield Dr, Suite 299, Troy, MI 48084. Medicare-certified since 2021. ACHC-accredited.
See also: Hospice in Michigan: key numbers for 2026, with sourced state and national figures and Medicare payment rates.
Common questions
How do I check a hospice’s quality scores in Michigan?
Go to Medicare Care Compare, choose Hospice, and search by the hospice’s name or your ZIP code. Each hospice shows the Hospice Care Index, the share of patients visited in the last three days of life, the admission measures and, where enough surveys exist, family survey stars. Lily publishes the same numbers for all 173 Michigan hospices in one sortable table.
What is a good hospice quality score in Michigan?
A Hospice Care Index of 9 or 10 (the Michigan average is 9.0, and 62 Michigan hospices score 10), a last-days visit rate above the Michigan average of 63.3%, admission measures near 100%, and family survey stars of 4 or 5 where they are published. Lily Hospice scores 9 on the index and 71.3% on last-days visits in the August 2026 release.
Why does Lily Hospice have no family survey star rating on Care Compare?
Medicare publishes the CAHPS family survey rating only after a minimum number of completed surveys over a two-year window. Lily is a small, locally owned hospice and has not yet reached that minimum, so Care Compare shows no stars; no family survey result for Lily, good or bad, has been published by Medicare. Third-party “would recommend” percentages do not come from Medicare.
How does Lily Hospice compare with other hospices in metro Detroit?
On the measure families ask about most, visits in the last three days of life, Lily’s 71.3% ranks ninth of the 52 hospices based in Oakland, Macomb and Wayne counties that have a published rate, and the metro Detroit median is about 61%. On the Hospice Care Index Lily scores 9, the same as the Michigan average. The full comparison for all 104 hospices serving the three counties is in the Metro Detroit hospice directory.
Hospice isn’t giving up. It’s showing up. Call (248) 955-5100. A real person answers, 24 hours a day.