Above and Beyond Home Health
Home health agency in Monticello, Iowa
Quality of care
Patient survey
How patients did
Compared with the average Iowa agency. The dot is this agency; the grey tick is the state average.
Care started on timeAbout average
95.6%Share of patients whose first visit happened on the date the doctor ordered, or within 2 days of the referral or of coming home from the hospital when no date was ordered.
State average 97.0% · U.S. average 96.5% · 714 of 747 patients
Patients got better at walkingAbout average
89.4%Share of patients who could walk or move around more easily by the end of care.
State average 88.2% · U.S. average 88.6% · 566 of 581 patients
Falls with major injury· lower is betterBetter than average
0.9%Share of patients who had a fall that caused a broken bone, head injury or similar during care. Lower is better.
State average 1.6% · U.S. average 0.9% · 7 of 744 patients
Patients sent home to the community
Share of patients who went home or to the community after home health and stayed out of a facility, adjusted for how sick patients were.
96.8%likely between 92.1% and 100.0%
National rate 77.7% (dashed line)
Preventable hospital stays during care· lower is better
Share of home health stays with a hospital or observation stay for a problem good care might have prevented, adjusted for how sick patients were. Lower is better.
6.2%likely between 4.1% and 9.4%
National rate 10.8% (dashed line)
See all 17 measuresShow fewer
Checked on flu shotAbout average
67.8%Share of patients who were determined to have received the flu shot for the current flu season, from the agency or elsewhere.
State average 69.2% · U.S. average 64.2% · 308 of 454 patients
Got better at getting in and out of bedAbout average
90.7%Share of patients who needed less help getting in and out of bed by the end of care.
State average 89.7% · U.S. average 89.7% · 576 of 581 patients
Got better at bathingAbout average
91.7%Share of patients who needed less help washing themselves by the end of care.
State average 90.3% · U.S. average 90.6% · 568 of 581 patients
Less short of breathBetter than average
93.1%Share of patients who were less short of breath by the end of care.
State average 90.1% · U.S. average 91.3% · 507 of 534 patients
Got better at taking medicinesAbout average
87.0%Share of patients who could take their medicines correctly on their own by the end of care.
State average 88.3% · U.S. average 88.1% · 567 of 579 patients
Pressure ulcers that got worse or appeared· lower is betterBetter than average
0.0%Share of patients who developed a new or worsened pressure ulcer during care. Lower is better.
State average 0.3% · U.S. average 0.2% · 0 of 594 patients
Medication problems acted on in timeAbout average
98.3%Share of patients whose medications were reviewed at the start of care and, each time a medication problem was found, the doctor-recommended action was completed with timely follow-up.
State average 96.8% · U.S. average 94.5% · 734 of 747 patients
Met expected function at dischargeBetter than average
90.2%Share of patients whose ability to move and care for themselves at discharge met or beat what was expected for them.
State average 81.5% · U.S. average 71.7% · 524 of 581 patients
Medication list sent to the next providerBelow average
87.3%Share of patients whose current medication list was sent in a timely way to the next doctor or facility at transfer or discharge.
State average 91.2% · U.S. average 81.2% · 145 of 166 patients
Medication list given to the patientBelow average
89.0%Share of patients given their current medication list in a timely way when discharged to a home or similar setting.
State average 95.6% · U.S. average 92.2% · 517 of 581 patients
Preventable readmission within 30 days· lower is better
Share of patients readmitted to a hospital within 30 days of leaving home health for a problem good care might have prevented, adjusted for how sick patients were. Lower is better.
4.1%likely between 3.0% and 5.7%
National rate 4.1% (dashed line)
Medicare spending per episode
A ratio to the national average (1.00). Lower means less spending.
0.98
2% below the national average
What patients said
83% would definitely recommend this agency, from 203 patient surveys.
State average 81% · U.S. average 79% · 35% response rate. Based on 100 to 299 surveys.
- Care was professional
- 4 of 5
- Team communicated well
- 4 of 5
- Discussed medicines, pain and safety
- 4 of 5
- Rated the agency 9 or 10
- 4 of 5
Medicare payment
Cohort
Larger-volume
Total performance score
43.4 of 100
Cohort average 32.2
Payment adjustment
+1.8%
Payment year 2026
How it's calculatedHide how it's calculated
- Potentially preventable hospitalization0.0 pts26.25% weight
Achievement 0.0 · Improvement 0.0 · the higher one counts
- Discharge to community7.3 pts5.83% weight
Achievement 7.3 · Improvement 2.6 · the higher one counts
- Improvement in dyspnea8.4 pts5.83% weight
Achievement 8.4 · Improvement 7.9 · the higher one counts
- Improvement in oral medications6.5 pts5.83% weight
Achievement 6.2 · Improvement 6.5 · the higher one counts
- Improvement in mobility6.1 pts8.75% weight
Achievement 6.1 · Improvement 5.1 · the higher one counts
- Improvement in self-care7.8 pts8.75% weight
Achievement 7.8 · Improvement 6.6 · the higher one counts
- ED use4.4 pts8.75% weight
Achievement 0.0 · Improvement 4.4 · the higher one counts
- Care of patients4.4 pts6% weight
Achievement 4.4 · Improvement 2.0 · the higher one counts
- Communication1.8 pts6% weight
Achievement 1.8 · Improvement 0.0 · the higher one counts
- Specific care issues8.1 pts6% weight
Achievement 8.1 · Improvement 3.9 · the higher one counts
- Overall rating4.2 pts6% weight
Achievement 4.2 · Improvement 0.0 · the higher one counts
- Willingness to recommend5.9 pts6% weight
Achievement 5.9 · Improvement 1.4 · the higher one counts
Each measure earns the higher of its achievement or improvement points. Points are weighted and summed into the total performance score.
About the agency
- Services
- Nursing, physical therapy, occupational therapy, speech therapy, social work, home health aide
- Ownership
- Non-profit
- Certified
- Since 2005
- Address
- 417 East 1st Street, Monticello, IA 52310
- ZIP codes served
- 52001, 52002, 52003, 52004, 52031, 52032, 52033, 52035, 52039, 52040, 52041, 52042
All 68 ZIP codesFewer ZIP codes
52001, 52002, 52003, 52004, 52031, 52032, 52033, 52035, 52039, 52040, 52041, 52042, 52045, 52046, 52048, 52049, 52052, 52053, 52054, 52056, 52057, 52060, 52065, 52068, 52073, 52076, 52078, 52079, 52205, 52207, 52212, 52213, 52214, 52216, 52218, 52219, 52223, 52227, 52233, 52237, 52253, 52254, 52255, 52302, 52305, 52306, 52309, 52310, 52314, 52320, 52321, 52323, 52328, 52330, 52333, 52336, 52337, 52341, 52352, 52362, 52401, 52402, 52403, 52404, 52405, 52406, 52411, 52772