There are 139 Medicare-certified hospices based in San Antonio and Bexar, Comal and Guadalupe counties. Medicare publishes a Hospice Care Index score for 98 of them and family caregiver survey stars for 22. 38 score a full 10 out of 10 on the index; the Texas average is 8.4.
Which hospices in San Antonio score highest with Medicare?
The table lists every hospice, highest index score first. A linked name opens the full record: each index indicator against the state and national averages, the family survey answers, where care is delivered and the ZIP codes served.
| Hospice | Hospice Care Index | Family caregiver survey | Patients per day | Certified since |
|---|---|---|---|---|
| Guadalupe Regional Hospice Seguin, TX 78155 · (830) 401-7561 | 10 / 10 | ★★★★★5 / 5 | 57 | 1990 |
| Hope Hospice New Braunfels, TX 78130 · (830) 625-7500 | 10 / 10 | ★★★★☆4 / 5 | 304 | 1988 |
| Amedisys Hospice of San Antonio San Antonio, TX 78229 · (210) 541-0922 | 10 / 10 | ★★★★☆4 / 5 | 143 | 2003 |
| Suncrest Hospice San Antonio LLC San Antonio, TX 78232 · (830) 637-2721 | 10 / 10 | ★★★★☆4 / 5 | 118 | 2020 |
| Elara Caring New Braunfels, TX 78130 · (830) 643-1971 | 10 / 10 | ★★★★☆4 / 5 | 107 | 2010 |
| Heart of Texas Hospice Spring Branch, TX 78070 · (830) 730-7711 | 10 / 10 | ★★★★☆4 / 5 | 103 | 2001 |
| Summit Home Health and Hospice San Antonio, TX 78216 · (210) 615-3877 | 10 / 10 | ★★★★☆4 / 5 | 62 | 2019 |
| Vitas Healthcare of Texas LP San Antonio, TX 78249 · (210) 348-4040 | 10 / 10 | ★★★☆☆3 / 5 | 423 | 1994 |
| Aspen Hospice and Palliative Care San Antonio, TX 78216 · (210) 600-5143 | 10 / 10 | ★★★☆☆3 / 5 | 347 | 2013 |
| Trinity Hospice San Antonio, TX 78240 · (210) 960-2223 | 10 / 10 | ★★★☆☆3 / 5 | 334 | 2016 |
| Embrace Hospice San Antonio, TX 78228 · (210) 691-3600 | 10 / 10 | ★★★☆☆3 / 5 | 203 | 2011 |
| Excelacare Hospice San Antonio, TX 78213 · (432) 550-7593 | 10 / 10 | ★★★☆☆3 / 5 | 165 | 2011 |
| Guiding Light Hospice Inc San Antonio, TX 78217 · (210) 585-2335 | 10 / 10 | ★★★☆☆3 / 5 | 136 | 2014 |
| Gentiva San Antonio, TX 78228 · (210) 733-1212 | 10 / 10 | ★★★☆☆3 / 5 | 126 | 1998 |
| New Century Hospice of San Antonio Kerrville, TX 78028 · (830) 955-5961 | 10 / 10 | ★★★☆☆3 / 5 | 126 | 2009 |
| Compassus - San Antonio San Antonio, TX 78216 · (210) 731-0505 | 10 / 10 | ★★★☆☆3 / 5 | 122 | 2006 |
| Crest Palliative Care Shavano Park, TX 78249 · (210) 469-3200 | 10 / 10 | ★★★☆☆3 / 5 | 86 | 2019 |
| Christus Vna Hospice San Antonio San Antonio, TX 78240 · (210) 785-5255 | 10 / 10 | ★★★☆☆3 / 5 | 52 | 1986 |
| Opuscare of Texas San Antonio, TX 78230 · (210) 988-1461 | 10 / 10 | ★★☆☆☆2 / 5 | 155 | 2015 |
| All Seasons Hospice of Texas San Antonio, TX 78247 · (210) 767-3870 | 10 / 10 | No rating published | 139 | 2016 |
| Altus Hospice San Antonio, TX 78216 · (210) 405-4742 | 10 / 10 | No rating published | 107 | 2016 |
| Three Oaks Hospice San Antonio, TX 78230 · (210) 780-3003 | 10 / 10 | No rating published | 80 | 2016 |
| Nightingale Hospice Care, Inc. San Antonio, TX 78228 · (210) 797-7321 | 10 / 10 | No rating published | 72 | 2021 |
| Yellow Rose Hospice Care, Inc. San Antonio, TX 78230 · (210) 797-7316 | 10 / 10 | No rating published | 69 | 2021 |
| River City Hospice & Palliative Care San Antonio, TX 78229 · (210) 858-9138 | 10 / 10 | No rating published | 63 | 2010 |
| Elara Caring San Antonio, TX 78229 · (210) 561-5522 | 10 / 10 | No rating published | 39 | 2004 |
| Accentcare Hospice & Palliative Care of Texas -San Antonio San Antonio, TX 78230 · (210) 471-2300 | 10 / 10 | No rating published | 37 | 2012 |
| Journey Hospice LLC San Antonio, TX 78216 · (210) 455-0101 | 10 / 10 | No rating published | 34 | 2021 |
| Transcend Hospice San Antonio, TX 78240 · (210) 994-5388 | 10 / 10 | No rating published | 33 | 2020 |
| Blue Skies Hospice San Antonio, TX 78245 · (210) 838-6340 | 10 / 10 | No rating published | 30 | 2009 |
| Devoted Care Hospice Inc San Antonio, TX 78232 · (210) 886-8020 | 10 / 10 | No rating published | 27 | 2021 |
| Compassion Hospice of Texas San Antonio, TX 78232 · (888) 383-7092 | 10 / 10 | No rating published | 23 | 2022 |
| Enhabit Hospice San Antonio, TX 78232 · (210) 901-7300 | 10 / 10 | No rating published | 23 | 2012 |
| Pacific Hospice and Palliative Care, LLC San Antonio, TX 78228 · (210) 275-2133 | 10 / 10 | No rating published | 23 | 2022 |
| Methodist Hospice and Family Care San Antonio, TX 78232 · (210) 998-2966 | 10 / 10 | No rating published | 21 | 2011 |
| Homage Hospice San Antonio, TX 78240 · (469) 625-0705 | 10 / 10 | No rating published | 20 | 2022 |
| River City Hospice of Texas, L.L.C. San Antonio, TX 78229 · (210) 858-9138 | 10 / 10 | No rating published | 19 | 2012 |
| New Life Hospice San Antonio, TX 78229 · (210) 477-7020 | 10 / 10 | No rating published | 15 | 2022 |
| Heart to Heart Hospice of San Antonio, LLC San Antonio, TX 78232 · (210) 824-4113 | 9 / 10 | ★★★★☆4 / 5 | 61 | 2006 |
| Good Shepherd Hospice of San Antonio, L.L.C. San Antonio, TX 78249 · (210) 733-3939 | 9 / 10 | ★★★☆☆3 / 5 | 113 | 2013 |
| Holy Savior Hospice San Antonio, TX 78230 · (210) 375-5914 | 9 / 10 | ★☆☆☆☆1 / 5 | 153 | 2014 |
| Step by Step Riverwalk Hospice San Antonio, TX 78229 · (210) 239-7598 | 9 / 10 | No rating published | 153 | 2019 |
| La Diferencia Hospice San Antonio, TX 78214 · (210) 395-3395 | 9 / 10 | No rating published | 98 | 2018 |
| Gentiva Hospice San Antonio, TX 78212 · (210) 738-8141 | 9 / 10 | No rating published | 89 | 1992 |
| Superior Hospice LLC San Antonio, TX 78230 · (210) 877-5777 | 9 / 10 | No rating published | 73 | 2013 |
| Abundant Hospice, LLC San Antonio, TX 78232 · (210) 608-0081 | 9 / 10 | No rating published | 59 | 2020 |
| Companion Hospice and Palliative Care of South Texas LLC San Antonio, TX 78230 · (855) 320-5552 | 9 / 10 | No rating published | 55 | 2016 |
| Aasta Hospice San Antonio, TX 78213 · (833) 467-7123 | 9 / 10 | No rating published | 34 | 2019 |
| Embrace Hospice New Braunfels, TX 78130 · (469) 995-2456 | 9 / 10 | No rating published | 32 | 2018 |
| Alamo Hospice San Antonio, TX 78230 · (205) 725-6236 | 9 / 10 | No rating published | 31 | 2006 |
| Texas Healthcare Solutions Inc San Antonio, TX 78229 · (210) 877-5222 | 9 / 10 | No rating published | 28 | 2021 |
| American Medical Hospice & Palliative Care San Antonio, TX 78228 · (210) 812-5709 | 9 / 10 | No rating published | 27 | 2016 |
| Graceful Hospice and Palliative Care LLC San Antonio, TX 78230 · (210) 371-5552 | 9 / 10 | No rating published | 27 | 2021 |
| Klarus Hospice San Antonio, TX 78228 · (210) 732-7600 | 9 / 10 | No rating published | 27 | 2016 |
| Passion Hospice, Inc San Antonio, TX 78216 · (210) 475-3731 | 9 / 10 | No rating published | 27 | 2023 |
| Acara San Antonio, TX 78229 · (210) 366-1125 | 9 / 10 | No rating published | 22 | 2015 |
| Ariel Hospice San Antonio, TX 78229 · (210) 272-0233 | 9 / 10 | No rating published | 22 | 2022 |
| All County Home Health and Hospice San Antonio, TX 78229 · (830) 331-1291 | 9 / 10 | No rating published | 20 | 2013 |
| Harmony Hospice Care San Antonio, TX 78230 · (210) 807-7484 | 9 / 10 | No rating published | 18 | 2023 |
| All Saints Hospice Care Inc San Antonio, TX 78257 · (210) 954-5729 | 9 / 10 | No rating published | 17 | 2021 |
| Principle Hospice Service LLC San Antonio, TX 78217 · (210) 455-6050 | 9 / 10 | No rating published | 16 | 2020 |
| Transcend Hospice San Antonio, TX 78240 · (210) 994-5388 | 9 / 10 | No rating published | 16 | 2019 |
| Ms Mission Hospice LLC San Antonio, TX 78216 · (210) 524-2400 | 9 / 10 | No rating published | 9 | 2016 |
| Canyon Home Care & Hospice San Antonio, TX 78228 · (210) 718-0551 | 9 / 10 | No rating published | 4 | 2021 |
| Admt Caring Hospice San Antonio, TX 78216 · (281) 524-9260 | 9 / 10 | No rating published | 1 | 2022 |
| Amedia Hospice LLC San Antonio, TX 78217 · (210) 858-3384 | 8 / 10 | No rating published | 47 | 2016 |
| Anchorage Hospice, Inc. San Antonio, TX 78230 · (210) 239-7519 | 8 / 10 | No rating published | 39 | 2020 |
| Elysian Hospice San Antonio, TX 78229 · (210) 375-5016 | 8 / 10 | No rating published | 34 | 2017 |
| The Medical Team Inc San Antonio, TX 78216 · (210) 270-1393 | 8 / 10 | No rating published | 26 | 2018 |
| Advanced Hospice of Texas San Antonio, TX 78230 · (210) 898-8533 | 8 / 10 | No rating published | 23 | 2021 |
| Sacred Heart Hospice San Antonio, TX 78216 · (210) 848-8777 | 8 / 10 | No rating published | 23 | 2019 |
| Pure Heart Hospice San Antonio, TX 78229 · (210) 595-1146 | 8 / 10 | No rating published | 20 | 2021 |
| Bexar Hospice San Antonio, TX 78245 · (210) 446-6566 | 8 / 10 | No rating published | 18 | 2023 |
| Prodigious Hospices LLC San Antonio, TX 78217 · (210) 946-1367 | 8 / 10 | No rating published | 18 | 2022 |
| Gifted Hearts Hospice and Palliative Care Seguin, TX 78155 · (830) 715-9299 | 8 / 10 | No rating published | 15 | 2020 |
| Anchored by Grace Hospice Care Inc San Antonio, TX 78230 · (325) 480-5001 | 8 / 10 | No rating published | 12 | 2022 |
| Comprehensive Hospice Care Inc San Antonio, TX 78229 · (210) 614-0200 | 8 / 10 | No rating published | 12 | 2020 |
| Sacred Heart Enterprises, P.C. San Antonio, TX 78248 · (210) 265-5422 | 8 / 10 | No rating published | 12 | 2023 |
| Edenhospice New Braunfels, TX 78130 · (830) 500-2435 | 8 / 10 | No rating published | 8 | 2022 |
| Paloma Hospice and Palliative Care San Antonio, TX 78229 · (210) 988-1680 | 7 / 10 | No rating published | 156 | 2011 |
| Cardinal Hospice of South Texas San Antonio, TX 78230 · (210) 310-3960 | 7 / 10 | No rating published | 113 | 2020 |
| Harbour Hospice San Antonio, TX 78247 · (210) 403-9911 | 7 / 10 | No rating published | 79 | 2008 |
| Circle of Life Hospice and Palliative Care San Antonio, TX 78249 · (210) 890-2700 | 7 / 10 | No rating published | 69 | 2021 |
| Changing Seasons Hospice San Antonio, TX 78240 · (210) 260-0000 | 7 / 10 | No rating published | 60 | 2018 |
| Santa Rita Home Health Services San Antonio, TX 78216 · (210) 200-8502 | 7 / 10 | No rating published | 54 | 2020 |
| Elegant Hospice San Antonio, TX 78249 · (210) 817-4746 | 7 / 10 | No rating published | 46 | 2020 |
| Harbor Hospice of North San Antonio LP San Antonio, TX 78248 · (210) 481-0500 | 7 / 10 | No rating published | 42 | 2015 |
| Journeys Hospice of Texas LLC San Antonio, TX 78217 · (833) 467-5468 | 7 / 10 | No rating published | 29 | 2019 |
| Gentle Partners in Hospice LLC San Antonio, TX 78209 · (210) 908-9616 | 7 / 10 | No rating published | 27 | 2017 |
| Agape Family Hospice Inc San Antonio, TX 78229 · (210) 702-3933 | 7 / 10 | No rating published | 22 | 2023 |
| A & Z Health Care LLC San Antonio, TX 78248 · (726) 610-3523 | 7 / 10 | No rating published | 11 | 2021 |
| Mi Casa Hospice-San Antonio San Antonio, TX 78214 · (726) 208-4041 | 7 / 10 | No rating published | 10 | 2023 |
| Serenity Hospice and Palliative Care of Texas San Antonio, TX 78201 · (210) 852-4009 | 7 / 10 | No rating published | 8 | 2019 |
| San Antonio Hospice Care San Antonio, TX 78213 · (210) 281-5888 | 7 / 10 | No rating published | 6 | 2020 |
| Hummingbird Hospice LLC San Antonio, TX 78230 · (210) 908-9774 | 6 / 10 | No rating published | 73 | 2021 |
| Touchstone Health San Antonio, TX 78209 · (210) 541-8884 | 6 / 10 | No rating published | 38 | 2022 |
| San Antonio Inspire Hospice LLC San Antonio, TX 78240 · (210) 290-8159 | 6 / 10 | No rating published | 22 | 2016 |
| Completecare Home Health and Hospice San Antonio, TX 78212 · (210) 520-7977 | 6 / 10 | No rating published | 8 | 2014 |
| Caring Hands San Antonio, TX 78229 · (210) 679-1476 | Not published | No rating published | 49 | 2020 |
| Redeemer Hospice San Antonio, TX 78240 · (956) 679-3220 | Not published | No rating published | 13 | 2021 |
| Genisa Hospice Integrative Care, Inc. San Antonio, TX 78230 · (210) 267-2431 | Not published | No rating published | 7 | 2023 |
| Bridge of Life Hospice San Antonio, TX 78229 · (210) 442-8175 | Not published | No rating published | 6 | 2018 |
| Alta Vita Hospice San Antonio, TX 78216 · (210) 332-5462 | Not published | No rating published | 5 | 2023 |
| Enso Hospice LLC San Antonio, TX 78261 · (726) 217-8777 | Not published | No rating published | 5 | 2022 |
| New Beginnings Hospice LLC New Braunfels, TX 78130 · (830) 310-7303 | Not published | No rating published | 5 | 2023 |
| Nightingale Hospice Care of Texas Inc. San Antonio, TX 78229 · (210) 449-6572 | Not published | No rating published | 5 | 2023 |
| Sunlight Hospice Company San Antonio, TX 78229 · (210) 444-9186 | Not published | No rating published | 4 | 2023 |
| AAA Hospice and Palliative Care LLC San Antonio, TX 78213 · (210) 388-9300 | Not published | No rating published | 3 | 2023 |
| Cfhc NO7 Inc San Antonio, TX 78230 · (956) 270-4838 | Not published | No rating published | 3 | 2022 |
| A Bliss Hospice Care San Antonio, TX 78212 · (210) 822-0577 | Not published | No rating published | 2 | 2015 |
| All Faith Hospice Care, Inc San Antonio, TX 78228 · (210) 255-1086 | Not published | No rating published | 1 | 2023 |
| Alomega Hospice Services LLC San Antonio, TX 78229 · (210) 949-0256 | Not published | No rating published | 1 | 2013 |
| My Home Hospice Company San Antonio, TX 78216 · (210) 444-9186 | Not published | No rating published | 1 | 2024 |
| Southern Belle Hospice LLC San Antonio, TX 78257 · (210) 580-6210 | Not published | No rating published | 1 | 2022 |
| Texas Heroes Hospice, Inc San Antonio, TX 78230 · (726) 256-4376 | Not published | No rating published | 1 | 2023 |
| Advanced Hospice of Texas San Antonio, TX 78230 · (346) 333-1863 | Not published | No rating published | — | 2021 |
| Arms of Compassion Hospice Care San Antonio, TX 78228 · (726) 209-9593 | Not published | No rating published | — | 2023 |
| Bloom Hospice San Antonio, TX 78230 · (210) 500-3030 | Not published | No rating published | — | 2025 |
| Blue Horizons Hospice of Laredo San Antonio, TX 78247 · (210) 767-3870 | Not published | No rating published | — | 2021 |
| Careview Hospice Inc San Antonio, TX 78148 · (210) 497-1440 | Not published | No rating published | — | 2023 |
| Cfhc NO22 Inc San Antonio, TX 78232 · (210) 886-8020 | Not published | No rating published | — | 2023 |
| Cypress Hospice LLC San Antonio, TX 78240 · (210) 729-6922 | Not published | No rating published | — | 2023 |
| Eterna Care Hospice San Antonio, TX 78240 · (210) 994-5388 | Not published | No rating published | — | 2023 |
| Excelacare Hospice San Antonio, TX 78228 · (972) 468-8390 | Not published | No rating published | — | 2021 |
| Excelacare Hospice San Antonio, TX 78228 · (682) 200-4311 | Not published | No rating published | — | 2021 |
| Gentle Fox Hospice LLC San Antonio, TX 78253 · (662) 346-3711 | Not published | No rating published | — | 2025 |
| Greater Help Hospice LLC San Antonio, TX 78213 · (210) 816-1480 | Not published | No rating published | — | 2023 |
| Harbor Hospice of Central San Antonio LP San Antonio, TX 78248 · (210) 481-0500 | Not published | No rating published | — | 2022 |
| Harbor Hospice of South San Antonio LP San Antonio, TX 78248 · (210) 481-0500 | Not published | No rating published | — | 2015 |
| Hickory Hospice LLC San Antonio, TX 78240 · (915) 591-2800 | Not published | No rating published | — | 2023 |
| Inspiration Hospice San Antonio, TX 78209 · (210) 874-4999 | Not published | No rating published | — | 2020 |
| Juniper Hospice LLC San Antonio, TX 78240 · (210) 767-9600 | Not published | No rating published | — | 2021 |
| Limitless Hospice LLC San Antonio, TX 78229 · (210) 201-4584 | Not published | No rating published | — | 2024 |
| Radiant Light Hospice LLC San Antonio, TX 78210 · (210) 441-3189 | Not published | No rating published | — | 2025 |
| Refuge Hospice, LLC San Antonio, TX 78217 · (210) 296-6898 | Not published | No rating published | — | 2024 |
| Right Choice Hospice San Antonio, TX 78240 · (210) 994-5388 | Not published | No rating published | — | 2022 |
| Southern Sky Hospice San Antonio, TX 78240 · (210) 729-6922 | Not published | No rating published | — | 2022 |
| The Guardian Hospice Company of Texas San Antonio, TX 78240 · (210) 405-3404 | Not published | No rating published | — | 2022 |
| Willow Tree Hospice Company San Antonio, TX 78230 · (830) 260-4515 | Not published | No rating published | — | 2023 |
What does the Hospice Care Index measure, and what does it not?
The Hospice Care Index is a score out of 10 that counts how many of ten Medicare claims-based indicators a hospice meets. It measures patterns of visits and discharges. It does not measure bedside manner, and it is not a patient satisfaction score.
| Hospice Care Index | Family caregiver survey | |
|---|---|---|
| Where it comes from | Medicare billing claims over two years | A survey mailed to the main family caregiver after a death |
| What it shows | How often nurses visit, weekend care, visits near death, and patterns of live discharge | Communication, timely help, respect, symptom control and whether families would recommend the hospice |
| What it misses | How families felt about the care | Small hospices, which often have too few responses to report |
Does Medicare pay for hospice care in Texas?
Yes. Medicare covers hospice for people a doctor certifies as terminally ill with a life expectancy of six months or less who choose comfort care. It covers the nurse, aide, social worker and chaplain visits, medications for the terminal illness, and equipment, with at most a small copay for prescriptions and respite stays. It does not cover room and board in assisted living or a nursing home.
Why do so many San Antonio hospices have no published scores?
41 of the 139 hospices here have no index score. Medicare only publishes results once a hospice has enough claims in the two-year window, and San Antonio and Bexar, Comal and Guadalupe counties has many recently certified, small hospices. A missing score tells you a hospice is new or small. It does not tell you whether it is good.
Last verified: November 2026, against the Medicare hospice data release dated 2026-08-07.
Common questions
How many Medicare-certified hospices are in San Antonio?
139 are based in San Antonio and Bexar, Comal and Guadalupe counties. 98 have a published Hospice Care Index score.
What is a good Hospice Care Index score?
The index runs from 0 to 10. The Texas average is 8.4, and 38 hospices in San Antonio and Bexar, Comal and Guadalupe counties score a full 10.
Can a hospice patient stay in assisted living?
Yes. Hospice staff visit wherever the patient lives, including assisted living and memory care. Medicare pays for the hospice care but not for the room and board.
