Blue Skies Hospice is a Medicare-certified hospice based at 12455 Freedom Way in San Antonio, TX 78245. It has been certified since 2009. It cares for about 30 patients on an average day, making it a small hospice. It scores 10 out of 10 on Medicare's Hospice Care Index; the Texas average is 8.4. The index flags 4 areas where it is worse than the Texas average, starting with gaps in nursing visits longer than 7 days.
What is Blue Skies Hospice's Medicare record?
| Hospice | Blue Skies Hospice |
|---|---|
| Address | 12455 Freedom Way, San Antonio, TX 78245 |
| Phone | (210) 838-6340 |
| Medicare provider number (CCN) | 671624 |
| Ownership | Non-Profit |
| Medicare-certified since | 01/28/2009 |
How does Blue Skies Hospice score on Medicare's Hospice Care Index?
Blue Skies Hospice scores 10 out of 10 on the Hospice Care Index, which counts how many of ten visit, discharge and staffing indicators a hospice meets. Against the Texas average it is better on 2 of the indicators below and worse on 4.
| Indicator | Blue Skies Hospice | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Gaps in nursing visits longer than 7 days (lower is better) | 75.7% | 62% | 52.4% | Worse |
| Patients discharged alive within 7 days (lower is better) | 11.5% | 7.6% | 7.3% | Worse |
| Patients discharged alive after 180 days or more (lower is better) | 57.7% | 36.9% | 37.4% | Worse |
| Live discharge followed by a hospital stay and readmission to hospice (lower is better) | 0% | 12.1% | 8.5% | Better |
| Live discharge followed by death in hospital (lower is better) | 0% | 2% | 2.1% | About the same |
| Nurse minutes per routine home care day | 9.6 min | 11.6 min | 19.9 min | Worse |
| Share of skilled nursing minutes given on weekends | 9.8% | 7.6% | 9.6% | About the same |
| Patients visited by a nurse in the last 3 days of life | 95% | 88.1% | 89.3% | Better |
Separately, 94.2% of its patients received all seven recommended care steps at admission (Texas average 94.7%) and 72.6% were visited by a nurse or social worker on at least two of their last three days (Texas average 51%).
What do families say about Blue Skies Hospice?
85% of family caregivers said they would definitely recommend Blue Skies Hospice; the Texas average is 83%. The survey goes to the family member who was the main caregiver, after the patient has died.
| Survey question | Blue Skies Hospice | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Team always communicated well | 80% | 81% | 82% | About the same |
| Team always provided timely help | 73% | 77% | 78% | Worse |
| Team always treated the patient with respect | 90% | 90% | 91% | About the same |
| Right amount of emotional and spiritual support | 91% | 89% | 91% | About the same |
| Patient always got help for pain and symptoms | 81% | 76% | 76% | Better |
| Caregivers rated the hospice 9 or 10 | 83% | 81% | 83% | About the same |
| Would definitely recommend the hospice | 85% | 83% | 85% | About the same |
Where does Blue Skies Hospice deliver care, and to whom?
42% of blue skies hospice's care is delivered in assisted living and its largest patient group by diagnosis is dementia (39%). It has provided levels of care beyond routine home visits, such as continuous care at home or inpatient stays, in the last three years.
| Where care is delivered | Share of patients |
|---|---|
| In assisted living | 42% |
| In a skilled nursing facility | 32% |
| At home | 27% |
| Primary diagnosis | Share of patients |
|---|---|
| Dementia | 39% |
| Cancer | 26% |
| Heart and circulatory disease | 19% |
Which San Antonio-area ZIP codes does Blue Skies Hospice serve?
Blue Skies Hospice tells Medicare it serves 18 ZIP codes in San Antonio and Bexar, Comal and Guadalupe counties.
- 78108
- 78201
- 78205
- 78209
- 78216
- 78217
- 78221
- 78223
- 78227
- 78228
- 78229
- 78230
- 78240
- 78242
- 78245
- 78251
- 78253
- 78254
What should you ask Blue Skies Hospice before choosing it?
Ask how often the nurse visits
75.7% of Blue Skies Hospice's patients went more than seven days without a nursing visit at some point, against 62% across Texas. Ask for the planned visit schedule in writing and who decides when it changes.
Ask what happens in the first week
11.5% of its live discharges came within a week of enrollment (Texas average 7.6%). Ask what the admission visit covers and how they confirm hospice is the right fit before enrolling.
Ask how eligibility is reviewed
57.7% of its live discharges came after six months or more of care (Texas average 36.9%). Ask how often the doctor recertifies eligibility and what support is offered if a patient is discharged.
Ask what the family is expected to do
Hospice supports the family caregiver; it does not replace one. Ask how many aide visits a week are typical and what happens overnight.
Which other hospices serve San Antonio, TX?
- Bexar Hospice — Hospice Care Index 8 of 10
- Accentcare Hospice & Palliative Care of Texas -San Antonio — Hospice Care Index 10 of 10
- All Seasons Hospice of Texas — Hospice Care Index 10 of 10
- Altus Hospice — Hospice Care Index 10 of 10
- Amedisys Hospice of San Antonio — Hospice Care Index 10 of 10
- Aspen Hospice and Palliative Care — Hospice Care Index 10 of 10
All Medicare-certified hospices in San Antonio and Bexar, Comal and Guadalupe counties
Last verified: November 2026, against the Medicare hospice data release dated 2026-08-07.
Common questions
Is Blue Skies Hospice Medicare-certified?
Yes. Blue Skies Hospice is certified by Medicare under provider number 671624 and has been since 2009.
What is Blue Skies Hospice's Hospice Care Index score?
10 out of 10 in the current Medicare data. The Texas average is 8.4.
How large is Blue Skies Hospice?
It cares for about 30 patients on an average day.
