Crest Palliative Care is a Medicare-certified hospice based at 4085 De Zavala Road, Suite 100 in Shavano Park, TX 78249. It has been certified since 2019. It cares for about 86 patients on an average day, making it a mid-sized hospice. It scores 10 out of 10 on Medicare's Hospice Care Index; the Texas average is 8.4. Family caregivers rate it 3 out of 5 stars. The index flags 1 area where it is worse than the Texas average, starting with live discharge followed by a hospital stay and readmission to hospice.
What is Crest Palliative Care's Medicare record?
| Hospice | Crest Palliative Care |
|---|---|
| Address | 4085 De Zavala Road, Suite 100, Shavano Park, TX 78249 |
| Phone | (210) 469-3200 |
| Medicare provider number (CCN) | 971501 |
| Ownership | For-Profit |
| Medicare-certified since | 06/19/2019 |
How does Crest Palliative Care score on Medicare's Hospice Care Index?
Crest Palliative Care 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 4 of the indicators below and worse on 1.
| Indicator | Crest Palliative Care | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Gaps in nursing visits longer than 7 days (lower is better) | 34% | 62% | 52.4% | Better |
| Patients discharged alive within 7 days (lower is better) | 7.9% | 7.6% | 7.3% | About the same |
| Patients discharged alive after 180 days or more (lower is better) | 23.6% | 36.9% | 37.4% | Better |
| Live discharge followed by a hospital stay and readmission to hospice (lower is better) | 16.9% | 12.1% | 8.5% | Worse |
| Live discharge followed by death in hospital (lower is better) | 1.1% | 2% | 2.1% | About the same |
| Nurse minutes per routine home care day | 13.7 min | 11.6 min | 19.9 min | Better |
| Share of skilled nursing minutes given on weekends | 5.6% | 7.6% | 9.6% | About the same |
| Patients visited by a nurse in the last 3 days of life | 92% | 88.1% | 89.3% | Better |
Separately, 97.2% of its patients received all seven recommended care steps at admission (Texas average 94.7%) and 56.9% 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 Crest Palliative Care?
80% of family caregivers said they would definitely recommend Crest Palliative Care; the Texas average is 83%. The survey goes to the family member who was the main caregiver, after the patient has died.
| Survey question | Crest Palliative Care | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Team always communicated well | 81% | 81% | 82% | About the same |
| Team always provided timely help | 75% | 77% | 78% | About the same |
| Team always treated the patient with respect | 92% | 90% | 91% | About the same |
| Right amount of emotional and spiritual support | 87% | 89% | 91% | About the same |
| Patient always got help for pain and symptoms | 77% | 76% | 76% | About the same |
| Caregivers rated the hospice 9 or 10 | 78% | 81% | 83% | Worse |
| Would definitely recommend the hospice | 80% | 83% | 85% | Worse |
Where does Crest Palliative Care deliver care, and to whom?
57% of crest palliative care's care is delivered at home and its largest patient group by diagnosis is dementia (32%). 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 |
|---|---|
| At home | 57% |
| In assisted living | 25% |
| In a nursing facility | 18% |
| Primary diagnosis | Share of patients |
|---|---|
| Dementia | 32% |
| Cancer | 21% |
| Heart and circulatory disease | 17% |
| Stroke | 13% |
| Other conditions | 11% |
| Respiratory disease | 7% |
Which San Antonio-area ZIP codes does Crest Palliative Care serve?
Crest Palliative Care tells Medicare it serves 68 ZIP codes in San Antonio and Bexar, Comal and Guadalupe counties.
- 78002
- 78023
- 78070
- 78101
- 78108
- 78109
- 78112
- 78130
- 78148
- 78154
- 78155
- 78163
- 78201
- 78202
- 78203
- 78204
- 78207
- 78208
- 78209
- 78210
- 78211
- 78212
- 78213
- 78214
- 78215
- 78216
- 78217
- 78218
- 78219
- 78221
- 78222
- 78223
- 78224
- 78225
- 78226
- 78227
- 78228
- 78229
- 78230
- 78231
- 78232
- 78233
- 78235
- 78237
- 78238
- 78239
- 78240
- 78242
- 78244
- 78245
- 78247
- 78248
- 78249
- 78250
- 78251
- 78253
- 78254
- 78255
- 78256
- 78257
- 78258
- 78259
- 78260
- 78261
- 78263
- 78264
- 78266
- 78623
What should you ask Crest Palliative Care before choosing it?
Ask how a crisis at home is handled
16.9% of its live discharges were followed by a hospital stay and a return to hospice (Texas average 12.1%). Ask who comes to the house in a symptom crisis and how fast.
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.
Ask how fast they can admit
Ask how soon after the call a nurse can come out, including evenings and weekends, and how quickly medications and equipment arrive.
Ask where inpatient care happens
When symptoms cannot be managed at home, hospice provides short inpatient stays. Ask which facility they use and how far it is from the family.
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 Crest Palliative Care Medicare-certified?
Yes. Crest Palliative Care is certified by Medicare under provider number 971501 and has been since 2019.
What is Crest Palliative Care's Hospice Care Index score?
10 out of 10 in the current Medicare data. The Texas average is 8.4.
How large is Crest Palliative Care?
It cares for about 86 patients on an average day.
