Gentiva is a Medicare-certified hospice based at 4440 S Piedras Drive Suite 125 in San Antonio, TX 78228. It has been certified since 1998. It cares for about 126 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 2 areas where it is worse than the Texas average, starting with live discharge followed by a hospital stay and readmission to hospice.
What is Gentiva's Medicare record?
| Hospice | Gentiva |
|---|---|
| Address | 4440 S Piedras Drive Suite 125, San Antonio, TX 78228 |
| Phone | (210) 733-1212 |
| Medicare provider number (CCN) | 451682 |
| Ownership | For-Profit |
| Medicare-certified since | 07/09/1998 |
How does Gentiva score on Medicare's Hospice Care Index?
Gentiva 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 2.
| Indicator | Gentiva | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Gaps in nursing visits longer than 7 days (lower is better) | 56% | 62% | 52.4% | Better |
| Patients discharged alive within 7 days (lower is better) | 5.2% | 7.6% | 7.3% | About the same |
| Patients discharged alive after 180 days or more (lower is better) | 39.6% | 36.9% | 37.4% | About the same |
| Live discharge followed by a hospital stay and readmission to hospice (lower is better) | 15.7% | 12.1% | 8.5% | Worse |
| Live discharge followed by death in hospital (lower is better) | 1.5% | 2% | 2.1% | About the same |
| Nurse minutes per routine home care day | 8.3 min | 11.6 min | 19.9 min | Worse |
| Share of skilled nursing minutes given on weekends | 5.1% | 7.6% | 9.6% | About the same |
| Patients visited by a nurse in the last 3 days of life | 93.6% | 88.1% | 89.3% | Better |
Separately, 98.2% of its patients received all seven recommended care steps at admission (Texas average 94.7%) and 59.3% 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 Gentiva?
83% of family caregivers said they would definitely recommend Gentiva; the Texas average is 83%. The survey goes to the family member who was the main caregiver, after the patient has died.
| Survey question | Gentiva | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Team always communicated well | 78% | 81% | 82% | Worse |
| Team always provided timely help | 69% | 77% | 78% | Worse |
| Team always treated the patient with respect | 88% | 90% | 91% | About the same |
| Right amount of emotional and spiritual support | 93% | 89% | 91% | Better |
| Patient always got help for pain and symptoms | 73% | 76% | 76% | Worse |
| Caregivers rated the hospice 9 or 10 | 77% | 81% | 83% | Worse |
| Would definitely recommend the hospice | 83% | 83% | 85% | About the same |
Where does Gentiva deliver care, and to whom?
36% of gentiva's care is delivered at home and its largest patient group by diagnosis is respiratory disease (37%). 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 | 36% |
| In a nursing facility | 36% |
| In assisted living | 22% |
| In a skilled nursing facility | 5% |
| In a hospital | 1% |
| Primary diagnosis | Share of patients |
|---|---|
| Respiratory disease | 37% |
| Stroke | 21% |
| Cancer | 15% |
| Heart and circulatory disease | 14% |
| Dementia | 8% |
| Other conditions | 8% |
Which San Antonio-area ZIP codes does Gentiva serve?
Gentiva tells Medicare it serves 65 ZIP codes in San Antonio and Bexar, Comal and Guadalupe counties.
- 78002
- 78023
- 78070
- 78108
- 78109
- 78124
- 78130
- 78132
- 78133
- 78148
- 78152
- 78154
- 78155
- 78163
- 78201
- 78204
- 78207
- 78208
- 78209
- 78210
- 78211
- 78212
- 78213
- 78214
- 78216
- 78217
- 78218
- 78219
- 78220
- 78221
- 78222
- 78223
- 78224
- 78225
- 78226
- 78227
- 78228
- 78229
- 78230
- 78231
- 78232
- 78233
- 78237
- 78238
- 78239
- 78240
- 78242
- 78244
- 78245
- 78247
- 78248
- 78249
- 78250
- 78251
- 78253
- 78254
- 78255
- 78256
- 78257
- 78258
- 78259
- 78260
- 78261
- 78264
- 78266
What should you ask Gentiva before choosing it?
Ask how a crisis at home is handled
15.7% 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 how long nursing visits last
Its nurses average 8.3 minutes per routine care day, against 11.6 minutes across Texas. Ask how long a typical visit lasts and whether the same nurse comes each time.
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.
Which other hospices serve San Antonio, TX?
- Embrace Hospice — Hospice Care Index 10 of 10
- Nightingale Hospice Care, Inc. — Hospice Care Index 10 of 10
- Pacific Hospice and Palliative Care, LLC — Hospice Care Index 10 of 10
- American Medical Hospice & Palliative Care — Hospice Care Index 9 of 10
- Canyon Home Care & Hospice — Hospice Care Index 9 of 10
- Klarus Hospice — Hospice Care Index 9 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 Gentiva Medicare-certified?
Yes. Gentiva is certified by Medicare under provider number 451682 and has been since 1998.
What is Gentiva's Hospice Care Index score?
10 out of 10 in the current Medicare data. The Texas average is 8.4.
How large is Gentiva?
It cares for about 126 patients on an average day.
