Pure Heart Hospice is a Medicare-certified hospice based at 4211 Gardendale Ste A102 in San Antonio, TX 78229. It has been certified since 2021. It cares for about 20 patients on an average day, making it a small hospice. It scores 8 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 Pure Heart Hospice's Medicare record?
| Hospice | Pure Heart Hospice |
|---|---|
| Address | 4211 Gardendale Ste A102, San Antonio, TX 78229 |
| Phone | (210) 595-1146 |
| Medicare provider number (CCN) | 971644 |
| Ownership | For-Profit |
| Medicare-certified since | 05/17/2021 |
How does Pure Heart Hospice score on Medicare's Hospice Care Index?
Pure Heart Hospice scores 8 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 3 of the indicators below and worse on 4.
| Indicator | Pure Heart Hospice | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Gaps in nursing visits longer than 7 days (lower is better) | 82.7% | 62% | 52.4% | Worse |
| Patients discharged alive within 7 days (lower is better) | 2.8% | 7.6% | 7.3% | Better |
| Patients discharged alive after 180 days or more (lower is better) | 22.2% | 36.9% | 37.4% | Better |
| Live discharge followed by a hospital stay and readmission to hospice (lower is better) | 8.3% | 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 | 9.4 min | 11.6 min | 19.9 min | Worse |
| Share of skilled nursing minutes given on weekends | 4.6% | 7.6% | 9.6% | Worse |
| Patients visited by a nurse in the last 3 days of life | 75% | 88.1% | 89.3% | Worse |
Separately, 91.2% of its patients received all seven recommended care steps at admission (Texas average 94.7%).
What do families say about Pure Heart Hospice?
Medicare has not published family caregiver survey results for Pure Heart Hospice. Results appear only once a hospice has enough completed surveys over two years, so many smaller hospices have none.
Where does Pure Heart Hospice deliver care, and to whom?
100% of pure heart hospice's care is delivered at home and its largest patient group by diagnosis is heart and circulatory disease (49%). In the last three years it billed Medicare for routine home care only, with no continuous or inpatient care.
| Where care is delivered | Share of patients |
|---|---|
| At home | 100% |
| Primary diagnosis | Share of patients |
|---|---|
| Heart and circulatory disease | 49% |
Which San Antonio-area ZIP codes does Pure Heart Hospice serve?
Pure Heart Hospice tells Medicare it serves 35 ZIP codes in San Antonio and Bexar, Comal and Guadalupe counties.
- 78023
- 78101
- 78109
- 78130
- 78148
- 78154
- 78155
- 78201
- 78202
- 78207
- 78209
- 78211
- 78212
- 78213
- 78214
- 78216
- 78217
- 78220
- 78223
- 78228
- 78229
- 78232
- 78233
- 78238
- 78239
- 78245
- 78248
- 78250
- 78251
- 78252
- 78253
- 78254
- 78258
- 78260
- 78261
What should you ask Pure Heart Hospice before choosing it?
Ask how often the nurse visits
82.7% of Pure Heart 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 how long nursing visits last
Its nurses average 9.4 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 about weekend coverage
4.6% of its nursing time is delivered on weekends (Texas average 7.6%). Ask who is on call Saturday and Sunday and whether routine visits happen then.
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.
Which other hospices serve San Antonio, TX?
- Amedisys Hospice of San Antonio — Hospice Care Index 10 of 10
- Elara Caring — Hospice Care Index 10 of 10
- New Life Hospice — Hospice Care Index 10 of 10
- River City Hospice & Palliative Care — Hospice Care Index 10 of 10
- River City Hospice of Texas, L.L.C. — Hospice Care Index 10 of 10
- Acara — 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 Pure Heart Hospice Medicare-certified?
Yes. Pure Heart Hospice is certified by Medicare under provider number 971644 and has been since 2021.
What is Pure Heart Hospice's Hospice Care Index score?
8 out of 10 in the current Medicare data. The Texas average is 8.4.
How large is Pure Heart Hospice?
It cares for about 20 patients on an average day.
