River City Hospice & Palliative Care is a Medicare-certified hospice based at 6523 Moss Oak Dr. in San Antonio, TX 78229. It has been certified since 2010. It cares for about 63 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. 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 River City Hospice & Palliative Care's Medicare record?
| Hospice | River City Hospice & Palliative Care |
|---|---|
| Address | 6523 Moss Oak Dr., San Antonio, TX 78229 |
| Phone | (210) 858-9138 |
| Medicare provider number (CCN) | 671655 |
| Ownership | For-Profit |
| Medicare-certified since | 09/27/2010 |
How does River City Hospice & Palliative Care score on Medicare's Hospice Care Index?
River City Hospice & 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 0 of the indicators below and worse on 4.
| Indicator | River City Hospice & Palliative Care | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Gaps in nursing visits longer than 7 days (lower is better) | 69.5% | 62% | 52.4% | Worse |
| Patients discharged alive within 7 days (lower is better) | 7% | 7.6% | 7.3% | About the same |
| Patients discharged alive after 180 days or more (lower is better) | 49.6% | 36.9% | 37.4% | Worse |
| Live discharge followed by a hospital stay and readmission to hospice (lower is better) | 9.3% | 12.1% | 8.5% | About the same |
| Live discharge followed by death in hospital (lower is better) | 2.3% | 2% | 2.1% | About the same |
| Nurse minutes per routine home care day | 8.9 min | 11.6 min | 19.9 min | Worse |
| 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 | 82.3% | 88.1% | 89.3% | Worse |
Separately, 100% of its patients received all seven recommended care steps at admission (Texas average 94.7%) and 45.8% 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 River City Hospice & Palliative Care?
82% of family caregivers said they would definitely recommend River City Hospice & 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 | River City Hospice & Palliative Care | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Team always communicated well | 84% | 81% | 82% | Better |
| Team always provided timely help | 73% | 77% | 78% | Worse |
| Team always treated the patient with respect | 95% | 90% | 91% | Better |
| Right amount of emotional and spiritual support | 87% | 89% | 91% | About the same |
| Patient always got help for pain and symptoms | 72% | 76% | 76% | Worse |
| Caregivers rated the hospice 9 or 10 | 85% | 81% | 83% | Better |
| Would definitely recommend the hospice | 82% | 83% | 85% | About the same |
Where does River City Hospice & Palliative Care deliver care, and to whom?
62% of river city hospice & palliative care's care is delivered at home and its largest patient group by diagnosis is heart and circulatory disease (29%). 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 | 62% |
| In a nursing facility | 30% |
| In assisted living | 8% |
| Primary diagnosis | Share of patients |
|---|---|
| Heart and circulatory disease | 29% |
| Dementia | 26% |
| Cancer | 17% |
| Other conditions | 14% |
| Respiratory disease | 13% |
Which San Antonio-area ZIP codes does River City Hospice & Palliative Care serve?
River City Hospice & Palliative Care tells Medicare it serves 57 ZIP codes in San Antonio and Bexar, Comal and Guadalupe counties.
- 78023
- 78070
- 78108
- 78109
- 78130
- 78133
- 78154
- 78163
- 78201
- 78203
- 78204
- 78205
- 78207
- 78209
- 78210
- 78211
- 78212
- 78213
- 78214
- 78216
- 78217
- 78218
- 78219
- 78220
- 78221
- 78222
- 78223
- 78224
- 78225
- 78226
- 78227
- 78228
- 78229
- 78230
- 78232
- 78233
- 78237
- 78238
- 78239
- 78240
- 78242
- 78244
- 78245
- 78247
- 78248
- 78249
- 78250
- 78251
- 78252
- 78253
- 78254
- 78255
- 78258
- 78259
- 78260
- 78261
- 78264
What should you ask River City Hospice & Palliative Care before choosing it?
Ask how often the nurse visits
69.5% of River City Hospice & Palliative Care'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 eligibility is reviewed
49.6% 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 how long nursing visits last
Its nurses average 8.9 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 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?
- 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 of Texas, L.L.C. — Hospice Care Index 10 of 10
- Acara — Hospice Care Index 9 of 10
- All County Home Health and 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 River City Hospice & Palliative Care Medicare-certified?
Yes. River City Hospice & Palliative Care is certified by Medicare under provider number 671655 and has been since 2010.
What is River City Hospice & 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 River City Hospice & Palliative Care?
It cares for about 63 patients on an average day.
