Step by Step Riverwalk Hospice is a Medicare-certified hospice based at 9502 Computer Dr Suite 117 in San Antonio, TX 78229. It has been certified since 2019. It cares for about 153 patients on an average day, making it one of the larger hospices in the area. It scores 9 out of 10 on Medicare's Hospice Care Index; the Texas average is 8.4. The index flags 2 areas where it is worse than the Texas average, starting with gaps in nursing visits longer than 7 days.
What is Step by Step Riverwalk Hospice's Medicare record?
| Hospice | Step by Step Riverwalk Hospice |
|---|---|
| Address | 9502 Computer Dr Suite 117, San Antonio, TX 78229 |
| Phone | (210) 239-7598 |
| Medicare provider number (CCN) | 971535 |
| Ownership | For-Profit |
| Medicare-certified since | 10/24/2019 |
How does Step by Step Riverwalk Hospice score on Medicare's Hospice Care Index?
Step by Step Riverwalk Hospice scores 9 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 | Step by Step Riverwalk Hospice | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Gaps in nursing visits longer than 7 days (lower is better) | 73.3% | 62% | 52.4% | Worse |
| Patients discharged alive within 7 days (lower is better) | 2.9% | 7.6% | 7.3% | Better |
| Patients discharged alive after 180 days or more (lower is better) | 47.7% | 36.9% | 37.4% | Worse |
| Live discharge followed by a hospital stay and readmission to hospice (lower is better) | 8.7% | 12.1% | 8.5% | Better |
| 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 | 11.5 min | 11.6 min | 19.9 min | About the same |
| Share of skilled nursing minutes given on weekends | 6% | 7.6% | 9.6% | About the same |
| Patients visited by a nurse in the last 3 days of life | 90% | 88.1% | 89.3% | About the same |
Separately, 97.2% of its patients received all seven recommended care steps at admission (Texas average 94.7%) and 16.2% 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 Step by Step Riverwalk Hospice?
86% of family caregivers said they would definitely recommend Step by Step Riverwalk 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 | Step by Step Riverwalk Hospice | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Team always communicated well | 79% | 81% | 82% | About the same |
| Team always provided timely help | 86% | 77% | 78% | Better |
| Team always treated the patient with respect | 93% | 90% | 91% | Better |
| Right amount of emotional and spiritual support | 91% | 89% | 91% | About the same |
| Patient always got help for pain and symptoms | 72% | 76% | 76% | Worse |
| Caregivers rated the hospice 9 or 10 | 76% | 81% | 83% | Worse |
| Would definitely recommend the hospice | 86% | 83% | 85% | Better |
Where does Step by Step Riverwalk Hospice deliver care, and to whom?
99% of step by step riverwalk hospice's care is delivered at home and its largest patient group by diagnosis is dementia (34%). 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 | 99% |
| In a nursing facility | 1% |
| Primary diagnosis | Share of patients |
|---|---|
| Dementia | 34% |
| Heart and circulatory disease | 28% |
| Other conditions | 17% |
| Respiratory disease | 14% |
| Stroke | 8% |
| Cancer | 6% |
Which San Antonio-area ZIP codes does Step by Step Riverwalk Hospice serve?
Step by Step Riverwalk Hospice tells Medicare it serves 68 ZIP codes in San Antonio and Bexar, Comal and Guadalupe counties.
- 78002
- 78023
- 78070
- 78073
- 78101
- 78109
- 78112
- 78130
- 78132
- 78148
- 78152
- 78154
- 78155
- 78163
- 78201
- 78202
- 78203
- 78204
- 78205
- 78207
- 78208
- 78209
- 78210
- 78211
- 78212
- 78213
- 78214
- 78215
- 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
- 78257
- 78258
- 78259
- 78260
- 78261
- 78264
- 78266
What should you ask Step by Step Riverwalk Hospice before choosing it?
Ask how often the nurse visits
73.3% of Step by Step Riverwalk 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 eligibility is reviewed
47.7% 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 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.
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 Step by Step Riverwalk Hospice Medicare-certified?
Yes. Step by Step Riverwalk Hospice is certified by Medicare under provider number 971535 and has been since 2019.
What is Step by Step Riverwalk Hospice's Hospice Care Index score?
9 out of 10 in the current Medicare data. The Texas average is 8.4.
How large is Step by Step Riverwalk Hospice?
It cares for about 153 patients on an average day.
