About Bluebonnet Health Services
Hospice overview and quality summary
Bluebonnet Health Services is a for-profit hospice care provider in Waco, TX, serving patients and families in Mclennan County and the surrounding area. Medicare certified since 2006, Bluebonnet Health Services has provided 20 years of end-of-life and palliative care to the community.
Bluebonnet Health Services serves an average of 99 patients per day, covering 119 ZIP codes across its service area. 50% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Bluebonnet Health Services has earned a 4-star CMS quality rating based on caregiver survey results, reflecting strong satisfaction across communication, symptom management, and emotional support. The facility's Hospice Care Index score is 9 out of 10, a composite measure of care quality and efficiency. 9 physicians are affiliated with this hospice.
When choosing hospice care in Waco, TX, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Very Good
CMS CAHPS Hospice Star Rating
Bluebonnet Health Services has earned a 4-star quality rating from the Centers for Medicare & Medicaid Services (CMS), based on the CAHPS Hospice Survey of bereaved family caregivers. This rating reflects above-average satisfaction across emotional support, symptom management, team communication, and respect. This places Bluebonnet Health Services among the higher-rated hospice providers serving families in Waco, TX.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
91% of caregivers gave a top rating for emotional & spiritual support, consistent with the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
89% of caregivers gave a top rating for treated with respect, consistent with the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
76% of caregivers gave a top rating for help with symptoms, consistent with the national average of 74%.
Team Communication
How well the hospice team communicated with the family
80% of caregivers gave a top rating for team communication, consistent with the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
78% of caregivers gave a top rating for getting timely care, consistent with the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
74% of caregivers gave a top rating for training for family caregivers, consistent with the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
85% of caregivers gave Bluebonnet Health Services a top rating for overall rating (9-10), above the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
86% of caregivers gave a top rating for would recommend, consistent with the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
98.8%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
97.6%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
100.0%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.4%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
92.6%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
96.4%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
93.1%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Bluebonnet Health Services's Hospice Care Index (HCI) score is 9 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
44.5% of Bluebonnet Health Services's patients received visits from the hospice team in their final days of life, consistent with the national average of 47.9%. Presence during the final days reflects the hospice's commitment to supporting families when it matters most.
Visits Near Death
Patients with visits in last 3 days of life
91.6%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
8.8
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
7.1%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
71.8%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
7.7%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
36.3%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
16.5%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.2%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$17,308
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Bluebonnet Health Services's patient population is primarily composed of individuals with other conditions (25%), followed by cardiovascular disease (22%), cancer (22%), dementia (20%), respiratory disease (7%), stroke (6%).
Care Settings
Where hospice care is delivered
Bluebonnet Health Services delivers 50% of its care in patients' homes, with 26% in assisted living settings, 24% in nursing facility settings. The hospice serves an average of 99 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Doctors at Bluebonnet Health Services
9 affiliated physicians
Dr. Adam Flowers, MD
Family Practice
Dr. Jeffery Bates, MD
Internal Medicine
Dr. Zoe Walker, MD
Family Practice
Dr. Julio Rodriguez, MD
Internal Medicine
Dr. Floyd Watson, MD
Family Practice
Dr. Jaques Mamigonian, MD
Family Practice
Dr. Nicholas Schwedock, MD
Emergency Medicine
Dr. Juanita Castillo, MD
Internal Medicine
Dr. Diedra Wuenschel, DO
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Bluebonnet Health Services
What is the CMS rating for Bluebonnet Health Services?
Bluebonnet Health Services has a 4-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does Bluebonnet Health Services primarily treat?
Bluebonnet Health Services's patient population includes other conditions (25%), cardiovascular disease (22%), cancer (22%), dementia (20%), respiratory disease (7%), stroke (6%). This reflects the hospice's experience managing these conditions.
Where does Bluebonnet Health Services provide care?
Bluebonnet Health Services provides care in patient's home (50%), assisted living (26%), nursing facility (24%).
How large is Bluebonnet Health Services?
Bluebonnet Health Services serves an average of 99 patients per day and covers 119 ZIP codes in its service area.
How many doctors are affiliated with Bluebonnet Health Services?
9 physicians are affiliated with Bluebonnet Health Services.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·