About Bristol Hospice - North Central Texas
Hospice overview and quality summary
Bristol Hospice - North Central Texas is a for-profit hospice care provider in Waxahachie, TX, serving patients and families in Ellis County and the surrounding area. Medicare certified since 2003, Bristol Hospice - North Central Texas has provided 23 years of end-of-life and palliative care to the community.
Bristol Hospice - North Central Texas serves an average of 348 patients per day, covering 226 ZIP codes across its service area. 47% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Bristol Hospice - North Central Texas 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 10 out of 10, a composite measure of care quality and efficiency. 13 physicians are affiliated with this hospice.
When choosing hospice care in Waxahachie, 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
Bristol Hospice - North Central Texas 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 Bristol Hospice - North Central Texas among the higher-rated hospice providers serving families in Waxahachie, TX.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
90% 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
91% 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
75% 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
83% 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
76% 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
79% of caregivers gave Bristol Hospice - North Central Texas a top rating for training for family caregivers, above the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
83% of caregivers gave a top rating for overall rating (9-10), consistent with the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
89% of caregivers gave Bristol Hospice - North Central Texas a top rating for would recommend, above 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
99.9%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.5%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
99.7%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
99.5%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.5%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
99.2%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
99.5%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
98.3%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Bristol Hospice - North Central Texas's Hospice Care Index (HCI) score is 10 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.
75.3% of Bristol Hospice - North Central Texas's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
98.1%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13.4
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.1%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
50.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
7.8%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
34.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
17.2%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0.6%
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
$20,717
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Bristol Hospice - North Central Texas's patient population is primarily composed of individuals with dementia (30%), followed by cardiovascular disease (24%), cancer (16%), other conditions (15%), stroke (10%), respiratory disease (7%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Bristol Hospice - North Central Texas delivers 47% of its care in patients' homes, with 26% in nursing facility settings, 25% in assisted living settings, 1% in skilled nursing settings. The significant proportion of facility-based care may reflect patients requiring higher levels of medical support or those without available home caregivers. The hospice serves an average of 348 patients per day.
Patient's Home
Nursing Facility
Assisted Living
Skilled Nursing
Doctors at Bristol Hospice - North Central Texas
13 affiliated physicians
Dr. Luis Reynoso, MD
Internal Medicine
Dr. Samer Nachawati, DO
Internal Medicine
Dr. Charles Mettetal, MD
Family Practice
Dr. Manuel Tellez, DO
Internal Medicine
Dr. Eddy Berges Chez, MD
Family Practice
Dr. John Sorrells, MD
Hospitalist
Dr. Jorge Betanco, MD
Internal Medicine
Dr. Pablo Olmedo, MD
Family Practice
Dr. Joe Perryman, MD
Internal Medicine
Dr. Zachary Drain, MD
Emergency Medicine
Dr. Patti Powell, MD
Internal Medicine
Dr. Deandre Brown, MD
Internal Medicine
+ 1 more physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Bristol Hospice - North Central Texas
What is the CMS rating for Bristol Hospice - North Central Texas?
Bristol Hospice - North Central Texas 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 Bristol Hospice - North Central Texas primarily treat?
Bristol Hospice - North Central Texas's patient population includes dementia (30%), cardiovascular disease (24%), cancer (16%), other conditions (15%), stroke (10%), respiratory disease (7%). This reflects the hospice's experience managing these conditions.
Where does Bristol Hospice - North Central Texas provide care?
Bristol Hospice - North Central Texas provides care in patient's home (47%), nursing facility (26%), assisted living (25%), skilled nursing (1%).
How large is Bristol Hospice - North Central Texas?
Bristol Hospice - North Central Texas serves an average of 348 patients per day and covers 226 ZIP codes in its service area.
How many doctors are affiliated with Bristol Hospice - North Central Texas?
13 physicians are affiliated with Bristol Hospice - North Central Texas.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·