About Guardian Hospice
Hospice overview and quality summary
Guardian Hospice is a for-profit hospice care provider in Sherman, TX, serving patients and families in Grayson County and the surrounding area. Medicare certified since 2010, Guardian Hospice has provided 16 years of end-of-life and palliative care to the community.
Guardian Hospice serves an average of 46 patients per day, covering 40 ZIP codes across its service area. 43% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
The facility's Hospice Care Index score is 7 out of 10, a composite measure of care quality and efficiency. 2 physicians are affiliated with this hospice.
When choosing hospice care in Sherman, 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
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Guardian Hospice a top rating for emotional & spiritual support, above the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
95% of caregivers gave Guardian Hospice a top rating for treated with respect, above the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
78% of caregivers gave Guardian Hospice a top rating for help with symptoms, above 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
75% 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
78% of caregivers gave Guardian Hospice 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
87% of caregivers gave Guardian Hospice 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
89% of caregivers gave Guardian Hospice 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
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
100.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
100.0%
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
100.0%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
100.0%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
100.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
100.0%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Guardian Hospice's Hospice Care Index (HCI) score is 7 out of 10, below the national average of 8.8. The HCI evaluates hospices on nursing visit continuity, care transitions, spending efficiency, and presence in the final days.
65.1% of Guardian Hospice'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
95.9%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
7.9
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
5.9%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
69.5%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
3.7%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
56.8%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
32.1%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.5%
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
$21,415
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Guardian Hospice's patient population is primarily composed of individuals with dementia (35%), followed by cardiovascular disease (20%), cancer (19%), stroke (12%), other conditions (12%), respiratory disease (9%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Guardian Hospice delivers 43% of its care in patients' homes, with 30% in assisted living settings, 23% in nursing facility settings, 4% 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 46 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Skilled Nursing
Doctors at Guardian Hospice
2 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Guardian Hospice
What is the CMS rating for Guardian Hospice?
Guardian Hospice does not currently have a CMS star rating available. Approximately 69% of hospice providers lack sufficient survey data for a star rating.
What conditions does Guardian Hospice primarily treat?
Guardian Hospice's patient population includes dementia (35%), cardiovascular disease (20%), cancer (19%), stroke (12%), other conditions (12%), respiratory disease (9%). This reflects the hospice's experience managing these conditions.
Where does Guardian Hospice provide care?
Guardian Hospice provides care in patient's home (43%), assisted living (30%), nursing facility (23%), skilled nursing (4%).
How large is Guardian Hospice?
Guardian Hospice serves an average of 46 patients per day and covers 40 ZIP codes in its service area.
How many doctors are affiliated with Guardian Hospice?
2 physicians are affiliated with Guardian Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·