About Heart To Heart Hospice Of San Marcos Llc
Hospice overview and quality summary
Heart To Heart Hospice Of San Marcos Llc is a for-profit hospice care provider in San Marcos, TX, serving patients and families in Hays County and the surrounding area. Medicare certified since 2017, Heart To Heart Hospice Of San Marcos Llc has provided 9 years of end-of-life and palliative care to the community.
Heart To Heart Hospice Of San Marcos Llc serves an average of 78 patients per day, covering 60 ZIP codes across its service area. 37% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Heart To Heart Hospice Of San Marcos Llc 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. 15 physicians are affiliated with this hospice.
When choosing hospice care in San Marcos, 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
Heart To Heart Hospice Of San Marcos Llc 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 Heart To Heart Hospice Of San Marcos Llc among the higher-rated hospice providers serving families in San Marcos, TX.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
92% 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
92% 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
79% of caregivers gave Heart To Heart Hospice Of San Marcos Llc a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
82% 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
79% 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
77% 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
86% of caregivers gave Heart To Heart Hospice Of San Marcos Llc 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
87% of caregivers gave Heart To Heart Hospice Of San Marcos Llc 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
99.6%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
99.6%
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
99.6%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Heart To Heart Hospice Of San Marcos Llc'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.
59.9% of Heart To Heart Hospice Of San Marcos Llc'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
90.6%
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
7.8%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
49.2%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
9.4%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
41.5%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
7.5%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.1%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$17,620
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Heart To Heart Hospice Of San Marcos Llc's patient population is primarily composed of individuals with dementia (39%), followed by cardiovascular disease (20%), cancer (16%), other conditions (13%), stroke (9%), respiratory disease (6%). Dementia care requires specialized communication techniques and behavioral support, which experienced hospice teams are trained to provide.
Care Settings
Where hospice care is delivered
Heart To Heart Hospice Of San Marcos Llc delivers 37% of its care in patients' homes, with 56% in nursing facility settings, 7% 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 78 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Skilled Nursing
Doctors at Heart To Heart Hospice Of San Marcos Llc
15 affiliated physicians
Dr. James Rider, DO
Family Practice
Dr. Sean Hattenbach, MD
Family Practice
Dr. Garth Vaz, MD
Family Practice
Dr. Primo Mayhua, MD
Internal Medicine
Dr. James Chudleigh, MD
General Practice
Dr. David Meredith, MD
Family Practice
Dr. Antonio Flores, MD
Family Practice
Dr. Haoran Yu, MD
Internal Medicine
Dr. Terry Eska, MD
Internal Medicine
Dr. Graciela Castro Pou, MD
Internal Medicine
Dr. Guido Calderon, MD
Internal Medicine
Dr. Jerry Castilleja, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Heart To Heart Hospice Of San Marcos Llc
What is the CMS rating for Heart To Heart Hospice Of San Marcos Llc?
Heart To Heart Hospice Of San Marcos Llc 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 Heart To Heart Hospice Of San Marcos Llc primarily treat?
Heart To Heart Hospice Of San Marcos Llc's patient population includes dementia (39%), cardiovascular disease (20%), cancer (16%), other conditions (13%), stroke (9%), respiratory disease (6%). This reflects the hospice's experience managing these conditions.
Where does Heart To Heart Hospice Of San Marcos Llc provide care?
Heart To Heart Hospice Of San Marcos Llc provides care in nursing facility (56%), patient's home (37%), assisted living (7%), skilled nursing (1%).
How large is Heart To Heart Hospice Of San Marcos Llc?
Heart To Heart Hospice Of San Marcos Llc serves an average of 78 patients per day and covers 60 ZIP codes in its service area.
How many doctors are affiliated with Heart To Heart Hospice Of San Marcos Llc?
15 physicians are affiliated with Heart To Heart Hospice Of San Marcos Llc.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·