About Heart To Heart Hospice Of Tyler Ltd
Hospice overview and quality summary
Heart To Heart Hospice Of Tyler Ltd is a for-profit hospice care provider in Tyler, TX, serving patients and families in Smith County and the surrounding area. Medicare certified since 2004, Heart To Heart Hospice Of Tyler Ltd has provided 22 years of end-of-life and palliative care to the community.
Heart To Heart Hospice Of Tyler Ltd serves an average of 229 patients per day, covering 91 ZIP codes across its service area. 30% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Heart To Heart Hospice Of Tyler Ltd 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. 17 physicians are affiliated with this hospice.
When choosing hospice care in Tyler, 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 Tyler Ltd 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 Tyler Ltd among the higher-rated hospice providers serving families in Tyler, TX.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
93% of caregivers gave Heart To Heart Hospice Of Tyler Ltd 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
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
78% of caregivers gave Heart To Heart Hospice Of Tyler Ltd a top rating for help with symptoms, above the national average of 74%.
Team Communication
How well the hospice team communicated with the family
84% of caregivers gave Heart To Heart Hospice Of Tyler Ltd a top rating for team communication, above the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
83% of caregivers gave Heart To Heart Hospice Of Tyler Ltd a top rating for getting timely care, above the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
78% of caregivers gave Heart To Heart Hospice Of Tyler Ltd 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 Heart To Heart Hospice Of Tyler Ltd 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
91% of caregivers gave Heart To Heart Hospice Of Tyler Ltd 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
99.8%
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
99.8%
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
99.7%
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 Tyler Ltd'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.
72.4% of Heart To Heart Hospice Of Tyler Ltd'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
92.6%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
8.3
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
8.5%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
73.7%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
10.8%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
34.7%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
16.2%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
1.2%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.2%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$20,337
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Heart To Heart Hospice Of Tyler Ltd's patient population is primarily composed of individuals with dementia (45%), followed by cardiovascular disease (15%), cancer (14%), other conditions (11%), respiratory disease (9%), stroke (8%). 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 Tyler Ltd delivers 30% of its care in patients' homes, with 48% in nursing facility settings, 21% 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 229 patients per day.
Nursing Facility
Patient's Home
Assisted Living
Skilled Nursing
Doctors at Heart To Heart Hospice Of Tyler Ltd
17 affiliated physicians
Dr. Ilanko Upendran, MD
Internal Medicine
Dr. Lazel Augustus, MD
Internal Medicine
Dr. Adebayo Adewale, MD
Nephrology
Dr. Kevin Jensen, DO
Family Practice
Dr. Sahil Parikh, DO
Internal Medicine
Dr. Ryan Ford, MD
Family Practice
Dr. James Qualls, DO
Family Practice
Dr. Kent Davis, MD
Internal Medicine
Dr. Dale Bradley, MD
Family Practice
Dr. Khoren Hekimian, DO
Family Practice
Dr. David Larsen, DO
Family Practice
Dr. Jonathan Edwards, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Heart To Heart Hospice Of Tyler Ltd
What is the CMS rating for Heart To Heart Hospice Of Tyler Ltd?
Heart To Heart Hospice Of Tyler Ltd 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 Tyler Ltd primarily treat?
Heart To Heart Hospice Of Tyler Ltd's patient population includes dementia (45%), cardiovascular disease (15%), cancer (14%), other conditions (11%), respiratory disease (9%), stroke (8%). This reflects the hospice's experience managing these conditions.
Where does Heart To Heart Hospice Of Tyler Ltd provide care?
Heart To Heart Hospice Of Tyler Ltd provides care in nursing facility (48%), patient's home (30%), assisted living (21%), skilled nursing (1%).
How large is Heart To Heart Hospice Of Tyler Ltd?
Heart To Heart Hospice Of Tyler Ltd serves an average of 229 patients per day and covers 91 ZIP codes in its service area.
How many doctors are affiliated with Heart To Heart Hospice Of Tyler Ltd?
17 physicians are affiliated with Heart To Heart Hospice Of Tyler Ltd.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·