About Legacy Hospice
Hospice overview and quality summary
Legacy Hospice is a for-profit hospice care provider in Tyler, TX, serving patients and families in Smith County and the surrounding area. Medicare certified since 2003, Legacy Hospice has provided 23 years of end-of-life and palliative care to the community.
Legacy Hospice serves an average of 128 patients per day, covering 122 ZIP codes across its service area. 44% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Legacy Hospice 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. 10 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
Legacy Hospice 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 Legacy Hospice among the higher-rated hospice providers serving families in Tyler, 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
88% 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
84% of caregivers gave Legacy Hospice 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
81% of caregivers gave Legacy Hospice 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
79% of caregivers gave Legacy 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
85% of caregivers gave Legacy 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 Legacy 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
99.9%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
98.5%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
93.3%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
97.2%
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
96.0%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
96.5%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
86.2%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Legacy Hospice'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.
58.9% of Legacy 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
92.1%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
9.5
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
9.3%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
74.6%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
11.5%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
22.1%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
11.5%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
3.8%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
0.7%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$11,785
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Legacy Hospice's patient population is primarily composed of individuals with dementia (24%), followed by cancer (20%), cardiovascular disease (17%), respiratory disease (17%), other conditions (17%), stroke (7%).
Care Settings
Where hospice care is delivered
Legacy Hospice delivers 44% of its care in patients' homes, with 29% in assisted living settings, 26% in nursing facility settings, 1% in hospital 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 128 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Hospital
Doctors at Legacy Hospice
10 affiliated physicians
Dr. Ikechukwu Umezurike, MD
Internal Medicine
Dr. Gary Babbitt, MD
Family Practice
Dr. Danny Russell, MD
Internal Medicine
Dr. Laura Kosub, MD
Family Practice
Dr. Darren Arnecke, MD
Internal Medicine
Dr. Dale Bradley, MD
Family Practice
Dr. Philip Sneed, MD
Internal Medicine
Dr. Logan Boldwill, MD
Internal Medicine
Dr. William Conner, MD
Family Practice
Dr. Eric Carter, MD
Family Practice
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Legacy Hospice
What is the CMS rating for Legacy Hospice?
Legacy Hospice 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 Legacy Hospice primarily treat?
Legacy Hospice's patient population includes dementia (24%), cancer (20%), cardiovascular disease (17%), respiratory disease (17%), other conditions (17%), stroke (7%). This reflects the hospice's experience managing these conditions.
Where does Legacy Hospice provide care?
Legacy Hospice provides care in patient's home (44%), assisted living (29%), nursing facility (26%), hospital (1%).
How large is Legacy Hospice?
Legacy Hospice serves an average of 128 patients per day and covers 122 ZIP codes in its service area.
How many doctors are affiliated with Legacy Hospice?
10 physicians are affiliated with Legacy Hospice.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·