About Paloma Hospice And Palliative Care
Hospice overview and quality summary
Paloma Hospice And Palliative Care is a for-profit hospice care provider in San Antonio, TX, serving patients and families in Bexar County and the surrounding area. Medicare certified since 2011, Paloma Hospice And Palliative Care has provided 15 years of end-of-life and palliative care to the community.
Paloma Hospice And Palliative Care serves an average of 156 patients per day, covering 197 ZIP codes across its service area. 46% 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. 3 physicians are affiliated with this hospice.
When choosing hospice care in San Antonio, 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
89% 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
74% 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
79% 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
72% of caregivers gave a top rating for getting timely care, below the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
87% of caregivers gave Paloma Hospice And Palliative Care 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
78% of caregivers gave a top rating for overall rating (9-10), below the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
78% of caregivers gave a top rating for would recommend, below 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
97.5%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
96.9%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
92.7%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
97.1%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
77.4%
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
88.6%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
69.6%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Paloma Hospice And Palliative Care'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.
24.9% of Paloma Hospice And Palliative Care's patients received visits from the hospice team in their final days of life, below the national average of 47.9%. Families may want to discuss end-of-life visit availability with this hospice.
Visits Near Death
Patients with visits in last 3 days of life
81.6%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
6.3
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
4.7%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
87.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
5.2%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
53.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
18.7%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.1%
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
$28,001
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Paloma Hospice And Palliative Care's patient population is primarily composed of individuals with cardiovascular disease (33%), followed by dementia (28%), other conditions (15%), respiratory disease (12%), stroke (10%), cancer (7%). Heart failure is one of the leading diagnoses for hospice admission nationwide, and a high proportion of cardiac patients is typical of most hospice programs.
Care Settings
Where hospice care is delivered
Paloma Hospice And Palliative Care delivers 46% of its care in patients' homes, with 32% in assisted living settings, 13% in nursing facility settings, 9% 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 156 patients per day.
Patient's Home
Assisted Living
Nursing Facility
Skilled Nursing
Doctors at Paloma Hospice And Palliative Care
3 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Paloma Hospice And Palliative Care
What is the CMS rating for Paloma Hospice And Palliative Care?
Paloma Hospice And Palliative Care 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 Paloma Hospice And Palliative Care primarily treat?
Paloma Hospice And Palliative Care's patient population includes cardiovascular disease (33%), dementia (28%), other conditions (15%), respiratory disease (12%), stroke (10%), cancer (7%). This reflects the hospice's experience managing these conditions.
Where does Paloma Hospice And Palliative Care provide care?
Paloma Hospice And Palliative Care provides care in patient's home (46%), assisted living (32%), nursing facility (13%), skilled nursing (9%).
How large is Paloma Hospice And Palliative Care?
Paloma Hospice And Palliative Care serves an average of 156 patients per day and covers 197 ZIP codes in its service area.
How many doctors are affiliated with Paloma Hospice And Palliative Care?
3 physicians are affiliated with Paloma Hospice And Palliative Care.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·