About Reliant At Home
Hospice overview and quality summary
Reliant At Home is a for-profit hospice care provider in Shenandoah, TX, serving patients and families in Montgomery County and the surrounding area. Medicare certified since 2005, Reliant At Home has provided 21 years of end-of-life and palliative care to the community.
Reliant At Home serves an average of 120 patients per day, covering 250 ZIP codes across its service area. 40% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
CMS has assigned Reliant At Home a 3-star quality rating based on caregiver survey feedback, indicating average satisfaction with the hospice's care. The facility's Hospice Care Index score is 9 out of 10, a composite measure of care quality and efficiency. 8 physicians are affiliated with this hospice.
When choosing hospice care in Shenandoah, 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
Average
CMS CAHPS Hospice Star Rating
Reliant At Home has received a 3-star quality rating from CMS, based on the CAHPS Hospice Survey. This average rating reflects caregiver satisfaction across communication, symptom management, timely care, and emotional support. CMS publishes these ratings to help families in Shenandoah, TX compare hospice providers.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
88% 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
91% 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
75% 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
80% 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
75% 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
74% 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
76% 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
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
98.1%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
97.7%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
97.8%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
99.2%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
92.6%
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
91.1%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Reliant At Home'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.
52.5% of Reliant At Home's patients received visits from the hospice team in their final days of life, consistent with the national average of 47.9%. Presence during the final days reflects the hospice's commitment to supporting families when it matters most.
Visits Near Death
Patients with visits in last 3 days of life
89.6%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
13
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
6%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
51.8%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
5.3%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
45.3%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
26%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.7%
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
$23,373
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Reliant At Home's patient population is primarily composed of individuals with dementia (42%), followed by cardiovascular disease (17%), cancer (17%), respiratory disease (10%), stroke (9%), other conditions (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
Reliant At Home delivers 40% of its care in patients' homes, with 36% in assisted living settings, 16% in skilled nursing settings, 7% in nursing facility 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 120 patients per day.
Patient's Home
Assisted Living
Skilled Nursing
Nursing Facility
Doctors at Reliant At Home
8 affiliated physicians
Dr. Paula Bessonett, MD
Family Practice
Dr. Qaiser Saeed, MD
Internal Medicine
Dr. Chandra Annapureddy, MD
Internal Medicine
Dr. Rehan Yazdani, MD
Internal Medicine
Dr. James Orms, MD
Emergency Medicine
Dr. Michael Jenks, MD
Family Practice
Dr. Mary Snellings, MD
Internal Medicine
Dr. Brannon George, MD
Internal Medicine
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About Reliant At Home
What is the CMS rating for Reliant At Home?
Reliant At Home has a 3-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 Reliant At Home primarily treat?
Reliant At Home's patient population includes dementia (42%), cardiovascular disease (17%), cancer (17%), respiratory disease (10%), stroke (9%), other conditions (8%). This reflects the hospice's experience managing these conditions.
Where does Reliant At Home provide care?
Reliant At Home provides care in patient's home (40%), assisted living (36%), skilled nursing (16%), nursing facility (7%).
How large is Reliant At Home?
Reliant At Home serves an average of 120 patients per day and covers 250 ZIP codes in its service area.
How many doctors are affiliated with Reliant At Home?
8 physicians are affiliated with Reliant At Home.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·