About River City Hospice & Palliative Care
Hospice overview and quality summary
River City Hospice & 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 2010, River City Hospice & Palliative Care has provided 16 years of end-of-life and palliative care to the community.
River City Hospice & Palliative Care serves an average of 63 patients per day, covering 111 ZIP codes across its service area. 62% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
River City Hospice & Palliative Care holds a 2-star CMS rating based on caregiver surveys. Families are encouraged to review the detailed quality measures below. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 5 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
Below Average
CMS CAHPS Hospice Star Rating
River City Hospice & Palliative Care has received a 2-star quality rating from CMS, based on caregiver survey results. Families in San Antonio, TX considering this hospice should review the detailed survey results below and discuss quality measures with the care team.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
74% of caregivers gave a top rating for emotional & spiritual support, below the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
81% of caregivers gave a top rating for treated with respect, below the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
70% of caregivers gave a top rating for help with symptoms, below the national average of 74%.
Team Communication
How well the hospice team communicated with the family
73% of caregivers gave a top rating for team communication, below the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
69% 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
70% of caregivers gave a top rating for training for family caregivers, below the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
67% 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
71% 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
100.0%
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
99.0%
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
99.2%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
River City Hospice & Palliative Care'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.
45.8% of River City Hospice & Palliative Care'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
82.3%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
8.9
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
5.6%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
69.5%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
7%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
49.6%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
9.3%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
2.3%
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
$20,785
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
River City Hospice & Palliative Care's patient population is primarily composed of individuals with cardiovascular disease (29%), followed by dementia (26%), cancer (17%), other conditions (14%), respiratory disease (13%).
Care Settings
Where hospice care is delivered
River City Hospice & Palliative Care delivers 62% of its care in patients' homes, with 30% in nursing facility settings, 8% in assisted living settings. The hospice serves an average of 63 patients per day.
Patient's Home
Nursing Facility
Assisted Living
Doctors at River City Hospice & Palliative Care
5 affiliated physicians
Patient Reviews
Reviews and ratings from patients
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Frequently Asked Questions
About River City Hospice & Palliative Care
What is the CMS rating for River City Hospice & Palliative Care?
River City Hospice & Palliative Care has a 2-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 River City Hospice & Palliative Care primarily treat?
River City Hospice & Palliative Care's patient population includes cardiovascular disease (29%), dementia (26%), cancer (17%), other conditions (14%), respiratory disease (13%). This reflects the hospice's experience managing these conditions.
Where does River City Hospice & Palliative Care provide care?
River City Hospice & Palliative Care provides care in patient's home (62%), nursing facility (30%), assisted living (8%).
How large is River City Hospice & Palliative Care?
River City Hospice & Palliative Care serves an average of 63 patients per day and covers 111 ZIP codes in its service area.
How many doctors are affiliated with River City Hospice & Palliative Care?
5 physicians are affiliated with River City Hospice & Palliative Care.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·