CROSSROADS HOME HEALTH & HOSPICE
Provider Information
- Address
- 1109 VICENTE STREET, SUITE 101
SAN FRANCISCO, CA 94116 - Ownership Type
- For-Profit
- Medicare Certified Since
- June 19, 1996
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CMS Quality Ratings
Composite score combining quality measures and patient survey results.
Based on the CMS Hospice Care Index — 10 operational quality indicators including visits near death, nursing minutes, and care transitions.
CAHPS Hospice Survey — family caregivers rate communication, symptom management, respect, and overall experience.
CMS scores as of May 2026. Quality of Care derived from CMS Hospice Care Index. Patient Satisfaction from the CMS CAHPS Hospice Survey. Overall is the equally-weighted average of both. All source data published by the Centers for Medicare & Medicaid Services.
Staffing & Capacity
| Role | Staff Count |
|---|---|
| Registered Nurses (RN) | 5 |
| Licensed Practical Nurses (LPN) | 4 |
| Physicians | 2 |
| Volunteers | 3 |
17
Total Employees
Staffing data as reported to the Centers for Medicare & Medicaid Services.
Inpatient Care and Medical Equipment
Hospices report these services to Medicare when they are certified. This is what CROSSROADS HOME HEALTH & HOSPICE reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Arranged through another hospital or nursing home
- Type of inpatient care
- Respite care (up to five days at a time, to give family caregivers a break)
- Medical supplies and equipment
- Brought in through an outside supplier
Short stays in a hospice inpatient unit, hospital, or nursing home for pain or symptoms that cannot be managed where the patient lives, or to give family caregivers a break.
Equipment and supplies tied to the terminal illness and the plan of care, such as a hospital bed, oxygen, wound supplies, or a wheelchair.
Medicare lets hospices provide these services through arrangements with other organizations. Either way, the hospice stays responsible for the covered care in the patient’s plan of care.
Reported by this hospice to the Centers for Medicare & Medicaid Services when it was certified in 2020.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how CROSSROADS HOME HEALTH & HOSPICE compares to hospices nationwide.
10.8 minutes
of nurse care per routine home care day, on average
That is the 34th percentile among hospices nationally. The national median is about 12 minutes.
39
patients in care on an average day
A rough measure of size. Smaller can mean more personal. Larger can mean more resources.
How this hospice compares nationally
Bars show national standing on measures from the CMS Hospice Care Index. A fuller bar means this hospice does better than more of the hospices CMS tracks.
- Nurse care minutes per home care day10.8 min
Ranks better than about 34% of hospices nationally on this measure.
What this measures
The average minutes of nursing care per day for patients getting routine care at home, based on Medicare claims. More nurse time usually means more hands-on support.
- Skilled nursing on weekends5.5%
Ranks better than about 20% of hospices nationally on this measure.
What this measures
The share of skilled nursing time delivered on Saturdays and Sundays. Symptoms do not wait for weekdays, so weekend coverage matters.
- Nurse visits in the last days of life81.3%
Ranks better than about 15% of hospices nationally on this measure.
What this measures
The share of patients who got nurse visits in their final days of life. This is when families tend to need the most support.
- Gaps in nursing visits67%
Ranks better than about 30% of hospices nationally on this measure.
What this measures
How often patients went more than a week without a nursing visit. Fewer gaps mean steadier attention.
- Patients discharged alive early in care13%
Ranks better than about 13% of hospices nationally on this measure.
What this measures
The share of patients who left hospice alive within the first week of care. A rate of 0% means it did not happen to any of their patients.
- Patients discharged alive after 6 months34.8%
Ranks better than about 55% of hospices nationally on this measure.
What this measures
The share of patients discharged alive after six months or more in hospice care.
- Hospital transfers near the end of care10.1%
Ranks better than about 35% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, spent time in the hospital, then came back to hospice.
- Hospital stays that interrupt hospice0%
Ranks better than about 55% of hospices nationally on this measure.
What this measures
The share of patients who left hospice, went to the hospital, and died there soon after.
- Days at higher levels of care (CHC or GIP)52nd percentile
What this measures
The share of care days delivered at higher levels, such as continuous home care or inpatient care. Shown only as a national rank because small percentages round to zero.
- Medicare spending per patient$31,672 · 93rd percentile
What this measures
What Medicare paid per patient for this hospice's care. Higher or lower spending is not a quality judgment by itself.
Care steps completed at admissionShow detailsMedicare tracked 9 required care steps for new patients here, completed for 28.4% of patients or more. Most hospices score above 90 percent.
- Pain screening97.9%
- Pain assessment97.1%
- Breathing difficulty screening100%
- Breathing difficulty treatment87.5%
- Treatment preferences discussed98.9%
- Beliefs and values discussed89.4%
- Bowel care for patients on opioids100%
- Visits in the last days of life28.4%
- All care steps completed84%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer19%
- Dementia30%
- Heart and circulatory disease17%
- Stroke9%
- Other conditions23%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Crossroads Home Health and Hospice
Crossroads Home Health and Hospice serves families in the San Francisco area. This provider offers specialized medical support for patients facing life-limiting conditions. They have operated as a certified hospice provider since 1996. The organization holds accreditation from the Joint Commission. This means they meet high national standards for safety and patient care quality. Their team works to provide comfort and dignity in the home setting. Choosing a hospice is a major decision for any family. You deserve to know the facts about the care your loved one will receive. This provider focuses on medical management and emotional support for their patients in California.
About Crossroads Home Health and Hospice
This organization operates as a for-profit hospice provider. They have maintained Medicare certification for over 25 years. The Joint Commission grants accreditation only to agencies that meet strict performance goals. These goals cover how the staff manages pain and communicates with families. Their surveyors visit the site to check on clinical records and patient safety protocols. This review process happens on a regular basis to ensure consistent results. Many families look for this specific seal of approval when comparing local hospice options. It indicates a clear commitment to following best practices in end-of-life care. The team includes 17 employees who handle daily tasks for their patients. They have a mix of nursing staff and medical experts on hand to help. Knowing who is on the care team helps families feel more prepared for the road ahead.
Quality of Care
What Is Hospice Care Like in San Francisco?
Hospice care in San Francisco focuses on keeping patients comfortable in their own homes. The team works to manage symptoms and provide support for family caregivers. At this specific location, the staff includes 5 registered nurses and 4 licensed practical nurses. They also employ 2 physicians to oversee medical decisions. You will also find 3 volunteers who offer extra help and companionship to patients. These professionals work together to create a plan that fits the specific needs of your family member. They visit the home to check on vitals and adjust medications as needed. The goal is to reduce pain and help the patient stay at home. It is a team effort. Each person plays a specific role in keeping the patient comfortable. You should ask how often these staff members visit your home during the week.
What to Ask When Choosing a Hospice Provider
Finding the right care team takes time. You should prepare a list of questions to ask during your first meeting. Start by asking how the team handles pain management after normal business hours. You need to know who to call in the middle of the night. Ask what specific tasks the nurses will handle during their visits. It is also good to ask how they help families cope with the emotional parts of this transition. Ask if the team can help with personal care like bathing or light cleaning. Finally, ask how they communicate changes in the patient's condition to the family. Getting clear answers helps you feel more confident in your choice. Take notes while you talk to their staff. You want to be sure you understand the services they provide each day.
Preserve Your Family Stories
Capture the life stories and memories of your loved ones while you still can. Create a lasting record for future generations.
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