AT TWILIGHT HOSPICE & PALLIATIVE CARE
Provider Information
- Address
- 2625 N JOSEY LANE SUITE 301
CARROLLTO, TX 75007 - Ownership Type
- Other
- Medicare Certified Since
- March 18, 2020
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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 August 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) | 0 |
| Volunteers | 1 |
0
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 AT TWILIGHT HOSPICE & PALLIATIVE CARE 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
- Both general inpatient care and respite care
- 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 AT TWILIGHT HOSPICE & PALLIATIVE CARE compares to hospices nationwide.
9.7 minutes
of nurse care per routine home care day, on average
That is the 22nd percentile among hospices nationally. The national median is about 12 minutes.
55
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 day9.7 min
Ranks better than about 22% 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 weekends5.3%
Ranks better than about 18% 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 life85.5%
Ranks better than about 20% 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 visits84.6%
Ranks better than about 9% 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 care11%
Ranks better than about 22% 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 months39.7%
Ranks better than about 42% 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 care21.9%
Ranks better than about 5% 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 hospice9.6%
Ranks better than about 2% 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$17,969 · 50th 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 47.4% of patients or more. Most hospices score above 90 percent.
- Pain screening96.4%
- Pain assessment70.9%
- Breathing difficulty screening99.0%
- Breathing difficulty treatment96.0%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids95.7%
- Visits in the last days of life47.4%
- All care steps completed79.8%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer13%
- Dementia43%
- Heart and circulatory disease13%
- Stroke13%
- Other conditions17%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
At Twilight Hospice & Palliative Care
At Twilight Hospice & Palliative Care serves families in Carrollton, Texas. They provide hospice and palliative support to those with serious health needs. The team holds accreditation from ACHC. This shows they meet specific standards for their care delivery. Their office sits on North Josey Lane in Dallas County. They have been certified by Medicare since early 2020. This provider operates as a freestanding hospice agency. They aim to support patients through the end of life. You can reach their office directly at (956) 752-6160 to learn more about their current capacity and service area. They work to provide comfort to patients and their loved ones during difficult times. Choosing the right care is a big decision for any family. Learning about their background helps you make an informed choice for your needs.
About AT TWILIGHT HOSPICE & PALLIATIVE CARE
This agency is listed as an other ownership type. They earned Medicare certification in March of 2020. Accreditation from the ACHC is a sign of their commitment to quality. The ACHC performs reviews to check that agencies follow strict health rules. This process is voluntary but shows a desire to meet high standards. Families should know that this agency is a freestanding site. This means they focus only on hospice care rather than being part of a larger hospital system. They have one volunteer on their team to help with patient needs. The team works to manage symptoms and provide support for family members. You should ask about their specific staffing model when you call. Understanding how they coordinate care is a great way to see if they fit your goals. They are ready to answer questions about their daily operations and clinical oversight.
Quality Performance
What Is Hospice Care Like in CARROLLTO?
Hospice care in the Carrollton area focuses on comfort and dignity. Teams visit patients at home or in care facilities to manage pain. They provide medicine and equipment to keep patients as comfortable as possible. This agency currently reports no registered nurses on their direct employee roster. They include one volunteer to assist with the needs of the patient and family. Staff usually include doctors and aides who visit as needed. You can ask them how they coordinate with local hospitals if an emergency happens. The main goal is to improve the quality of each day for the patient. Many agencies in Dallas County work with families to create a plan that fits their home life. Care is about more than just medicine. It is about emotional support and helping families spend time together without worry.
What to Ask When Choosing a Hospice Provider
You have the right to ask questions before picking a hospice agency. Start by asking how they handle pain management after hours. It is good to know who will answer if you call in the middle of the night. Ask how often a nurse will visit your home each week. You should also ask how they support family caregivers with training and rest. Ask about their experience with your specific diagnosis or health condition. Finally, ask what happens if your needs change and you require a higher level of care. These questions help you understand the support you will receive. Write down the answers to help you compare your options later. Take your time with this process. You deserve to feel confident in the care team that will support your family.
Preserve Your Family Stories
Capture memories and life lessons to share with future generations.
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Helpful Guides for Families
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Starting Difficult Conversations: A Guide for Families
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Some stories are worth writing down
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