AT TWILIGHT HOSPICE & PALLIATIVE CARE
Provider Information
- Address
- 2625 N JOSEY LANE SUITE 301
CARROLLTO, TX 75007 - Ownership Type
- For-Profit
- 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 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) | 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 screening96.9%
- Pain assessment71.8%
- Breathing difficulty screening98.5%
- Breathing difficulty treatment97.4%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids95.1%
- Visits in the last days of life47.4%
- All care steps completed80.6%
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, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Compassionate Care in Carrollton
At Twilight Hospice & Palliative Care serves families in Carrollton, Texas. They provide end-of-life support and comfort-focused care for patients. Their team works to improve quality of life when a cure is no longer the goal. They focus on managing pain and supporting the emotional needs of patients. Choosing the right hospice is a major step for any family. This provider offers professional services from their office on North Josey Lane. They are dedicated to serving the Dallas area with care and kindness.
About AT TWILIGHT HOSPICE & PALLIATIVE CARE
This hospice provider has been Medicare certified since March 2020. As a for-profit organization, they operate under federal guidelines to ensure standard care. Families should know that Medicare certification means they follow strict national rules. These rules cover the quality of care and safety for patients. Their location in Dallas County makes them a local option for many residents. Being certified means they meet specific federal criteria for hospice services. When you meet with them, ask how their status helps your loved one. They have been providing these services for several years in the Texas community. Understanding their background can help you feel more at ease with your choice.
Quality Rating Note
Understanding Hospice Care in Carrollton
Hospice care is a special way to support people with serious illnesses. It shifts the focus from curing a disease to keeping the patient comfortable. In Carrollton, many families find that hospice provides much-needed relief. It includes help from doctors, nurses, and spiritual counselors. The care can happen in your own home or in a facility. The main goal is to manage pain and other difficult symptoms. This allows the patient to spend meaningful time with their family. Hospice teams also provide emotional support for the whole family during this time. You do not have to walk this path alone. Local providers are there to walk beside you and answer your questions every step of the way.
What to Ask When Choosing a Hospice Provider
Choosing the right team is a big decision for your family. Start by asking these questions to find the best fit:
- How quickly can your team reach my home if we have an emergency?
- What specific services do you offer to support family caregivers at home?
- How do you handle pain and symptom management for your patients?
- What is your staff-to-patient ratio so I know how much time they have?
Asking these questions helps you understand how they work. It is important to feel comfortable with the people entering your home. Trust your instincts when you talk to them. A good provider will be happy to answer all your concerns clearly. They should make you feel heard and respected throughout the entire process.
Preserve Your Family Stories
This time is precious for your family. Capture and save the memories and stories of your loved one to keep their legacy alive for future generations.
Start Preserving MemoriesOther Hospice Providers Nearby
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HOSPICE BRAZOS VALLEY INC
Helpful Guides for Families
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10 Essential Hospice Questions for Evaluating Providers
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Some stories are worth writing down
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