HEART TO HEART HOSPICE OF TEXAS LTD
Provider Information
- Address
- 1406 HALSEY WAY STE 110
CARROLLTON, TX 75007 - Ownership Type
- For-Profit
- Medicare Certified Since
- December 15, 2003
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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) | 16 |
| Licensed Practical Nurses (LPN) | 3 |
| Volunteers | 18 |
53
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 HEART TO HEART HOSPICE OF TEXAS LTD 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 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how HEART TO HEART HOSPICE OF TEXAS LTD compares to hospices nationwide.
8.6 minutes
of nurse care per routine home care day, on average
That is the 13th percentile among hospices nationally. The national median is about 12 minutes.
144
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 day8.6 min
Ranks better than about 13% 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 weekends8.2%
Ranks better than about 53% 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 life91.6%
Ranks better than about 38% 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 visits69.8%
Ranks better than about 26% 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 care8.2%
Ranks better than about 38% 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 care17.1%
Ranks better than about 11% 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 hospice2.7%
Ranks better than about 29% 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)83rd 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$18,257 · 52nd 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 49.3% of patients or more. Most hospices score above 90 percent.
- Pain screening99.8%
- Pain assessment100%
- Breathing difficulty screening99.8%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life49.3%
- All care steps completed99.7%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer17%
- Dementia43%
- Heart and circulatory disease13%
- Lung and respiratory disease8%
- Stroke10%
- Other conditions12%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Heart to Heart Hospice of Texas Ltd
Heart to Heart Hospice of Texas Ltd serves families in Carrollton, Texas. This provider offers end-of-life care for patients in Denton County. They have been certified by Medicare since December 2003. Their team holds accreditation from the Accreditation Commission for Health Care. This group reviews hospice agencies to ensure they meet high standards for safety and service. Choosing an accredited provider means a third party has checked their work. It is a solid way to confirm a provider follows clear rules for patient care. They operate as a for-profit hospice agency. This means they are a business entity that provides medical and support services to patients at home or in facilities.
Quality and Care Standards
This agency shows strong quality-of-care marks based on the official Medicare Hospice Care Index. This index looks at how well a provider manages pain and tracks patient needs. Their performance in this area sits at the top tier of industry standards. But their patient satisfaction survey results from the CAHPS program are lower than the national average. These surveys ask families about communication and the support they received from the staff. It is helpful to look at both numbers when you make a choice. A provider can offer excellent medical care while having room to grow in how they talk with families. You should always ask providers how they plan to address feedback from past patients. This can give you a better sense of their commitment to improvement.
Quality Overview
What Is Hospice Care Like in Carrollton?
Hospice care in this area focuses on comfort and dignity for patients near the end of life. The team at this location includes 53 total employees to support your loved one. This staff features 16 registered nurses and 3 licensed practical nurses who manage medical symptoms. They also work with 18 volunteers who provide companionship and extra help for the family. Hospice care is not just about medicine. It is about a team approach to daily comfort. Registered nurses often lead the care plan while volunteers offer a friendly presence. You can expect this team to visit your home regularly. They coordinate with your primary doctor to keep everyone on the same page. This local setup helps ensure that care happens where the patient feels most comfortable.
What to Ask When Choosing a Hospice Provider
You have the right to ask questions before you sign up for care. Start by asking how the staff handles pain management after normal business hours. You need to know who will answer the phone at night or on weekends. Ask how often a nurse will visit the home to check on the patient. It is also wise to ask about the role of volunteers in your specific situation. You can ask for examples of how they support the family beyond medical tasks. Ask if the agency uses a specific plan to help family members cope with grief after a loss. These answers will help you see if the agency is a good fit for your values. Take your time to get clear answers that make you feel at peace.
Preserve Your Family Stories
Your loved one has a lifetime of memories. Recording these stories can be a comfort for your family during this time.
Start RecordingOther Hospice Providers Nearby
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AT TWILIGHT HOSPICE & PALLIATIVE CARE OF TX LLC
LOVING HOPE HOSPICE
DIVINÈ ROSES HOSPICE CARE
CARENOW HOSPICE LLC
CHARIS HEALTH AND HOSPICE LLC
Helpful Guides for Families
Understanding Medicare Hospice Benefit: A Family Guide
Confused by hospice coverage? Our guide to understanding Medicare hospice benefits helps you navigate care options and costs with confidence and clarity.
Starting Difficult Conversations: A Guide for Families
Struggling with end-of-life talks? Learn the best ways for starting difficult conversations with your aging parents to ensure their wishes are honored today.
What Nearly 17,000 Hospice Inspection Reports Reveal
CMS released 16,894 hospice inspection reports from late 2021 to early 2026. See what surveyors cited most, what serious findings mean, and how to use them.
Some stories are worth writing down
Between the calls and the paperwork, many families wish they had asked more about the person at the center of it all. A recorded conversation, a favorite recipe, the story behind an old photo. Small things now can mean a great deal later. Our legacy guides show simple ways to start.