LEGEND HOSPICE AND PALLIATIVE CARE
Provider Information
- Address
- 4200 S HULEN ST STE 304
FORT WORTH, TX 76109 - Ownership Type
- For-Profit
- Medicare Certified Since
- June 28, 2012
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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) | 9 |
| Volunteers | 0 |
22
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 LEGEND HOSPICE AND 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 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how LEGEND HOSPICE AND PALLIATIVE CARE compares to hospices nationwide.
8.5 minutes
of nurse care per routine home care day, on average
That is the 12th percentile among hospices nationally. The national median is about 12 minutes.
61
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 day8.5 min
Ranks better than about 12% 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 weekends5.9%
Ranks better than about 25% 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 life95.9%
Ranks better than about 69% 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 visits78.6%
Ranks better than about 15% 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 care3.8%
Ranks better than about 68% 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 months38.7%
Ranks better than about 44% 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 care10.4%
Ranks better than about 33% 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 hospice1.9%
Ranks better than about 39% 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)67th 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$21,365 · 67th 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 65.9% of patients or more. Most hospices score above 90 percent.
- Pain screening98.3%
- Pain assessment97.2%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life65.9%
- All care steps completed96.6%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer18%
- Dementia24%
- Heart and circulatory disease16%
- Lung and respiratory disease13%
- Stroke14%
- Other conditions18%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Legend Hospice and Palliative Care
Legend Hospice and Palliative Care serves families in Fort Worth, Texas. This provider offers end-of-life care and palliative support to those in need. They have been certified by Medicare since 2012. The organization holds accreditation from CHAP. This means they meet high standards for safety and patient care. Most people value this third-party check. It shows a commitment to good service every single day.
Provider Background
Legend Hospice and Palliative Care operates as a for-profit hospice provider. Being for-profit simply describes their tax status and business structure. They manage their operations from their office on South Hulen Street. The team consists of 22 employees. This includes 9 registered nurses who provide direct clinical care. They do not currently use volunteers in their care delivery model. Accreditation by CHAP is a rigorous process. It requires the agency to pass regular reviews of their medical records and patient outcomes. Families should know that this provider has a long history of serving the Tarrant County area. They have provided care in this region for over a decade now. That is a significant amount of time to build local ties.
Quality Performance
What Is Hospice Care Like in Fort Worth?
Hospice care in Fort Worth focuses on comfort and pain relief. It is meant for people who have a terminal illness and want to spend their remaining time at home. The goal is to manage symptoms rather than cure the disease. Teams usually include nurses, doctors, and aides. In this specific agency, the staff includes 9 registered nurses. These professionals visit patients wherever they call home. They help with medication and physical comfort. They also support families by answering questions and providing guidance. Some agencies also bring in social workers or chaplains for emotional support. This depends on the specific needs of the patient and their family. Care is available 24 hours a day. You can call them at any time if a medical issue arises. That is the standard for hospice care in Texas.
What to Ask When Choosing a Hospice Provider
Choosing a care provider is a serious step. You should feel comfortable with the team you pick. Start by asking how many nurses will be assigned to your case. Ask how they handle pain management during the night or on weekends. You should also ask how they communicate with your primary doctor. It is good to know their response time for emergency calls. Ask about the specific services they offer in your zip code. Most agencies will explain their process clearly if you ask. Write down the answers to compare different options. You want a team that responds to your questions with patience. Take your time to get the answers you need.
Preserve Your Family Stories
Your loved one has a life full of stories and wisdom that deserve to be remembered for years to come.
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