1ST QUALITY HOSPICE LLC
Provider Information
- Address
- 407 E ABBEY ST
LIVINGSTON, TX 77351 - Ownership Type
- For-Profit
- Medicare Certified Since
- August 10, 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) | 5 |
| Licensed Practical Nurses (LPN) | 2 |
| Physicians | 3 |
| Volunteers | 1 |
20
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 1ST QUALITY HOSPICE LLC reported, not a check of what it offers today. Confirm current arrangements with the hospice.
An older Medicare record for this hospice lists short-term inpatient care as “not provided.” That code may be out of date. Medicare requires certified hospices to make inpatient care available for symptom management and caregiver respite. Ask this hospice how it arranges a bed if symptoms become hard to manage at home.
- Medical supplies and equipment
- Brought in through an outside supplier
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 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how 1ST QUALITY HOSPICE LLC compares to hospices nationwide.
10.1 minutes
of nurse care per routine home care day, on average
That is the 26th percentile among hospices nationally. The national median is about 12 minutes.
15
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 day10.1 min
Ranks better than about 26% 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 life86.4%
Ranks better than about 22% 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 visits63.4%
Ranks better than about 35% 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 care7.5%
Ranks better than about 42% 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 months50%
Ranks better than about 17% 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 care5%
Ranks better than about 61% 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 hospice5%
Ranks better than about 11% 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$21,966 · 70th 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 6 required care steps for new patients here, completed for 18.9% of patients or more. Most hospices score above 90 percent.
- Pain screening96.9%
- Breathing difficulty screening100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Visits in the last days of life18.9%
- All care steps completed90.6%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Dementia59%
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 Livingston
1ST QUALITY HOSPICE LLC provides end-of-life care for families in Livingston, Texas. They serve patients in Polk County with a focus on comfort and dignity. Their team works to meet the physical and emotional needs of those with serious illnesses. They strive to help patients live their final days in peace. Choosing a hospice provider is a very big decision for any family. This provider offers professional support to help patients stay at home whenever possible. They are dedicated to serving the local community with kindness. You can reach them at (409) 331-9909 to learn more about their specific care options. Their goal is to provide quality support during a difficult time. They are a local resource for families who need help navigating complex end-of-life care decisions. Their staff is trained to help you and your loved ones navigate this journey with care.
About 1ST QUALITY HOSPICE LLC
1ST QUALITY HOSPICE LLC is a for-profit provider based in Livingston. They have been Medicare certified since August 10, 2012. This long history shows their commitment to meeting federal safety and care standards. When you choose a hospice, you should look for a team that fits your family's values. Being Medicare certified means they meet strict rules for patient care. Families should know that this provider operates out of their office on E Abbey St. They focus on maintaining high standards for every patient they serve. You can feel confident knowing they have met these requirements for over a decade. It is important to talk with them about your specific needs. They can explain how their team supports patients and families in Polk County. Their experience helps them provide steady care when you need it most. They are here to guide you through the hospice process step by step.
Understanding Hospice Care in Livingston
Hospice care is a special way to support people with serious illnesses. It is not about giving up hope. Instead, it is about making sure a patient is comfortable and free of pain. In Livingston, hospice teams include doctors, nurses, and social workers. They all work together to help the patient and the family. Most care happens right in the patient's own home. This allows families to spend time together in a familiar place. Hospice also provides help for the family members who are caring for their loved ones. They offer emotional support and help with daily chores. You do not have to walk this path alone. The local hospice teams in Polk County are ready to assist you. They are there to listen and provide the right care at the right time. Your comfort is their main goal every single day.
What to Ask When Choosing a Hospice Provider
Choosing the right hospice is an important step for your family. You should feel comfortable asking questions to find the best fit. Here are a few things to ask a provider during your first meeting:
- How quickly can your team come to my home if a crisis happens?
- What specific services do you provide to help with pain management?
- How will your staff keep me informed about my loved one's care?
- What kind of emotional support do you offer for family members?
Keep Your Family Stories Alive
This time of life is for sharing memories and stories. We can help you capture those important family moments to save for the future.
Learn MoreOther Hospice Providers Nearby
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