MONARCH HOSPICE
Provider Information
- Address
- 321 N CENTRAL EXPY #303
MCKINNEY, TX 75070 - Ownership Type
- For-Profit
- Medicare Certified Since
- August 11, 2017
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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) | 4 |
| Physicians | 1 |
| Volunteers | 1 |
11
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 MONARCH HOSPICE 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
- Respite care (up to five days at a time, to give family caregivers a break)
- 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 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how MONARCH HOSPICE compares to hospices nationwide.
7.8 minutes
of nurse care per routine home care day, on average
That is the 8th percentile among hospices nationally. The national median is about 12 minutes.
23
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 day7.8 min
Ranks better than about 8% 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 weekends6.5%
Ranks better than about 32% 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 life73.8%
Ranks better than about 9% 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 visits94.7%
Ranks better than about 3% 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 care1.9%
Ranks better than about 79% 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 months48.1%
Ranks better than about 21% 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 care22.2%
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 hospice0%
Ranks better than about 55% 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)81st 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$25,020 · 82nd 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 7 required care steps for new patients here, completed for 24.4% of patients or more. Most hospices score above 90 percent.
- Pain screening95.2%
- Pain assessment100%
- Breathing difficulty screening88.7%
- Treatment preferences discussed100%
- Beliefs and values discussed96.8%
- Visits in the last days of life24.4%
- All care steps completed74.2%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Dementia57%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
About Monarch Hospice
Monarch Hospice serves families in McKinney, Texas, and the surrounding Collin County area. This freestanding provider offers specialized end-of-life care focused on comfort and symptom management. They have been certified by Medicare since August 2017. The team holds accreditation from the Accreditation Commission for Health Care. This designation shows that an independent group checked their work against high national standards. It provides a clear way to measure their commitment to safe, high-quality care for your loved ones.
About Monarch Hospice
Monarch Hospice operates as a for-profit organization. They maintain a team of 11 employees to support their patients. This staff includes four registered nurses, one physician, and one volunteer. Accreditation from the ACHC is a big mark of quality. The ACHC is a group that reviews hospice agencies to ensure they follow federal and state health rules. They look at how a hospice handles medicine, records, and patient safety. For families, this means a third party has verified the agency follows standard practices. You should feel comfortable asking how their small, focused team manages care for those with complex needs. It helps to know who will be at the bedside.
Quality of Care
What Is Hospice Care Like in McKinney?
Hospice care in McKinney centers on managing pain and keeping patients comfortable at home. Most care happens where the patient lives. The team visits to check on symptoms and offer emotional support to the whole family. Because Monarch Hospice is a smaller, freestanding agency, they often provide a very personal touch. Their staff includes four registered nurses and one physician who coordinate care. They also have one volunteer available to offer extra companionship when needed. This setup allows for consistent communication between the doctor and the nurses. You will likely see the same faces during their visits. That consistency helps build a strong bond between the staff and your family during a difficult time.
What to Ask When Choosing a Hospice Provider
Selecting the right care team takes time. Start by asking how quickly a nurse can arrive if a sudden crisis happens at night. You should also ask how the team will help manage specific symptoms like pain or trouble breathing. Find out how often the nurse will visit your home each week. It is also good to ask how they support family caregivers who need a break. Ask about their plan for after-hours calls. You want to know exactly who answers the phone at three in the morning. These questions help you see if their process matches your family needs. Do not be afraid to ask for clear, simple answers.
Keep Your Family Stories Alive
Every life has a unique story worth saving for the future. We offer tools to help you record and protect these memories today.
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