ALL SEASONS HOSPICE OF TEXAS
Provider Information
- Address
- 15420 NACOGDOCHES RD
SAN ANTONIO, TX 78247 - Ownership Type
- For-Profit
- Medicare Certified Since
- August 13, 2016
Are you this hospice's administrator? Update your information
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) | 4 |
| Physicians | 1 |
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 ALL SEASONS HOSPICE OF TEXAS 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 That code may be out of date.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.
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 ALL SEASONS HOSPICE OF TEXAS compares to hospices nationwide.
14.8 minutes
of nurse care per routine home care day, on average
That is the 74th percentile among hospices nationally. The national median is about 12 minutes.
139
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 day14.8 min
Ranks better than about 74% 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%
Ranks better than about 26% 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 life97.6%
Ranks better than about 83% 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 visits66.2%
Ranks better than about 31% 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 care4.9%
Ranks better than about 61% 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 months52.4%
Ranks better than about 14% 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 care15%
Ranks better than about 17% 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 hospice1.5%
Ranks better than about 44% 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$18,156 · 51st 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 51.3% of patients or more. Most hospices score above 90 percent.
- Pain screening96.5%
- Pain assessment84.9%
- Breathing difficulty screening99.3%
- Breathing difficulty treatment99.6%
- Treatment preferences discussed99.1%
- Beliefs and values discussed97.9%
- Bowel care for patients on opioids92.9%
- Visits in the last days of life51.3%
- All care steps completed83%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer12%
- Dementia40%
- Heart and circulatory disease16%
- Lung and respiratory disease11%
- 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.
Support for Your Loved Ones
Four Seasons Healthcare of Texas serves families throughout San Antonio. They provide comfort-focused care for people facing life-limiting illnesses. Their team works out of their office on Nacogdoches Road in Bexar County. The goal here is simple. They want to help patients live each day with dignity and peace. Whether you are at home or in a care facility, their staff aims to manage pain and provide emotional support for everyone involved.
About Four Seasons Healthcare of Texas
This provider operates as a for-profit organization. They have been Medicare certified since August 2016. That is a decent track record of service in the Texas hospice space. Being Medicare certified means they meet federal standards for health and safety. You might be wondering what that means for your family. It means they follow specific rules for care delivery and staff training. They have earned a 5-star rating for their overall quality of care. That is a big deal in the medical world. It shows they focus heavily on clinical outcomes and symptom management. But remember, statistics are only one part of the story. Always meet the team to see if they feel like the right fit for your loved one's specific needs.
Quality Performance Snapshot
Understanding Hospice Care in San Antonio
Hospice care in San Antonio is about more than just medicine. It is a philosophy of care meant for the final months of life. The focus shifts from curing an illness to improving the quality of daily life. This includes managing pain, easing anxiety, and helping the family cope. Here is the thing—every hospice agency is unique. Some focus heavily on spiritual support. Others lean into advanced nursing care. Because San Antonio has many options, you should look for a provider that matches your family's personal values. You deserve a team that listens to your fears and answers your questions clearly. Don't be afraid to ask about their response times at night or how they handle emergency calls. The right team will be happy to explain their process to you.
What to Ask When Choosing a Hospice Provider
Choosing a hospice is a big decision that happens under pressure. Take a deep breath and use these questions to help clarify your choice. First, ask who will be visiting the home and how often they come. You want to know if you will see the same nurse every time. Consistency helps build trust. Second, ask how they handle pain management after hours. What happens if you call them at 3:00 AM on a Sunday? You need to know that help is truly available when you need it most. Third, ask how they support the family members, not just the patient. Do they offer grief counseling or help with daily tasks? Finally, ask about their experience with your loved one's specific diagnosis. Some agencies have more experience with certain conditions than others. The right agency will make you feel heard and supported.
Preserve Your Family's Story
The days you spend with your loved one are precious. We offer tools to help you record memories and keep their story alive for future generations to cherish.
Start Your Legacy ProjectOther Hospice Providers Nearby
Helpful Guides for Families
How to Start Hospice Conversations: A Practical Guide
Learn how to start hospice conversations with your loved ones. Get expert scripts, signs it is time, and tools to find quality care near you with Hospice Scout.
Hospice vs Palliative Care: Understanding the Difference
Confused about hospice vs palliative care? We break down the key differences, benefits, and how to choose the right end-of-life care for your loved one.
What CMS Star Ratings Actually Mean for Your Family
Confused by hospice star ratings? Learn how CMS calculates these scores, what they reveal about care quality, and how to find the right provider for your family.
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.