GRACEFUL HOSPICE AND PALLIATIVE CARE LLC
Provider Information
- Address
- 3201 CHERRY RIDGE DR STE B-219
SAN ANTONIO, TX 78230 - Ownership Type
- For-Profit
- Medicare Certified Since
- August 19, 2021
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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) | 1 |
| Licensed Practical Nurses (LPN) | 1 |
| Volunteers | 0 |
4
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 GRACEFUL HOSPICE AND PALLIATIVE CARE LLC 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 2021.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how GRACEFUL HOSPICE AND PALLIATIVE CARE LLC compares to hospices nationwide.
18.1 minutes
of nurse care per routine home care day, on average
That is the 91st percentile among hospices nationally. The national median is about 12 minutes.
27
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 day18.1 min
Ranks better than about 91% 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 weekends5.2%
Ranks better than about 17% 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 life100%
Ranks better than about 99% 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 visits30%
Ranks better than about 79% 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 care2.8%
Ranks better than about 74% 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 months41.7%
Ranks better than about 36% 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 care11.1%
Ranks better than about 30% 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)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$30,189 · 91st 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 26.9% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment100%
- Breathing difficulty screening100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Visits in the last days of life26.9%
- All care steps completed96.4%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Dementia33%
- Heart and circulatory disease30%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
About Graceful Hospice and Palliative Care LLC
Graceful Hospice and Palliative Care LLC provides hospice services to families in San Antonio, Texas. This provider operates as a freestanding hospice agency. They received their Medicare certification on August 19, 2021. The team holds accreditation from the Community Health Accreditation Partner, also known as CHAP. This means an outside group checked their work against high standards. It is a sign of their commitment to care. They serve the Bexar County area from their office on Cherry Ridge Drive. Choosing a local team helps keep care focused on your needs. Their small team structure allows for direct attention to each patient they serve. This is how they support your family during a difficult time.
Agency Details and Quality
Graceful Hospice and Palliative Care LLC is a for-profit hospice agency. They have earned strong quality-of-care marks based on the official CMS Hospice Care Index. This score looks at how agencies perform across many areas of patient care. Accreditation from CHAP is another layer of oversight that matters. CHAP sends experts to visit the agency and review their files. They check that the agency follows federal rules and safety laws. This process helps ensure that the care you receive is reliable. Because they are a smaller team with four total employees, they can often offer a personal touch. You should know that they have one registered nurse and one licensed practical nurse on staff. They work to meet your loved one's needs with care and attention to detail.
Quality Overview
What Is Hospice Care Like in San Antonio?
Hospice care in San Antonio focuses on comfort and dignity for patients near the end of life. Agencies here provide support at home or in nursing facilities. The team includes doctors, nurses, and aides who visit you. At Graceful Hospice and Palliative Care LLC, the clinical staff includes one registered nurse and one licensed practical nurse. This team works together to manage pain and other symptoms. They also help families understand what to expect. Care plans change based on the specific needs of the patient. The goal is to improve quality of life every single day. You can talk with the hospice team about your goals for care. They will explain how their services fit your family situation. This local support is a standard part of the hospice experience in Texas.
What to Ask When Choosing a Hospice Provider
Choosing the right hospice agency is a big decision for your family. You should feel comfortable asking questions before you sign any paperwork. Start by asking how many nurses are on call at night. You should also ask how quickly a nurse can get to your home in an emergency. Ask the agency how they handle pain management and if they help with medical equipment. Another good question is how they support family members during grief. Do they offer counseling or support groups? It is also smart to ask about their experience with your specific diagnosis. You need clear answers to make a good choice. Take your time to talk with the staff about these items. Their answers will help you decide if they are a good fit for your needs.
Keep Your Family Stories Alive
Recording your loved one's memories provides comfort for generations to come. Start preserving these special moments today.
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Helpful Guides for Families
Understanding Hospice Levels of Care: A Family Guide
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Understanding Medicare Hospice Benefit: A Family Guide
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Understanding Medicare Hospice Benefits: A Family Guide
Navigating end-of-life care is complex. Our guide to Understanding Medicare Hospice Benefits helps you manage costs, coverage, and care with confidence today.
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.