NIGHTINGALE HOSPICE CARE, INC.
Provider Information
- Address
- 4400 NW LOOP 410 STE 115 RM 1
SAN ANTONIO, TX 78228 - Ownership Type
- For-Profit
- Medicare Certified Since
- May 7, 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 |
| Volunteers | 1 |
2
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 NIGHTINGALE HOSPICE CARE, INC. 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 NIGHTINGALE HOSPICE CARE, INC. compares to hospices nationwide.
10.7 minutes
of nurse care per routine home care day, on average
That is the 33rd percentile among hospices nationally. The national median is about 12 minutes.
72
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 day10.7 min
Ranks better than about 33% 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 weekends4.9%
Ranks better than about 15% 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 life88%
Ranks better than about 26% 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 visits67.6%
Ranks better than about 29% 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 care3.4%
Ranks better than about 71% 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 months44.9%
Ranks better than about 28% 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 care17.6%
Ranks better than about 11% 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 hospice2.9%
Ranks better than about 26% 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$27,287 · 87th 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 39.2% of patients or more. Most hospices score above 90 percent.
- Pain screening99.5%
- Pain assessment97.7%
- Breathing difficulty screening100%
- Breathing difficulty treatment99.3%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids98.2%
- Visits in the last days of life39.2%
- All care steps completed97.8%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer14%
- Dementia30%
- Heart and circulatory disease23%
- Lung and respiratory disease8%
- Stroke16%
- Other conditions12%
Source: Centers for Medicare & Medicaid Services. Percentiles are computed by CMS across all reporting hospices.
Nightingale Hospice Care, Inc.
Nightingale Hospice Care, Inc. serves families in San Antonio, Texas from their office in Bexar County. They offer hospice services to patients who have a terminal illness and choose comfort over curative care. The agency holds accreditation from the Accreditation Commission for Health Care, also known as ACHC. This means an outside group checked their work to make sure they follow strict rules for safety and care. They earned their Medicare certification in May 2021. The team works hard to support patients at home or in other settings. They focus on managing symptoms and providing emotional support to the whole family. Choosing the right provider matters for your loved one. This agency has a clear record with government reviewers. It is a freestanding hospice provider that operates as a for-profit business. They aim to provide care that meets high standards every day.
About Nightingale Hospice Care, Inc.
Nightingale Hospice Care, Inc. is a for-profit hospice agency. They have been certified by Medicare since 2021. The agency maintains accreditation through the ACHC. This group sets high bars for how a hospice should run their daily operations. They look at things like infection control and patient rights. You should know that accreditation is optional but shows a serious commitment to quality. Their team includes a registered nurse and a volunteer. This small team size allows for focused attention on the people they serve. Families should look at these details when they compare local options. A smaller team can sometimes offer a more personal touch. Make sure to ask how they handle after-hours calls or weekend needs. You deserve to understand exactly who will be in your home. Quality care depends on clear communication between the staff and your family. They are ready to answer your questions about their specific care process.
Quality Ratings
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. Local providers often send nurses, aides, and social workers to your home. This allows a patient to stay in a familiar place surrounded by their own things. At Nightingale Hospice Care, Inc., the staff includes a registered nurse and a volunteer. These professionals work with the family to create a plan that fits the patient. The goal is to reduce pain and help the family cope with hard changes. Many families find that having a professional team makes a big difference during this time. You can get help with medical equipment and medicine deliveries as well. It is a team effort. The staff provides the support you need to make each day as peaceful as possible. You are the expert on your loved one, and the hospice team is there to listen to your needs.
What to Ask When Choosing a Hospice Provider
Picking the right hospice is a big decision for your family. Start by asking how the team will handle pain management at night or on weekends. You need to know that someone is always available to help. Ask how many patients each nurse usually sees in a single day. A smaller caseload often means more time for your specific needs. Ask how they involve volunteers in the care plan. Volunteers can offer companionship or help with small tasks around the house. It is also good to ask about their experience with your loved one's specific illness. Do they have special training for that condition? Finally, ask how they communicate with your regular doctor. You want to be sure that everyone is on the same page. Clear answers help you feel confident in your choice. Take your time to get the facts before you decide on a partner for this care.
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