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 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) | 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 screening98.7%
- Pain assessment97.4%
- Breathing difficulty screening99.4%
- Breathing difficulty treatment96%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids97.5%
- Visits in the last days of life39.2%
- All care steps completed94.8%
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, reporting period January 2023 through December 2024. 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 on NW Loop 410. This freestanding hospice provider offers care tailored to meet the needs of those facing a life-limiting illness. They hold accreditation from the Accreditation Commission for Health Care, also known as ACHC. This shows they meet specific national standards for safety and quality. Their team includes a registered nurse and a volunteer who work together to support patients. Finding the right support system is a serious decision for your family. This provider has been certified by Medicare since May 2021 to offer these services. They focus on providing care in Bexar County and the surrounding area. Choosing a provider that meets high standards helps ensure your loved one receives consistent care during a difficult time. Their team is small but remains dedicated to their role in the local community.
About NIGHTINGALE HOSPICE CARE, INC.
This is a for-profit hospice agency. They have been a part of the Medicare program since the spring of 2021. The ACHC accreditation is a key detail for families to consider. This group is an independent organization that checks hospice agencies against a set of strict rules. They review how the agency handles medical records, patient safety, and staff training. When a provider earns this mark, it means they have invited outside experts to verify their work. Most people do not realize how much effort goes into maintaining these standards. It is a commitment to quality that goes beyond simple licensing. The agency operates with a lean team of two employees. This includes one registered nurse who coordinates the clinical side of care. They also involve one volunteer to assist with non-medical needs. Understanding these parts helps you see how the agency functions on a daily basis for their patients.
Quality Performance
What Is Hospice Care Like in SAN ANTONIO?
Hospice care in San Antonio focuses on comfort rather than a cure. The goal is to manage pain and symptoms while supporting the emotional needs of the patient. In this city, you will find both large hospital-based programs and smaller, independent providers like this one. Each agency must follow federal rules to ensure they provide a safe environment for your family. A typical team includes nurses, aides, and volunteers who visit where the patient lives. That could be a private home or a care facility. Because this agency is a freestanding hospice, they are not tied to a specific hospital system. They keep their focus on direct patient care. Their staff composition of a nurse and a volunteer means they provide a personalized touch. You should expect clear communication about how they manage symptoms. They are there to make every day more comfortable for those they serve.
What to Ask When Choosing a Hospice Provider
You have the right to ask questions before picking a hospice agency. Start by asking how quickly a nurse can reach your home if an emergency happens at night. This is a common concern for many families. You should also ask how they handle pain medication and who you call for answers on weekends. It helps to know which team members will visit most often. Ask how they include volunteers in the care plan to provide extra social support. You might want to know how they communicate with your primary doctor. Clear communication prevents confusion during stressful moments. Finally, ask what happens if the patient needs a higher level of care that cannot be done at home. A good provider will have a plan for these transitions. They should explain their process in words that are easy to understand. Do not feel rushed to make a decision without getting the answers you need.
Preserve Your Family Stories
Your loved one has a lifetime of stories that deserve to be remembered by future generations.
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