PRINCIPLE HOSPICE SERVICE LLC
Provider Information
- Address
- 9033 AERO ST
SAN ANTONIO, TX 78217 - Ownership Type
- For-Profit
- Medicare Certified Since
- July 21, 2020
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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 |
| Licensed Practical Nurses (LPN) | 1 |
| Volunteers | 1 |
6
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 PRINCIPLE HOSPICE SERVICE 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 2020.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how PRINCIPLE HOSPICE SERVICE LLC compares to hospices nationwide.
9 minutes
of nurse care per routine home care day, on average
That is the 16th percentile among hospices nationally. The national median is about 12 minutes.
16
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 day9 min
Ranks better than about 16% 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 weekends11.2%
Ranks better than about 77% 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 life91.3%
Ranks better than about 37% 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 visits73.1%
Ranks better than about 22% 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 care8.7%
Ranks better than about 34% 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 months39.1%
Ranks better than about 43% 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 care8.7%
Ranks better than about 42% 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 hospice8.7%
Ranks better than about 3% 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$22,251 · 71st 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 65% 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 life65%
- All care steps completed100%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Dementia44%
- Other conditions27%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Support for San Antonio Families
Principle Hospice Service LLC offers specialized end-of-life care in San Antonio, Texas. They focus on comfort, pain management, and emotional support for patients facing a life-limiting illness. Their team works to ensure that patients can remain in their own homes whenever possible. By managing symptoms, they allow families to spend more meaningful time together. This approach centers on the dignity and wishes of the person receiving care. They are located at 9033 Aero St, serving the wider Bexar County area. Choosing the right partner for this journey is a big decision. Principle Hospice provides a professional team dedicated to meeting the physical and spiritual needs of their patients. Their goal is always to improve the quality of each day for those they serve. It is a local option for families seeking compassionate end-of-life support in their own community.
About PRINCIPLE HOSPICE SERVICE LLC
Principle Hospice Service LLC is a for-profit provider that first gained Medicare certification on July 21, 2020. This certification means they meet the strict health and safety standards set by the federal government. For-profit status simply describes their business model, but it does not change the core mission of hospice care. Every hospice must provide a basic set of services under Medicare rules. This includes nursing care, medical equipment, and help with daily tasks. Families should know that this provider has been serving the San Antonio area for a few years now. That is a good sign of stability. When you talk to them, ask about their specific team structure and how they handle after-hours calls. They have a proven track record of meeting state and federal requirements. Understanding their background helps you feel more confident in the care they provide to your loved one.
Quality Care Rating
Understanding Hospice Care in SAN ANTONIO
San Antonio has many hospice providers, so you have choices. Most people do not realize that hospice is not a place you go to live. It is actually a service that comes to you. Whether your loved one is at home or in a facility, the team travels to them. The goal is to keep the patient comfortable in a familiar setting. Most families in Bexar County start looking for care when a doctor suggests it. But you do not have to wait for a referral to start asking questions. You can call providers to see how they handle pain or how often a nurse visits. Some agencies are large, while others are smaller and more local. The right choice depends on the specific needs of your family. Take your time to compare how they communicate and what extra support they offer. You deserve to feel supported through every step of this process.
What to Ask When Choosing a Hospice Provider
Finding the right team is about asking the right questions early on. Start by asking how quickly they can get a nurse to your home in an emergency. This is vital for peace of mind. You should also ask how they handle pain medication and symptom control on weekends or nights. Here is a list to get you started:
- How many nurses will be assigned to my loved one's regular care team?
- What happens if we need help at 2:00 AM on a Sunday?
- Can you tell me how you support family caregivers who feel tired or stressed?
- How do you help with the emotional and spiritual needs of the patient?
The answers to these questions will show you their priorities. If they seem rushed or give vague answers, keep looking. You want a team that listens and responds with kindness. Trust your gut feeling after you speak with them. It is a big part of the decision.
Preserve Your Family Stories
The time you spend with your loved ones is precious. Capture their life stories and wisdom now to create a lasting gift for future generations.
Start Preserving MemoriesOther Hospice Providers Nearby
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