HEART TO HEART HOSPICE OF SAN MARCOS LLC
Provider Information
- Address
- 1340 WONDER WORLD DRIVE SUITE 2200
SAN MARCOS, TX 78666 - Ownership Type
- For-Profit
- Medicare Certified Since
- April 16, 2017
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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) | 13 |
| Licensed Practical Nurses (LPN) | 1 |
| Volunteers | 1 |
32
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 HEART TO HEART HOSPICE OF SAN MARCOS 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 HEART TO HEART HOSPICE OF SAN MARCOS LLC compares to hospices nationwide.
7.9 minutes
of nurse care per routine home care day, on average
That is the 9th percentile among hospices nationally. The national median is about 12 minutes.
78
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 day7.9 min
Ranks better than about 9% 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 weekends7.8%
Ranks better than about 49% 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 life90.6%
Ranks better than about 33% 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 visits49.2%
Ranks better than about 55% 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 care9.4%
Ranks better than about 30% 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 months41.5%
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 care7.5%
Ranks better than about 48% 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)67th 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$17,620 · 48th 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 59.9% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment100%
- Breathing difficulty screening100%
- Breathing difficulty treatment100%
- Treatment preferences discussed100%
- Beliefs and values discussed100%
- Bowel care for patients on opioids100%
- Visits in the last days of life59.9%
- 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.
- Cancer16%
- Dementia39%
- Heart and circulatory disease20%
- Lung and respiratory disease6%
- Stroke9%
- Other conditions13%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Heart to Heart Hospice of San Marcos
Heart to Heart Hospice of San Marcos serves families across Hays County, Texas. They provide comfort care for those facing a life-limiting illness. Their team helps manage pain and supports emotional needs at home. This provider works out of their office on Wonder World Drive. They have been active in the San Marcos community since April 2017. Their mission focuses on keeping patients comfortable in their own space. It is all about quality of life. The team offers medical help and spiritual support for both the patient and their loved ones. They aim to make each day meaningful. Choosing care is a big step for any family. You deserve a team that listens well and acts fast.
About Heart to Heart Hospice of San Marcos
This provider operates as a for-profit organization. They earned their Medicare certification back in 2017. That is seven years of service to the local area. Being certified means they meet strict federal rules for safety and care quality. Most families want to know who is coming into their home. You should feel good about the team you pick. They have a strong overall rating of 4.5 out of 5 stars from federal data. That score looks at how they handle medical needs and patient comfort. The reality is that hospice care is about more than just medicine. It is about dignity. This agency works hard to keep standards high for every patient. They focus on the details that matter most during hard times. You can trust that they follow the rules set by Medicare to keep care safe.
Quality Performance
Understanding Hospice Care in San Marcos
Finding the right care in Hays County can feel heavy. But you are not alone in this search. Hospice is a special kind of care for people who are very sick. It does not mean giving up. It means choosing to focus on comfort and peace. The goal is to help the patient live as fully as possible. In San Marcos, many agencies provide nurses and aides who come to your house. They also bring in social workers and chaplains. The thing is, hospice is a team effort. It involves the doctors, the nurses, and your own family. Everyone works together to create a plan that fits your specific needs. It is about making sure the patient feels safe and loved. You can ask for help with daily tasks or medication management. It changes the focus from curing to caring.
What to Ask When Choosing a Hospice Provider
You need to feel sure about your choice. Start by asking how quickly a nurse can get to your home in an emergency. That matters a lot at night or on weekends. Ask who will be on your core team. You want to know exactly who will visit each week. It helps to build a bond. Also, ask how they handle pain and other tough symptoms. You want a team that is proactive. Do not be afraid to ask about their experience with your specific diagnosis. Every situation is unique. And finally, ask how they support family members after a loss. Grief is hard. A good hospice team stays by your side even after the patient passes. Write your questions down before you call. It keeps things clear during a stressful time.
Keep Your Family Stories Alive
Your loved one has a lifetime of wisdom and memories worth saving. We can help you capture these moments in a way that lasts for generations to come.
Preserve MemoriesOther Hospice Providers Nearby
Helpful Guides for Families
What CMS Star Ratings Actually Mean for Your Family
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Choosing a Hospice Provider: A 5-Step Quality Guide
Feeling overwhelmed? Use our expert 5-step guide to choosing a hospice provider that offers the compassionate, high-quality care your loved one deserves.
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.