CREST PALLIATIVE CARE
Provider Information
- Address
- 4085 DE ZAVALA ROAD, SUITE 100
SHAVANO PARK, TX 78249 - Ownership Type
- For-Profit
- Medicare Certified Since
- June 19, 2019
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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) | 4 |
| Licensed Practical Nurses (LPN) | 1 |
| Volunteers | 0 |
17
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 CREST PALLIATIVE CARE 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 2022.
Care Details from Medicare Data
Medicare computes these numbers from claims and required reporting. They show how CREST PALLIATIVE CARE compares to hospices nationwide.
13.7 minutes
of nurse care per routine home care day, on average
That is the 65th percentile among hospices nationally. The national median is about 12 minutes.
86
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 day13.7 min
Ranks better than about 65% 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 weekends5.6%
Ranks better than about 21% 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 life92%
Ranks better than about 40% 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 visits34%
Ranks better than about 74% 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 care7.9%
Ranks better than about 40% 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 months23.6%
Ranks better than about 82% 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 care16.9%
Ranks better than about 12% 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 hospice1.1%
Ranks better than about 49% 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$18,968 · 55th 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 56.9% of patients or more. Most hospices score above 90 percent.
- Pain screening100%
- Pain assessment98.8%
- Breathing difficulty screening100%
- Breathing difficulty treatment96.2%
- Treatment preferences discussed98.3%
- Beliefs and values discussed97.9%
- Bowel care for patients on opioids100%
- Visits in the last days of life56.9%
- All care steps completed95.8%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer21%
- Dementia32%
- Heart and circulatory disease17%
- Lung and respiratory disease7%
- Stroke13%
- Other conditions11%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
About Crest Palliative Care
Crest Palliative Care serves families in Shavano Park and the surrounding areas. This freestanding hospice provider offers specialized support for patients at home. They have earned accreditation from the Accreditation Commission for Health Care. This status means they meet high standards for safety and quality. It shows they follow strict rules to protect your loved ones. You can find them on De Zavala Road in Bexar County. They have been providing care since the summer of 2019. Their team works hard to meet the needs of every patient they serve.
Understanding This Provider
Crest Palliative Care operates as a for-profit organization. Families should know that accreditation bodies check providers for quality. The Accreditation Commission for Health Care reviews the care processes. They ensure the provider follows federal laws and safety guidelines. This is a sign of a well-run office. A total of 17 employees work at this location. This team includes four registered nurses and one licensed practical nurse. They do not use volunteers at this time. Knowing these details helps you understand who will walk through your front door. It is about transparency in healthcare. You deserve to know how the team is built before you decide on care.
Quality of Care
What Is Hospice Care Like in Shavano Park?
Hospice care in this part of Texas focuses on comfort. It brings medical support directly to the patient where they live. The team here includes registered nurses and a licensed practical nurse to help with medical needs. They handle pain management and daily comfort. This helps keep the patient in a familiar setting. Most families find that having a professional team nearby makes the process much easier. You do not have to handle the heavy lifting alone. The staff works with your family to create a plan that fits your life. They focus on the patient and the family unit. This model keeps care close to home in Bexar County.
What to Ask When Choosing a Hospice Provider
- How quickly can a nurse arrive if there is an emergency at night?
- What specific services does your clinical team offer for pain management?
- How does your team keep the family informed about changes in health?
- Can you explain how the billing process works for Medicare coverage?
Asking these questions helps you clear up any confusion early on. You should feel comfortable with the answers you get. Take your time to talk with the staff. They should be open to explaining their daily routines. A good provider will answer these questions with patience and care. It is a big decision for your family. Make sure you have all the facts before you start.
Preserve Family Memories
Your family history is a gift that should be kept for future generations to cherish and share.
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