RELIANT AT HOME
Provider Information
- Address
- 19221 I-45 SOUTH, SUITE 320
SHENANDOAH, TX 77385 - Ownership Type
- For-Profit
- Medicare Certified Since
- November 29, 2005
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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) | 15 |
| Licensed Practical Nurses (LPN) | 1 |
| Volunteers | 0 |
31
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 RELIANT AT HOME 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 RELIANT AT HOME compares to hospices nationwide.
13 minutes
of nurse care per routine home care day, on average
That is the 59th percentile among hospices nationally. The national median is about 12 minutes.
120
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 min
Ranks better than about 59% 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 weekends6%
Ranks better than about 26% 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 life89.6%
Ranks better than about 30% 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 visits51.8%
Ranks better than about 52% 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 care5.3%
Ranks better than about 58% 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 months45.3%
Ranks better than about 27% 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 care26%
Ranks better than about 2% 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 hospice2.7%
Ranks better than about 29% 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$23,373 · 76th 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 52.5% of patients or more. Most hospices score above 90 percent.
- Pain screening98.5%
- Pain assessment98.6%
- Breathing difficulty screening100%
- Breathing difficulty treatment93.3%
- Treatment preferences discussed100%
- Beliefs and values discussed98.9%
- Bowel care for patients on opioids100%
- Visits in the last days of life52.5%
- All care steps completed93.6%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer17%
- Dementia42%
- Heart and circulatory disease17%
- Lung and respiratory disease10%
- Stroke9%
- Other conditions8%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Compassionate Care in Shenandoah
RELIANT AT HOME serves families in Shenandoah, Texas, from their office on I-45 South. They focus on providing hospice care designed to support comfort and quality of life for patients facing a terminal illness. The team aims to meet the physical and emotional needs of those they serve in Montgomery County. It is a local option for families who need professional care during a difficult time. Choosing the right provider is a major step. Having a team nearby can make a real difference in how you manage daily routines and medical needs. They are there to help you navigate this transition with care and respect.
About RELIANT AT HOME
RELIANT AT HOME is a for-profit hospice provider that has been Medicare-certified since November 2005. That is nearly two decades of experience in the field. What does for-profit status mean for you? It simply describes how the organization is set up, but it does not tell the whole story of their care. The most important thing is how they treat their patients. They have built a track record in the Shenandoah area over many years. When you meet with them, ask how their long history of service shapes their approach today. You want a team that knows the community well. They are focused on delivering care that meets federal standards while supporting your family's unique wishes. It is always smart to look at the full picture when you choose a partner for end-of-life care.
Quality of Care
Understanding Hospice Care in Shenandoah
Hospice care is not just about medical treatment. It is about living each day with as much peace and comfort as possible. In Shenandoah, families have access to several hospice providers. The goal of these services is to manage pain and symptoms so the patient can focus on time with loved ones. Many people think hospice is only for the final days, but that is a common mistake. You can get help much sooner. It is best to start the conversation early. This gives your family more time to build a relationship with the care team. The right team will listen to your concerns and adjust the plan as needs change. That is a big deal when you are trying to find stability during a stressful season of life.
What to Ask When Choosing a Hospice Provider
Choosing a hospice team is a personal choice. You should feel comfortable with the people who will be in your home. Start by asking how quickly a nurse can arrive if an emergency happens at night or on a weekend. You also need to know how they handle pain management. Ask specifically about their plan for comfort. It is also good to ask how they support the family emotionally. Will you have access to a chaplain or a social worker? Finally, ask how they will keep your primary doctor in the loop. Good communication is the glue that holds everything together. If they cannot give you clear answers, keep looking until you find a team that makes you feel heard and supported.
Preserve Your Family's Story
Your loved one has a lifetime of memories and wisdom. Capture their stories and voice now to create a lasting treasure for future generations.
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Some stories are worth writing down
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