GUARDIAN HOSPICE
Provider Information
- Address
- 2009 INDEPENDENCE DR SUITE 100
SHERMAN, TX 75090 - Ownership Type
- For-Profit
- Medicare Certified Since
- June 30, 2010
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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 |
| Physicians | 0 |
| Volunteers | 0 |
13
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 GUARDIAN HOSPICE reported, not a check of what it offers today. Confirm current arrangements with the hospice.
- Short-term inpatient care
- Provided directly by this hospice
- Type of inpatient care
- Both general inpatient care and respite care
- Medical supplies and equipment
- Supplied directly by this hospice
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.
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 GUARDIAN HOSPICE 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.
46
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 weekends5.9%
Ranks better than about 25% 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 life95.9%
Ranks better than about 69% 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 visits69.5%
Ranks better than about 26% 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 care3.7%
Ranks better than about 69% 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 months56.8%
Ranks better than about 10% 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 care32.1%
Ranks better than about 1% 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 hospice2.5%
Ranks better than about 31% 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$21,415 · 68th 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 65.1% of patients or more. Most hospices score above 90 percent.
- Pain screening99.1%
- 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 life65.1%
- All care steps completed99.1%
Conditions of patients in their care
Share of patients by primary diagnosis. Useful if you want a team with experience in a specific condition.
- Cancer19%
- Dementia35%
- Heart and circulatory disease20%
- Lung and respiratory disease9%
- Stroke12%
- Other conditions12%
Source: Centers for Medicare & Medicaid Services, reporting period January 2023 through December 2024. Percentiles are computed by CMS across all reporting hospices.
Guardian Hospice in Sherman
Guardian Hospice serves families in Sherman, Texas, and the surrounding Grayson County area. They provide end-of-life care focused on comfort, dignity, and support. This team works to manage pain and help patients spend time with loved ones in a peaceful way. Choosing the right care is a big decision during a difficult time. That is why having local options matters so much. Guardian Hospice has been a part of the Texas hospice landscape for over a decade. They bring professional medical care directly to wherever the patient calls home. Whether it is a private house or a care facility, they are there to help. The goal is simple: to make every day count. Families often find that having this extra layer of support makes a world of difference for their peace of mind. It is about keeping your loved one comfortable and surrounded by the people they care about most.
About Guardian Hospice
Guardian Hospice is a for-profit provider that has been Medicare certified since June 30, 2010. Being certified for this long shows they have a history of meeting federal standards. What does for-profit mean for you? It means they operate under a business model while still meeting the rules set by Medicare. The thing is, all Medicare-certified hospices must follow the same core set of rules. They must offer nursing, medical social services, and counseling. Guardian Hospice operates out of their office on Independence Drive in Sherman. They have built their reputation in Grayson County through years of dedicated service. What most people do not realize is that you have the right to choose any hospice provider that serves your area. You do not have to pick the first one you hear about. Take your time to learn who they are and how they will fit into your family's specific needs.
Quality of Care
Understanding Hospice Care in Sherman
Hospice is not a place you go, but a type of care you get. In Sherman, many families choose to have hospice services brought to their own homes. This allows the patient to stay in a familiar space with their favorite things. The team usually includes a nurse, an aide, a chaplain, and a social worker. They visit on a regular schedule to check on symptoms and offer support. And it is not just about the patient. These teams also provide support for the family members who are helping with care. It is a heavy burden to carry alone. Having a professional team to call at 3:00 AM can change everything. The services are covered by Medicare for those who qualify. This means families can focus on being together instead of worrying about bills. It is a vital resource for our community members facing serious illness.
What to Ask When Choosing a Hospice Provider
Picking a hospice team is a personal choice. You should feel comfortable asking hard questions. Start by asking how quickly a nurse can get to your home if an emergency happens. That is a big deal. You should also ask how they handle pain management during the night or on weekends. Do they have their own staff on call, or do they use a service? It is also good to ask how they help families cope with grief after a loss. Another great question is how they coordinate care with your primary doctor. You want a team that works together. Write these questions down before you call. It is easy to forget details when you are feeling stressed. The right provider will be happy to answer everything clearly. They should never rush you or make you feel like a burden. Take your time and trust your gut feelings.
Keep Your Family Stories Alive
This time is hard, but it is also a chance to capture the beautiful stories that make your loved one who they are. Preserving these memories creates a lasting gift for your whole family.
Start Preserving MemoriesOther Hospice Providers Nearby
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Helpful Guides for Families
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.
Hospice at Home vs. Inpatient: Choosing the Right Care
Deciding between hospice at home and inpatient hospice? Discover the pros and cons of each care setting to help you make the right choice for your loved one.
What CMS Star Ratings Actually Mean for Your Family
Confused by hospice star ratings? Learn how CMS calculates these scores, what they reveal about care quality, and how to find the right provider for your family.
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.