90/ 100
Not rated
Paloma Hospice and Palliative Care
Hospice · 8438 Fountain Circle, San Antonio, TX 78229
Not rated Family caregiver survey rating
16/ 100
Poor
At a glance
- Ownership
- For-Profit
- Medicare-certified
- Since 10/11/2011 · CCN 671695
- Rank in San Antonio
- #66 of 129 hospices
- Rank in Texas
- #543 of 584 scored hospices
- Average daily census
- 156 patients
- County
- Bexar
- Service area
- 198 ZIP codes (see list)
Quality of care
Quality measures: better than the national average on 0 of 3 reported measures, worse on 3.
| Measure | This provider | State | National | vs. national |
|---|---|---|---|---|
| Composite process measure (7 care processes) | 77.1% | 94.7% | 96.2% | Worse |
| Visits in the last days of life | 24.9% | — | 48.3% | Worse |
| Hospice Care Index (0-10) | 7 | 8.4 | 8.8 | Worse |
The composite process measure covers 7 care processes at admission. The Hospice Care Index runs 0–10.
What families say (CAHPS Hospice survey)
Survey results: better than the national average on 0 of 7 reported measures, worse on 7.
| Measure | This provider | State | National | vs. national |
|---|---|---|---|---|
| Team always communicated well | 76% | 81% | 82% | Worse |
| Always provided timely help | 74% | 77% | 78% | Worse |
| Always treated patient with respect | 87% | 90% | 91% | Worse |
| Right amount of emotional and spiritual support | 87% | 89% | 91% | Worse |
| Always got help for pain and symptoms | 72% | 76% | 76% | Worse |
| Rated hospice 9 or 10 out of 10 | 77% | 81% | 83% | Worse |
| Would definitely recommend | 82% | 83% | 85% | Worse |
Hospice Care Index details
Claims-based indicators: better than the national average on 1 of 10 reported measures, worse on 7.
| Measure | This provider | State | National | vs. national |
|---|---|---|---|---|
| Continuous home care or inpatient care provided (% days) | 0.2% | — | 0.5% | About the same |
| Gaps in nursing visits (% elections) (lower is better) | 87.4% | — | 52.4% | Worse |
| Early live discharges (% live discharges) (lower is better) | 5.2% | — | 7.3% | Better |
| Late live discharges (% live discharges) (lower is better) | 53.6% | — | 37.4% | Worse |
| Burdensome transitions, type 1 (% live discharges) (lower is better) | 18.7% | — | 8.5% | Worse |
| Burdensome transitions, type 2 (% live discharges) (lower is better) | 2.1% | — | 2.1% | About the same |
| Per-beneficiary spending ($) (lower is better) | $28,001 | — | $19,227 | Worse |
| Nurse care minutes per routine home care day | 6.3 | — | 19.9 | Worse |
| Skilled nursing minutes on weekends (% of minutes) | 4.7% | — | 9.6% | Worse |
| Visits near death (% of decedents) | 81.6% | — | 89.3% | Worse |
These ten indicators are combined into the Hospice Care Index. Spending is per Medicare beneficiary.
Who this hospice cares for
Patient diagnoses
Cancer7%
Dementia28%
Stroke10%
Heart/circulatory disease33%
Respiratory disease12%
Other conditions15%
Where care is provided
Private home46%
Assisted living32%
Nursing facility13%
Skilled nursing facility9%
Location and service area
Approximate location (ZIP code center). Open in Google Maps
ZIP codes served (198)
75002, 75006, 75007, 75011, 75013, 75019, 75020, 75021, 75023, 75024, 75025, 75030, 75032, 75033, 75034, 75035, 75038, 75040, 75041, 75042, 75043, 75044, 75051, 75054, 75056, 75060, 75061, 75062, 75065, 75068, 75069, 75070, 75071, 75076, 75078, 75080, 75081, 75087, 75088, 75089, 75090, 75091, 75092, 75093, 75094, 75098, 75115, 75116, 75126, 75127, 75134, 75137, 75146, 75149, 75150, 75156, 75160, 75165, 75169, 75204, 75205, 75206, 75208, 75211, 75214, 75215, 75216, 75218, 75220, 75223, 75225, 75227, 75229, 75230, 75231, 75232, 75233, 75235, 75241, 75243, 75246, 75249, 75252, 75254, 75287, 75401, 75407, 75410, 75418, 75442, 75444, 75446, 75447, 75453, 75459, 75460, 75462, 75474, 75495, 75647, 75662, 75701, 75702, 75703, 75704, 75706, 75707, 75708, 75709, 75710, 75711, 75750, 75757, 75762, 75765, 75766, 75771, 75773, 75783, 75789, 75790, 75791, 75792, 76006, 76012, 76016, 76017, 76028, 76033, 76112, 76119, 76179, 76227, 76233, 76240, 76245, 76259, 76273, 78006, 78016, 78023, 78026, 78028, 78073, 78108, 78109, 78114, 78130, 78140, 78152, 78154, 78201, 78212, 78213, 78214, 78216, 78217, 78219, 78220, 78224, 78225, 78227, 78228, 78229, 78233, 78237, 78239, 78240, 78245, 78249, 78250, 78252, 78253, 78254, 78256, 78257, 78258, 78501, 78613, 78656, 78665, 78666, 78681, 78702, 78705, 78724, 78737, 78741, 78745, 78747, 78748, 78753, 78754, 78801, 78832, 78837, 78840, 78877
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Frequently asked questions
Is Paloma Hospice and Palliative Care Medicare-certified?
Yes. Paloma Hospice and Palliative Care (CMS Certification Number 671695) has been Medicare-certified since 10/11/2011, which means it meets federal requirements and Medicare will pay for covered hospice services.
How does Paloma Hospice and Palliative Care compare to other hospices in San Antonio?
Paloma Hospice and Palliative Care ranks #66 of 129 hospices based in San Antonio on the Scorecard score.
What areas does Paloma Hospice and Palliative Care serve?
Paloma Hospice and Palliative Care reports serving 198 ZIP codes to CMS, including 75002, 75006, 75007, 75011, 75013. Call (210) 988-1680 to confirm coverage of your address.
Source: CMS Provider Data Catalog (2026-09-23). Home Health Scorecard is not affiliated with Paloma Hospice and Palliative Care. Data may lag real-world changes; verify with the provider. Is this your agency? Report a correction.