At Twilight Hospice & Palliative Care

For-Profit6 years operating

Carrollto , Texas — Dallas County

At Twilight Hospice & Palliative Care is a for-profit hospice provider that scores well above average overall, ranking in the 40th percentile in Texas. They perform particularly well in family communication, meeting or exceeding state benchmarks in this area. Worth noting: their rate of visits in a patient's final days is below the state average and their Hospice Care Index falls below the state average. When speaking with them, ask about their approach to after-hours care, how they communicate changes in a patient's condition, and what support they offer to caregivers.

Wayven Quality Score

Excellent

Above 40% of hospices in Texas

Independent & data-driven — no paid listings

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Quality breakdown

Three pillars that make up the overall score. Tap to explore individual measures.

Visits in last days of life47.4

State avg: 55.3

Pain screening96.4

State avg: 92.7

Pain assessment74.4

State avg: 92.7

Breathing difficulty screening99

State avg: 92.7

Breathing difficulty treatment96.7

State avg: 92.7

Bowel care for pain medication patients96.5

State avg: 92.7

Note: Family satisfaction scores are from the Texas CAHPS Hospice Survey (state-level, not provider-specific). Providers in this state share these benchmarks.

Overall rating (9-10)80
Would recommend83
Timely care77
Team communication80
Respect90
Emotional & spiritual support88
Symptom management75
Caregiver training76
Treatment preferences documented100

State avg: 92.7

Beliefs & values addressed100

State avg: 92.7

7

HCI Score

out of 10

40%

Percentile

in Texas

#651

State Rank

in Texas

HCI composite score7

State avg: 8.5

HIS composite score81.4

State avg: 92.7

Continuous care / inpatient days0
Gaps in nursing visits84.6
Nurse care minutes per day9.7

About this provider

At Twilight Hospice & Palliative Care performs strongly in Family Support, placing them among the better providers in Texas.

Ask about their staffing approach for end-of-life visits — their current rate is below the state benchmark.

Based on federal CMS quality data, updated February 2026.

Hospice Care Index Components

Overall HCI score
7 / 10
Continuous care / inpatient days
0
Gaps in nursing visits
84.6
Nurse care minutes per day
9.7
Visits near death
85.5
Per-beneficiary spending
$17969

Process Quality Measures (HIS)

Composite score
81.4
Treatment preferences
100
Beliefs & values
100
Pain screening
96.4
Pain assessment
74.4
Dyspnea screening
99
Dyspnea treatment
96.7
Opioid bowel care
96.5

Utilization & Operations

Visits in last days of life
47.4%
Nurse care minutes / day
9.7
Per-beneficiary spending
$17969
Avg daily census
55 patients

Patient Mix

Cancer
13%
Dementia
43%
Heart disease
13%
Respiratory
Not reported
Stroke
13%

Data Sources

CCN
971554
CMS Region
6

All scores come directly from CMS. Providers cannot edit or influence their profile on this site.

Contact

Carrollto , TX 75007

(956) 752-6160