1st Quality Hospice LLC

For-Profit13 years operating

Livingston, Texas — Polk County

1st Quality Hospice LLC is an established for-profit hospice provider that scores well above average overall, ranking in the 83rd percentile in Texas. They perform particularly well in overall care quality indicators and family communication, meeting or exceeding state benchmarks in these areas. Worth noting: their rate of visits in a patient's final days is below the state average. This is a smaller-census provider, which can mean more personalized care — ask how they manage staffing during weekends and holidays.

Wayven Quality Score

Excellent

Better than 83% 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.

3 measures not reported

Visits in last days of life18.9

State avg: 55.3

Pain screening94.3

State avg: 92.7

Pain assessmentNot reported
Breathing difficulty screening100

State avg: 92.7

Breathing difficulty treatmentNot reported
Bowel care for pain medication patientsNot reported

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

10

HCI Score

out of 10

83%

Percentile

in Texas

#183

State Rank

in Texas

HCI composite score10

State avg: 8.5

HIS composite score88.6

State avg: 92.7

Continuous care / inpatient days0
Gaps in nursing visits63.4
Nurse care minutes per day10.1

About this provider

1st Quality Hospice LLC performs strongly in Process Integrity, 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
10 / 10
Continuous care / inpatient days
0
Gaps in nursing visits
63.4
Nurse care minutes per day
10.1
Visits near death
86.4
Per-beneficiary spending
$21966

Process Quality Measures (HIS)

Composite score
88.6
Treatment preferences
100
Beliefs & values
100
Pain screening
94.3
Pain assessment
Not reported
Dyspnea screening
100
Dyspnea treatment
Not reported
Opioid bowel care
Not reported

Utilization & Operations

Visits in last days of life
18.9%
Nurse care minutes / day
10.1
Per-beneficiary spending
$21966
Avg daily census
15 patients

Patient Mix

Cancer
Not reported
Dementia
59%
Heart disease
Not reported
Respiratory
Not reported
Stroke
Not reported

Data Sources

CCN
671729
CMS Region
6

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

Contact

Livingston, TX 77351

(409) 331-9909