Acara

For-Profit10 years operating

San Antonio, Texas — Bexar County

Acara is an established for-profit hospice provider that scores well above average overall, ranking in the 69th percentile in Texas. They perform particularly well in clinical care practices, overall care quality indicators, and family communication, meeting or exceeding state benchmarks in these areas. 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

Better than 69% 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.

2 measures not reported

Visits in last days of life52.3

State avg: 55.3

Pain screening100

State avg: 92.7

Pain assessmentNot reported
Breathing difficulty screening100

State avg: 92.7

Breathing difficulty treatment100

State avg: 92.7

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

9

HCI Score

out of 10

69%

Percentile

in Texas

#340

State Rank

in Texas

HCI composite score9

State avg: 8.5

HIS composite score93.8

State avg: 92.7

Continuous care / inpatient days0
Gaps in nursing visits36.2
Nurse care minutes per day14.6

About this provider

Acara 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
9 / 10
Continuous care / inpatient days
0
Gaps in nursing visits
36.2
Nurse care minutes per day
14.6
Visits near death
95.7
Per-beneficiary spending
$25997

Process Quality Measures (HIS)

Composite score
93.8
Treatment preferences
100
Beliefs & values
100
Pain screening
100
Pain assessment
Not reported
Dyspnea screening
100
Dyspnea treatment
100
Opioid bowel care
Not reported

Utilization & Operations

Visits in last days of life
52.3%
Nurse care minutes / day
14.6
Per-beneficiary spending
$25997
Avg daily census
22 patients

Patient Mix

Cancer
Not reported
Dementia
20%
Heart disease
36%
Respiratory
Not reported
Stroke
Not reported

Data Sources

CCN
741568
CMS Region
6

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

Contact

San Antonio, TX 78229

(210) 366-1125