Changing Seasons Hospice

For-Profit7 years operating

San Antonio, Texas — Bexar County

Changing Seasons Hospice is a for-profit hospice provider that scores above average overall, ranking in the 39th percentile in Texas. They perform particularly well in end-of-life presence and family communication, meeting or exceeding state benchmarks in these areas. Worth noting: 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

Above Average

Above 39% 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 life62.1

State avg: 55.3

Pain screening91.6

State avg: 92.7

Pain assessment88.9

State avg: 92.7

Breathing difficulty screening97.4

State avg: 92.7

Breathing difficulty treatment98.7

State avg: 92.7

Bowel care for pain medication patients94.2

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 documented92.7

State avg: 92.7

Beliefs & values addressed48.2

State avg: 92.7

7

HCI Score

out of 10

39%

Percentile

in Texas

#664

State Rank

in Texas

HCI composite score7

State avg: 8.5

HIS composite score35.6

State avg: 92.7

Continuous care / inpatient days0.4
Gaps in nursing visits92.7
Nurse care minutes per day6.3

About this provider

Changing Seasons Hospice performs strongly in Comfort & Pain Management, placing them among the better providers in Texas.

Their Process Integrity scores are near the state average.

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
0.4
Gaps in nursing visits
92.7
Nurse care minutes per day
6.3
Visits near death
94.4
Per-beneficiary spending
$18865

Process Quality Measures (HIS)

Composite score
35.6
Treatment preferences
92.7
Beliefs & values
48.2
Pain screening
91.6
Pain assessment
88.9
Dyspnea screening
97.4
Dyspnea treatment
98.7
Opioid bowel care
94.2

Utilization & Operations

Visits in last days of life
62.1%
Nurse care minutes / day
6.3
Per-beneficiary spending
$18865
Avg daily census
60 patients

Patient Mix

Cancer
9%
Dementia
37%
Heart disease
17%
Respiratory
22%
Stroke
Not reported

Data Sources

CCN
741740
CMS Region
6

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

Contact

San Antonio, TX 78240

(210) 260-0000