Four Seasons Healthcare of Texas

For-Profit9 years operating

San Antonio, Texas — Bexar County

Four Seasons Healthcare of Texas is a for-profit hospice provider that scores well above average overall, ranking in the 82nd percentile in Texas. They perform particularly well in 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 82% 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 life51.3

State avg: 55.3

Pain screening96.4

State avg: 92.7

Pain assessment80.2

State avg: 92.7

Breathing difficulty screening99.6

State avg: 92.7

Breathing difficulty treatment99.6

State avg: 92.7

Bowel care for pain medication patients94.7

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 documented99.2

State avg: 92.7

Beliefs & values addressed97.9

State avg: 92.7

10

HCI Score

out of 10

82%

Percentile

in Texas

#196

State Rank

in Texas

HCI composite score10

State avg: 8.5

HIS composite score81.1

State avg: 92.7

Continuous care / inpatient days0.5
Gaps in nursing visits66.2
Nurse care minutes per day14.8

About this provider

Four Seasons Healthcare of Texas 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
0.5
Gaps in nursing visits
66.2
Nurse care minutes per day
14.8
Visits near death
97.6
Per-beneficiary spending
$18156

Process Quality Measures (HIS)

Composite score
81.1
Treatment preferences
99.2
Beliefs & values
97.9
Pain screening
96.4
Pain assessment
80.2
Dyspnea screening
99.6
Dyspnea treatment
99.6
Opioid bowel care
94.7

Utilization & Operations

Visits in last days of life
51.3%
Nurse care minutes / day
14.8
Per-beneficiary spending
$18156
Avg daily census
139 patients

Patient Mix

Cancer
12%
Dementia
40%
Heart disease
16%
Respiratory
11%
Stroke
10%

Data Sources

CCN
741631
CMS Region
6

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

Contact

San Antonio, TX 78247

(210) 767-3870