Shepherd Living Hospice LLC

CCN

741631The number CMS certifies the facility under, not a provider identifier

Status

Active

Provider type

Hospice

Ownership

For-Profit

Control type

Proprietary - Individual

Participating since

Aug 13, 2016

Last certification

Jun 18, 2021

Address

15420 Nacogdoches Rd
San Antonio, TX 78247
(210) 767-3870

• Shepherd Living Hospice LLC

  dba Four Seasons Hospice

  • Community Based Hospice Care Agency
  • San Antonio, TX
  • NPI 1437607108
  Medicare enrollment

• Caregivers rated the hospice agency a 9 or 10 67
  • State average 81
  • National average 83
  • Period from 10/01/2023-09/30/2025
• The hospice team always communicated well 76
  • State average 81
  • National average 82
  • Period from 10/01/2023-09/30/2025
• The hospice team always provided timely help 66
  • State average 77
  • National average 78
  • Period from 10/01/2023-09/30/2025
• The hospice team always treated the patient with respect 79
  • State average 90
  • National average 91
  • Period from 10/01/2023-09/30/2025
• The hospice team provided the right amount of emotional and spiritual support 81
  • State average 89
  • National average 91
  • Period from 10/01/2023-09/30/2025
• The patient always got the help they needed for pain and symptoms 60
  • State average 76
  • National average 76
  • Period from 10/01/2023-09/30/2025
• YES, they would definitely recommend the hospice 66
  • State average 83
  • National average 85
  • Period from 10/01/2023-09/30/2025

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

• Farah Farah, MD

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1720405038
• Michael Anthony Herzik, M.D.

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1801207873
• Dimple Tharian, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1003103128

• Beliefs & Values Addressed (if desired by the patient) 98.23
  • State average 98.75
  • National average 99.27
  • Period from 10/01/2024 - 09/30/2025
• Burdensome transitions, Type 1 (% live discharges) 15
  • State average 12.1
  • National average 8.5
  • Period from 01/01/2023 - 12/31/2024
• Burdensome transitions, Type 2 (% live discharges) 1.5
  • State average 2
  • National average 2.1
  • Period from 01/01/2023 - 12/31/2024
• CHC/GIP provided (% days) 0.5
  • State average 0.5
  • National average 0.5
  • Period from 01/01/2023 - 12/31/2024
• Early live discharges (% live discharges) 4.9
  • State average 7.6
  • National average 7.3
  • Period from 01/01/2023 - 12/31/2024
• Gaps in nursing visits (% elections) 66.2
  • State average 62
  • National average 52.4
  • Period from 01/01/2023 - 12/31/2024
• Hospice and Palliative Care Composite Process Measure 83.59
  • State average 94.72
  • National average 96.15
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Dyspnea Screening 99.24
  • State average 99.42
  • National average 99.53
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Dyspnea Treatment 99.54
  • State average 98.64
  • National average 98.59
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Pain Assessment 85.32
  • State average 98.34
  • National average 98.27
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Pain Screening 96.46
  • State average 98.24
  • National average 99
  • Period from 10/01/2024 - 09/30/2025
• Hospice and Palliative Care Treatment Preferences 99.49
  • State average 99.62
  • National average 99.8
  • Period from 10/01/2024 - 09/30/2025
• Hospice Care Index Overall Score 10
  • State average 8.4
  • National average 8.8
  • Period from 01/01/2023 - 12/31/2024
• Hospice Visits in the Last Days of Life 51.3
  • State average 51
  • National average 48.3
  • Period from 01/01/2023 - 12/31/2024
• Late live discharges (% live discharges) 52.4
  • State average 36.9
  • National average 37.4
  • Period from 01/01/2023 - 12/31/2024
• Nurse care minutes per routine home care days (minutes) 14.8
  • State average 11.6
  • National average 19.9
  • Period from 01/01/2023 - 12/31/2024
• Patient Treated with an Opioid Who Are Given a Bowel Regimen 91.28
  • State average 98.39
  • National average 98.46
  • Period from 10/01/2024 - 09/30/2025
• Per-beneficiary spending (U.S. dollars $) 18,156
  • State average 19,662.54 (computed here)
  • National average 19,227
  • Period from 01/01/2023 - 12/31/2024
• Skilled nursing minutes on weekends (% minutes) 6
  • State average 7.6
  • National average 9.6
  • Period from 01/01/2023 - 12/31/2024
• Visits near death (% decedents) 97.6
  • State average 88.1
  • National average 89.3
  • Period from 01/01/2023 - 12/31/2024

• Provider of Services: the certification, provider type, beds and status.
• Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
• NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.