Trilateral Consulting LLC

Doing business as Circle of Life Hospice and Palliative Care

Hospice in San Antonio, TX, Medicare certification number 971663. CMS publishes 19 quality measures for it.

Medicare certification

Provider of Services

CCN: 971663The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospice
Ownership: For-Profit
Control type: Proprietary - Partnership
Participating since: Jun 18, 2021
Last certification: Jun 18, 2021
Address: 4730 College Park
San Antonio, TX 78249
(210) 890-2700

NPI records for this facility (CCN to NPI Mapping) 1

Trilateral Consulting LLC

dba Circle of Life Hospice and Palliative Care
- Personal Care Attendant
- San Antonio, TX
- NPI 1659921468
Medicare enrollment

Family survey (CAHPS Hospice) 0

Medicare Care Compare

Measures CMS does not publish for this facility (8)

Caregivers rated the hospice agency a 9 or 10 — 11
Family caregiver survey rating — 15
The hospice team always communicated well — 11
The hospice team always provided timely help — 11
The hospice team always treated the patient with respect — 11
The hospice team provided the right amount of emotional and spiritual support — 11
The patient always got the help they needed for pain and symptoms — 11
YES, they would definitely recommend the hospice — 11

Affiliated providers 1

Medicare Care Compare

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

Chaminda Fernando, D.O.
- Internal Medicine Physician
- Amarillo, TX
- NPI 1225359623

Quality measures 19

Medicare Care Compare

Beliefs & Values Addressed (if desired by the patient) 100
- State average 98.75
- National average 99.27
- Period from 10/01/2024 - 09/30/2025
Burdensome transitions, Type 1 (% live discharges) 16.3
- State average 12.1
- National average 8.5
- Period from 01/01/2023 - 12/31/2024
Burdensome transitions, Type 2 (% live discharges) 1
- State average 2
- National average 2.1
- Period from 01/01/2023 - 12/31/2024
CHC/GIP provided (% days) 0
- State average 0.5
- National average 0.5
- Period from 01/01/2023 - 12/31/2024
Early live discharges (% live discharges) 6.1
- State average 7.6
- National average 7.3
- Period from 01/01/2023 - 12/31/2024
Gaps in nursing visits (% elections) 85.3
- State average 62
- National average 52.4
- Period from 01/01/2023 - 12/31/2024
Hospice and Palliative Care Composite Process Measure 91.74
- State average 94.72
- National average 96.15
- Period from 10/01/2024 - 09/30/2025
Hospice and Palliative Care Dyspnea Screening 100
- State average 99.42
- National average 99.53
- Period from 10/01/2024 - 09/30/2025
Hospice and Palliative Care Dyspnea Treatment 85.11
- State average 98.64
- National average 98.59
- Period from 10/01/2024 - 09/30/2025
Hospice and Palliative Care Pain Assessment 97.67
- State average 98.34
- National average 98.27
- Period from 10/01/2024 - 09/30/2025
Hospice and Palliative Care Pain Screening 100
- State average 98.24
- National average 99
- Period from 10/01/2024 - 09/30/2025
Hospice and Palliative Care Treatment Preferences 100
- State average 99.62
- National average 99.8
- Period from 10/01/2024 - 09/30/2025
Hospice Care Index Overall Score 7
- State average 8.4
- National average 8.8
- Period from 01/01/2023 - 12/31/2024
Hospice Visits in the Last Days of Life 41.6
- State average 51
- National average 48.3
- Period from 01/01/2023 - 12/31/2024
Late live discharges (% live discharges) 32.7
- 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) 7.9
- State average 11.6
- National average 19.9
- Period from 01/01/2023 - 12/31/2024
Per-beneficiary spending (U.S. dollars $) 28,880
- 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) 6.4
- State average 7.6
- National average 9.6
- Period from 01/01/2023 - 12/31/2024
Visits near death (% decedents) 86.8
- State average 88.1
- National average 89.3
- Period from 01/01/2023 - 12/31/2024

Measures CMS does not publish for this facility (1)

Patient Treated with an Opioid Who Are Given a Bowel Regimen — 1

Other hospices in San Antonio, TX

Sources for this page

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.