Hospice Care in Texas

What hospice providers in Texas provide

Hospice Care in Texas provide comfort-focused nursing, pain and symptom management, chaplain and social work support, equipment, and bereavement care for the family. We track 1,145 hospice providers statewide, alongside 1,603 other providers — nursing homes, assisted living, memory care, hospice and home health — that families often compare before deciding.

Hospice providers in Texas are Medicare-certified and evaluated through the CMS Hospice Care Index and family experience surveys. Care is delivered wherever the patient lives, including inside many of the 1,167 nursing homes and assisted living communities we track in the state.

Typical pricing for hospice providers in Texas runs at little to no out-of-pocket cost for Medicare beneficiaries. Medicare Part A covers virtually the entire hospice benefit, so most families pay little or nothing out of pocket. Expect the higher end of that range in Houston and other high-cost metros, and the lower end in rural counties.

How to choose a hospice provider in Texas

With 1,145 hospice providers in Texas, families need a repeatable way to narrow the list. These six steps work in any county.

• 1. Check the government inspection reports first

  Every Clear Care Connect profile shows the real CMS inspection record — deficiencies cited, their scope and severity, and how fast they were corrected. Read that before any brochure.

• 2. Compare star ratings across a shortlist, not in isolation

  A three-star facility reads differently next to the Texas average of 2.77. Line up four or five hospice providers side by side instead of judging one alone.

• 3. Visit at least three facilities, including one unannounced

  Tour options in Houston plus one nearby community, then drop in once outside tour hours to see normal staffing and resident engagement.

• 4. Ask about staff-to-resident ratios and turnover

  Ask for nursing hours per resident per day and annual turnover in writing. High turnover is the strongest predictor of inconsistent care in Texas facilities.

• 5. Understand exactly what the monthly price includes

  Get the base rate, care-level surcharges, medication fees and past annual increases. Two Texas communities quoting the same headline number can differ by thousands once care tiers apply.

• 6. Read the most recent inspection findings, not just the score

  One old citation matters far less than a repeated pattern. Clear Care Connect publishes the full history so you can compare Texas providers on that record in one place.

Top cities for hospice providers in Texas

Senior care in Texas clusters around its largest population centers. These 8 cities hold the highest concentration of hospice providers statewide, and each links to a local directory with ratings and costs.

• Houston — 521 facilities, 64 of them hospice providers, averaging 2.3 CMS stars.
• Houston — 213 facilities, 184 of them hospice providers, averaging 3.2 CMS stars.
• San Antonio — 183 facilities, 133 of them hospice providers, averaging 2.6 CMS stars.
• Dallas — 75 facilities, 52 of them hospice providers, averaging 3.0 CMS stars.
• Austin — 41 facilities, 23 of them hospice providers, averaging 2.6 CMS stars.
• Fort Worth — 37 facilities, 21 of them hospice providers, averaging 3.0 CMS stars.
• El Paso — 37 facilities, 24 of them hospice providers, averaging 1.9 CMS stars.
• Plano — 30 facilities, 22 of them hospice providers, averaging 3.0 CMS stars.

Understanding CMS ratings for hospice providers in Texas

The Centers for Medicare & Medicaid Services scores certified facilities from one to five stars using three inputs: on-site health inspections, payroll-reported staffing levels, and clinical quality measures. Five stars means much above average within that state's peer group; one star means much below.

In Texas, 1,166 of the 2,748 providers we track carry a published CMS rating, and 378 — roughly 32% — hold four or five stars. The statewide average is 2.77 stars. That average is below the national midpoint, which makes checking each facility's individual inspection record especially important.

Weight the health inspection component most heavily: it is the only piece built from unannounced on-site visits by state surveyors. Staffing is the next best signal, and quality measures are partly self-reported. Clear Care Connect shows all three sub-scores, the inspection date and any penalties on every Texas profile.

Hospice Care costs in Texas

Hospice Care in Texas typically runs at little to no out-of-pocket cost for Medicare beneficiaries. Medicare Part A covers virtually the entire hospice benefit, so most families pay little or nothing out of pocket. Pricing tracks local housing and wage costs closely, so expect Houston to price above the Texas median while rural counties come in below it.

For comparison, Texas families budget $7,900–$11,200 a month for a nursing home, $4,500–$7,500 for assisted living, $6,000–$9,000 for memory care, and little to nothing for Medicare-covered home health or hospice. Clear Care Connect publishes an estimated monthly range on each facility page so you can sanity-check any quote.

Frequently asked questions

Ready to find the right hospice provider in Texas?

Clear Care Connect shows real government inspection data, CMS star ratings and cost information for all 1,145 hospice providers in Texas. Compare them side by side, see what inspectors found, and choose the right care for your loved one without a sales call.

Browse Texas Hospice Care