Crest Palliative Care
Parent agency in Shavano Park, Bexar County.
Licensed · Medicare-certified
HHSC license roster, as of November 9, 2026 CMS hospice files, released August 26, 2026
- Address
- 4085 De Zavala Rd Ste 100, Shavano Park, TX, 78249
- Phone
- (210) 469-3200
- Fax
- (210) 642-4995
- License number
- 018667
- License status
- Licensed (as written: LICENSED FACILITY)
- License first issued
- March 26, 2018
- License expires
- March 31, 2028
- Agency type
- Parent agency
- Services on the license
- Hospice
- Inpatient unit (roster)
- In-Patient Hospice: NO
- Current client census (HHSC roster)
- 116 As reported on this roster row as of November 9, 2026. This is not a quality measure and may not reflect only this site.
- Legal entity
- Boerne Hospice Partners LLC
- Administrator
- Steven Sepko
- Medicare number
- 971501 As written on the roster: 97-1501 (HOSPICE)
- Ownership type (CMS)
- For-Profit
- CMS certification date
- June 19, 2019
Verify this license on TULIP · View on Medicare.gov
CMS quality and family-survey measures
Family caregiver survey rating (CMS CAHPS)
3 out of 5, as published by CMS
Period: October 1, 2023–September 30, 2025
Treatment preferences
99.22%
How often this hospice documented the patient’s treatment preferences.
Texas average (CMS): 99.62 · National average (CMS): 99.80
Period: October 1, 2024–September 30, 2025
Beliefs and values
98.82%
How often beliefs and values were addressed, if the patient wanted that.
Texas average (CMS): 98.75 · National average (CMS): 99.27
Period: October 1, 2024–September 30, 2025
Pain screening
100.00%
How often patients were screened for pain.
Texas average (CMS): 98.24 · National average (CMS): 99.00
Period: October 1, 2024–September 30, 2025
Pain assessment
99.02%
How often a fuller pain assessment was done when pain was identified.
Texas average (CMS): 98.34 · National average (CMS): 98.27
Period: October 1, 2024–September 30, 2025
Shortness-of-breath screening
100.00%
How often patients were screened for dyspnea (shortness of breath).
Texas average (CMS): 99.42 · National average (CMS): 99.53
Period: October 1, 2024–September 30, 2025
Shortness-of-breath treatment
97.09%
How often treatment for dyspnea was begun when it was identified.
Texas average (CMS): 98.64 · National average (CMS): 98.59
Period: October 1, 2024–September 30, 2025
Bowel regimen with an opioid
100.00%
How often patients treated with an opioid were also given a bowel regimen.
Texas average (CMS): 98.39 · National average (CMS): 98.46
Period: October 1, 2024–September 30, 2025
Composite process measure (CMS)
97.25%
A composite CMS publishes from several of the process measures above. HospiceLookup did not invent this figure.
Texas average (CMS): 94.72 · National average (CMS): 96.15
Period: October 1, 2024–September 30, 2025
Visits in the last days of life
56.9%
How often a registered nurse or medical social worker visited in the last days of life, as CMS defines the measure.
Texas average (CMS): 51.0% · National average (CMS): 48.3
Period: January 1, 2023–December 31, 2024
Hospice Care Index overall score (CMS)
10
A 0–10 score CMS publishes from several claims-based indicators. Shown as published; this is not a score HospiceLookup designed.
Texas average (CMS): 8.4 · National average (CMS): 8.8
Period: January 1, 2023–December 31, 2024
Continuous home care or general inpatient days
0.0
Share of days billed as continuous home care or general inpatient care, as CMS published it.
CMS published percentile: 52
Period: January 1, 2023–December 31, 2024
Gaps in nursing visits
34.0
Share of hospice elections with a gap in nursing visits, as CMS published it.
CMS published percentile: 26
Period: January 1, 2023–December 31, 2024
Early live discharges
7.9
Share of live discharges that CMS classifies as early.
CMS published percentile: 60
Period: January 1, 2023–December 31, 2024
Late live discharges
23.6
Share of live discharges that CMS classifies as late.
CMS published percentile: 18
Period: January 1, 2023–December 31, 2024
Burdensome transitions, type 1
16.9
As CMS defines this transition type, shown as a share of live discharges.
CMS published percentile: 88
Period: January 1, 2023–December 31, 2024
Burdensome transitions, type 2
1.1
As CMS defines this transition type, shown as a share of live discharges.
CMS published percentile: 51
Period: January 1, 2023–December 31, 2024
Per-beneficiary spending
18,968
Medicare spending per hospice beneficiary, in U.S. dollars, as CMS published it.
CMS published percentile: 55
Period: January 1, 2023–December 31, 2024
Nurse care minutes on routine home-care days
13.7
Minutes of nursing care per routine home-care day, as CMS published it.
CMS published percentile: 65
Period: January 1, 2023–December 31, 2024
Skilled nursing minutes on weekends
5.6
Share of skilled nursing minutes that took place on a weekend, as CMS published it.
CMS published percentile: 21
Period: January 1, 2023–December 31, 2024
Visits near death
92.0
Share of people who died while on hospice who received a visit near death, as CMS defines the measure.
CMS published percentile: 40
Period: January 1, 2023–December 31, 2024
Communicated well (CAHPS Hospice Survey)
81% top box, as published
Middle box: 12% · Bottom box: 7%
Texas average (CMS): 81 · National average (CMS): 82
Period: October 1, 2023–September 30, 2025
Provided timely help (CAHPS Hospice Survey)
75% top box, as published
Middle box: 16% · Bottom box: 9%
Texas average (CMS): 77 · National average (CMS): 78
Period: October 1, 2023–September 30, 2025
Treated the patient with respect (CAHPS Hospice Survey)
92% top box, as published
Middle box: 5% · Bottom box: 3%
Texas average (CMS): 90 · National average (CMS): 91
Period: October 1, 2023–September 30, 2025
Emotional and spiritual support (CAHPS Hospice Survey)
87% top box, as published
Middle box: Not Applicable% · Bottom box: 13%
Texas average (CMS): 89 · National average (CMS): 91
Period: October 1, 2023–September 30, 2025
Help with pain and symptoms (CAHPS Hospice Survey)
77% top box, as published
Middle box: 15% · Bottom box: 8%
Texas average (CMS): 76 · National average (CMS): 76
Period: October 1, 2023–September 30, 2025
Caregivers who rated the hospice a 9 or 10 (CAHPS Hospice Survey)
78% top box, as published
Middle box: 17% · Bottom box: 5%
Texas average (CMS): 81 · National average (CMS): 83
Period: October 1, 2023–September 30, 2025
Would definitely recommend this hospice (CAHPS Hospice Survey)
80% top box, as published
Middle box: 13% · Bottom box: 7%
Texas average (CMS): 83 · National average (CMS): 85
Period: October 1, 2023–September 30, 2025
Where care was provided, and other CMS profile figures
These describe the mix CMS published. They are not quality scores.
Average daily census (CMS)
86
Period: January 1, 2024–December 31, 2024
Care provided at home
57%
Period: January 1, 2024–December 31, 2024
Care provided in an assisted living facility
25%
Period: January 1, 2024–December 31, 2024
Care provided in a nursing facility
18%
Period: January 1, 2024–December 31, 2024
Care provided in a skilled nursing facility
0%
Period: January 1, 2024–December 31, 2024
CMS footnote: 14
Care provided in an inpatient hospice facility
0%
Period: January 1, 2024–December 31, 2024
CMS footnote: 14
Care provided in an inpatient hospital
0%
Period: January 1, 2024–December 31, 2024
CMS footnote: 14
Care provided in all other locations
0%
Period: January 1, 2024–December 31, 2024
CMS footnote: 14
Provided routine home care only
No
Period: January 1, 2022–December 31, 2024
Provided routine home care and other levels of care
Yes
Period: January 1, 2022–December 31, 2024
Patients with cancer
21%
Period: January 1, 2024–December 31, 2024
Patients with circulatory or heart disease
17%
Period: January 1, 2024–December 31, 2024
Patients with dementia
32%
Period: January 1, 2024–December 31, 2024
Patients with respiratory disease
7%
Period: January 1, 2024–December 31, 2024
Patients with stroke
13%
Period: January 1, 2024–December 31, 2024
Patients with other conditions
11%
Period: January 1, 2024–December 31, 2024
Served at least one patient with both Medicare and Medicaid in a year
Yes
Period: January 1, 2024–December 31, 2024
Served at least one patient enrolled in Medicare Advantage in a year
Yes
Period: January 1, 2024–December 31, 2024
A short guide to sitting with these figures is on how to read hospice ratings.
ZIP codes CMS lists this hospice as serving
These ZIP codes come from the CMS hospice ZIP file released August 26, 2026. They are a service-area source. The county of the license address (Bexar) is not a service area.
82 ZIPs.
How to report a concern
To report abuse, neglect, or exploitation, call the Texas Abuse Hotline at 800-252-5400. To make a complaint to the state about a licensed agency, call HHSC complaints at 800-458-9858.
Public data, not an endorsement or medical or legal advice. HospiceLookup is not affiliated with HHSC, CMS, or Medicare. Figures can lag, and appeal rights exist. Verify the license on TULIP and, if this agency is Medicare-certified, on Medicare.gov. See the full disclaimer and methodology.