1
Alamo Hospice
Based in Boerne, TX. Tells Medicare it serves San Marcos
5 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 13 years. Ownership: for-profit.
Hays County, Texas
Hospice care in San Marcos, TX
Hospice care is comfort care for someone with a terminal illness, from a team of nurses, aides, social workers and chaplains, usually at home or wherever the person lives.
65 hospices 3.4 of 5 average CMS rating 14 rated 4 stars or more
Get help finding hospice care in San Marcos
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Hospice care near San Marcos, ranked by CMS rating
CMS rates hospices from 1 to 5 stars on the CAHPS Hospice Survey, which asks family caregivers about the care their loved one received.
2
Angels Care Hospice
Based in Bay City, TX. Tells Medicare it serves San Marcos
5 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 8 years. Ownership: for-profit.
3
Concho Hearts Hospice, LLC
Based in San Angelo, TX. Tells Medicare it serves San Marcos
5 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 5 years. Ownership: for-profit.
4
Guadalupe Regional Hospice
Based in Seguin, TX. Tells Medicare it serves San Marcos
5 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 36 years. Ownership: combination government & non-profit.
5
Hospice in the Pines
Based in Lufkin, TX. Tells Medicare it serves San Marcos
5 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 36 years. Ownership: for-profit.
6
Methodist Healthcare Hill Country Hospice & Family Care
Based in Fredericksburg, TX. Tells Medicare it serves San Marcos
5 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 32 years. Ownership: non-profit.
7
Altus Hospice
Based in Georgetown, TX. Tells Medicare it serves San Marcos
4 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 14 years. Ownership: for-profit.
8
Comforts of Home Healthcare LLC
Based in Cedar Park, TX. Tells Medicare it serves San Marcos
4 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 4 years. Ownership: for-profit.
9
Hospice Austin
Based in Austin, TX. Tells Medicare it serves San Marcos
4 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 39 years. Ownership: non-profit.
10
Magnolia Hospice
Based in Pflugerville, TX. Tells Medicare it serves San Marcos
4 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 4 years.
11
St. David's Hospice & Family Care
Based in Austin, TX. Tells Medicare it serves San Marcos
4 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 13 years. Ownership: for-profit.
12
Summit Home Health and Hospice
Based in San Antonio, TX. Tells Medicare it serves San Marcos
4 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 7 years. Ownership: for-profit.
13
Elara Caring
Based in New Braunfels, TX. Tells Medicare it serves San Marcos
4 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 16 years. Ownership: for-profit.
14
Hope Hospice
Based in New Braunfels, TX. Tells Medicare it serves San Marcos
4 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 38 years. Ownership: non-profit.
15
Heart to Heart Hospice of San Marcos LLC
Based in San Marcos, TX
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 9 years. Ownership: for-profit.
16
Aspen Hospice and Palliative Care
Based in San Antonio, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 13 years. Ownership: for-profit.
17
At Home Hospice
Based in Houston, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 8 years. Ownership: for-profit.
18
Bristol Hospice - North Central Texas
Based in Waxahachie, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 22 years. Ownership: for-profit.
19
Christus VNA Hospice San Antonio
Based in San Antonio, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 39 years. Ownership: for-profit.
20
Enhabit Hospice
Based in Austin, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 10 years. Ownership: other.
21
Halcyon Home LLC
Based in Austin, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 12 years. Ownership: for-profit.
22
Heart to Heart Hospice of Austin Ltd
Based in Austin, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 20 years. Ownership: for-profit.
23
Magnolia Hospice
Based in Arlington, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 5 years. Ownership: for-profit.
24
New Century Hospice of Austin
Based in Austin, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 21 years. Ownership: for-profit.
25
Silverado Hospice- Austin
Based in Austin, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 12 years. Ownership: for-profit.
26
Trinity Hospice
Based in San Antonio, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 10 years. Ownership: for-profit.
27
Vitas Healthcare of Texas LP
Based in San Antonio, TX. Tells Medicare it serves San Marcos
3 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 32 years. Ownership: for-profit.
28
Accentcare Hospice & Palliative Care - Austin
Based in Austin, TX. Tells Medicare it serves San Marcos
2 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 19 years. Ownership: for-profit.
29
Bristol Hospice - Texas, LLC
Based in The Woodlands, TX. Tells Medicare it serves San Marcos
2 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 14 years. Ownership: for-profit.
30
Hospice Compassus
Based in Round Rock, TX. Tells Medicare it serves San Marcos
2 out of 5 stars, Patient survey, from CMS Patient survey
Medicare-certified hospice for 17 years. Ownership: for-profit.
35 more hospices are within reach of San Marcos. and Carevo will share your request with providers that match.
How these listings are sourced
- Medicare data. Home health agencies, hospices and nursing homes come from the CMS Provider Data Catalog (home health file of October 2026, nursing home file of September 2026). Star ratings are CMS ratings. Each card links to the provider's Care Compare record.
- Ranking. Rated providers are listed first, highest CMS rating first. Providers CMS has not rated come after them, because no rating is unknown, not bad. Nobody can pay for a place on this list.
- Other providers. Home care agencies, assisted living, adult day centers, disability and ABA providers come from the federal NPI registry, read October 2026. The care type is the one the provider chose when it registered. Nobody checks it, so ask what each provider actually does.
- Location. "Based in" is the provider's own address. "Tells Medicare it serves" comes from the ZIP codes the agency reports to CMS. "Miles away" is the distance from the city center to the provider's ZIP code, so check that they cover your address.
How hospice care is paid for
- Medicare covers hospice care when a hospice doctor and the person's regular doctor certify a terminal illness with a life expectancy of 6 months or less, and the person chooses comfort care instead of care to cure the illness.
- Medicare doesn't cover room and board when someone gets hospice care at home or in a nursing home.
For free local help with care options and benefits, contact your Area Agency on Aging through the Eldercare Locator.
San Marcos at a glance
- 74,316 residents (Census Bureau 2024 estimate)
- 4 hospices with an address in San Marcos
- 58 based elsewhere that tell Medicare they serve San Marcos
- 64 Medicare-certified
- 32 with a CMS star rating
Questions about hospice care in San Marcos
How many hospice care hospices serve San Marcos, TX?
Carevo lists 65 hospices for San Marcos: 4 based in the city, 58 that tell Medicare they serve ZIP codes here, and 3 based within 15 miles.
Which hospices near San Marcos have the highest CMS rating?
14 of the 32 rated hospices on this page have 4 stars or more from CMS in data published August 2026. Alamo Hospice is listed first with 5 out of 5. Ratings change, so check the Care Compare record linked on each card.
How is hospice care paid for?
Medicare covers hospice care when a hospice doctor and the person's regular doctor certify a terminal illness with a life expectancy of 6 months or less, and the person chooses comfort care instead of care to cure the illness. Medicare doesn't cover room and board when someone gets hospice care at home or in a nursing home.
Can providers pay to be listed higher on Carevo?
No. Carevo does not sell placement or ranking. Rated providers are ordered by their CMS rating, and the rest by where they are based.
Other care in San Marcos
Home care · Respite care · Home health care · Private duty nursing · In-home physical therapy · Assisted living · Memory care · Nursing homes · Adult day care · Intellectual and developmental disability services · ABA therapy
Hospice care in nearby cities
Kyle · New Braunfels · Seguin · Cibolo · Schertz · Austin · Converse · San Antonio
Sources
- Medicare.gov: Hospice care accessed October 27, 2026
- Medicare.gov Care Compare accessed October 27, 2026