Hospice Care in Texas: Houston, Dallas, San Antonio & More
Hospice Care in Texas, Choosing hospice care for yourself or a loved one is one of the most important decisions a family will make. Across Texas, hundreds of hospice providers offer very different levels of experience, staffing, and availability — and where you live affects which options are realistically available to you.
This guide breaks down what hospice care looks like in seven major Texas metro areas — Houston, Dallas, San Antonio, Austin, Fort Worth, El Paso, and McAllen — along with what to look for in a provider, no matter which city you’re searching from.
If you or a family member need to start hospice care now, Prime Choice Hospice offers Medicare-certified, in-home hospice services across Texas. Contact our care team for a same-day consultation.
Hospice care is specialized medical and emotional support for people facing a life-limiting illness, typically when a physician has certified a prognosis of six months or less if the disease follows its natural course. Unlike curative treatment, hospice focuses on comfort, dignity, and quality of life — managing pain and symptoms while supporting both the patient and their family.
Hospice care in Texas can be delivered in several settings:
- In-home hospice care — the most common option, provided wherever the patient lives (private home, family member’s home, or assisted living facility)
- Inpatient hospice facilities — for patients who need round-the-clock symptom management that can’t be managed at home
- Hospice care in nursing homes — hospice services layered on top of existing long-term care
- Continuous home care — short-term, around-the-clock care during a medical crisis
How to Choose a Hospice Provider in Texas
Before comparing specific agencies, use this checklist — it applies whether you’re in Houston or a small town outside Amarillo:
- Medicare/Medicaid certification. Confirm the agency is Medicare-certified; this determines whether the hospice benefit is fully covered.
- Licensing with the Texas Health and Human Services Commission (HHSC). All Texas hospices must be state-licensed — ask for their license number.
- 24/7 nurse availability. A provider should have a nurse reachable by phone at any hour, not just during business days.
- Interdisciplinary team. Look for a full team: physician, RN case manager, hospice aide, medical social worker, chaplain, and bereavement counselor.
- Response time. Ask how quickly they can start care after referral — same-day or next-day admission is the standard for quality agencies.
- Family reviews and longevity. Check Google reviews, the Texas HHSC complaint database, and how long the agency has operated in your specific city.
Hospice Care in Houston, TX
Houston’s size and diverse population mean families have dozens of hospice options, but that also makes it harder to compare quality. When searching for hospice care in Houston, TX, prioritize agencies with a genuine local presence — a real office and clinical staff based in the Houston metro, not just a call center. Houston’s major hospital systems (Houston Methodist, Memorial Hermann, MD Anderson) regularly refer patients to community hospice partners, so ask your discharge planner or oncologist for their preferred local partners as a starting point.
Prime Choice Hospice’s Houston service area, 3300 S Gessner Rd. Ste 125 Houston, Tx 77063, Call Us: 832-622-6418
Best Hospice Care in Dallas, TX
Families searching for the best hospice care in Dallas are usually comparing several large national chains against smaller, locally owned agencies. National providers often have more resources, but smaller Dallas-based hospices frequently offer lower patient-to-nurse ratios and more consistent caregiver assignments — meaning your loved one sees the same faces throughout their care. Ask any Dallas hospice directly what their nurse-to-patient ratio is; it’s one of the clearest quality indicators available.
Prime Choice Hospice’s Dallas–service area, Call Us: 832-622-6418
San Antonio Hospice Facilities
San Antonio has a mix of home-based hospice agencies and dedicated inpatient hospice facilities for patients whose symptoms need hospital-level management. If a loved one’s pain or symptoms can no longer be controlled at home, ask your hospice team about inpatient units affiliated with San Antonio hospitals such as University Health or Methodist Healthcare. Most patients, however, remain eligible for in-home hospice throughout San Antonio and surrounding Bexar County.
Prime Choice Hospice’s San Antonio service area, Call Us: 832-622-6418
Austin Hospice Providers
Austin’s hospice landscape has grown quickly alongside the city’s population. When evaluating Austin hospice providers, pay attention to whether the agency serves the surrounding suburbs (Round Rock, Cedar Park, Pflugerville, Georgetown) as well as central Austin — coverage gaps are common as agencies scale. Confirm your zip code is within their active service radius before choosing a provider.
Prime Choice Hospice’s Austin/Central Texas service 3300 S Gessner Rd. Ste 125 Houston, Tx 77063, Call Us: 832-622-6418
Fort Worth Home Hospice Agencies
Most families in Fort Worth are specifically looking for home hospice agencies rather than facility-based care, since the vast majority of hospice patients nationwide are cared for in their own homes. Fort Worth agencies should be able to explain exactly what’s included in home visits — how often a nurse comes, what happens during a symptom crisis overnight, and how equipment (hospital beds, oxygen, wheelchairs) gets delivered to the home.
Prime Choice Hospice’s Fort Worth/Tarrant County service area Call Us: 832-622-6418
Hospice Care in El Paso, TX
El Paso’s geography — bordering New Mexico and Mexico — means some families have fewer hospice options than in Texas’s larger metros. When searching for hospice care in El Paso, TX, it’s worth confirming bilingual staff availability, since Spanish-speaking clinical and chaplaincy support is often essential for El Paso families. Confirm the agency serves your specific neighborhood, as El Paso’s sprawling layout means coverage can vary by service.
Prime Choice Hospice’s El Paso service details Call Us: 832-622-6418
Hospice Care Services in McAllen, TX
McAllen and the greater Rio Grande Valley have a growing but still limited number of dedicated hospice providers relative to population. Families searching for McAllen, TX hospice care services should ask specifically about weekend and holiday coverage, as some smaller agencies in the Valley operate with limited after-hours staffing. Bilingual care teams are also a key consideration for many McAllen families.
Prime Choice Hospice’s McAllen/Rio Grande Valley service, Call Us: 832-622-6418
Frequently Asked Questions
Palliative care can begin at any stage of a serious illness, alongside curative treatment, and focuses on relieving symptoms and stress. Hospice care specifically applies when curative treatment has stopped and a physician has certified a prognosis of six months or less.
Yes. Medicare Part A covers hospice care nationwide, including Texas, for patients who meet eligibility criteria and choose a Medicare-certified hospice provider. Most hospice services, medications related to the terminal diagnosis, and equipment are covered with little to no out-of-pocket cost.
Start with a referral from your physician or hospital discharge planner, then verify any agency’s Medicare certification and Texas HHSC license before choosing. Local hospital systems typically maintain a list of vetted hospice partners in your area.
In-home hospice is available in all seven metro areas covered above, though coverage in rural areas surrounding these cities can vary by agency. Always confirm your specific zip code is within an agency’s active service area.
Reputable Texas hospice agencies can typically begin care within 24 to 48 hours of a physician referral, and some offer same-day admission for urgent situations.
Get Started With Hospice Care in Texas
Wherever you are in Texas, choosing the right hospice provider comes down to three things: verified credentials, real local presence, and a care team that’s available when you need them — not just during business hours.
Prime Choice Hospice provides Medicare-certified hospice care across Texas. Reach out to our care coordinators today to talk through your family’s situation and see if we serve your area.
Last Updated: 15th July 2026
Written by Lewis White, Medically reviewed by Prime Choice Hospice Center
