ElderGrade Check a home before you move a parent in Compare
Nursing homes Best graded Watchlist Home health Hospice Costs Medicaid Guides How we grade Ownership Compare homes

Alomega Home Health Care Llc

4241 Piedras Dr E Ste 251, San Antonio, TX 78228

8325129212
F

Poor

30 / 100

Ownership
PROPRIETARY
Medicare certified
May 1976
Patients surveyed
19
CCN
457099

Share this profile

Alomega Home Health Care, ElderGrade F summary card

This is the card people see when this page is shared or linked, built from the same federal figures shown above.

What to ask about before you visit

These are findings in the public CMS record for this agency. They are not our opinion, each one comes straight from the federal home health quality file or the CMS patient survey.

  • Only 42% of patients would definitely recommend it

    The national median is around 80%.

What this costs you

If a doctor certifies the patient is homebound and needs skilled nursing or therapy, Medicare pays this agency directly and the patient pays nothing for the covered visits. Equipment is billed separately at 20% of the Medicare-approved amount. Home health does not pay for round-the-clock care, meals, or help with bathing and dressing on its own, those are the costs families are most often surprised by. Medicare spends 0.93× the national average per episode of care at this agency. That is what the federal government spends, not what a family pays, and it is not part of our grade.

How we graded it

Our method
  • Patient experience

    6.25 / 30

    What patients said about the agency afterwards, in the CMS-run HHCAHPS survey, the only federal home health measure that comes from patients rather than from the agency.

    • 42% of patients would definitely recommend it (national median 80%)
  • Staying home

    10.25 / 25

    Whether patients stayed living in the community afterwards, and how often they went back to hospital for something home health should have caught.

    • 65% of patients went on living in the community rather than moving into a facility (national median 84%)
    • No preventable-readmission rate published, scored just under the national average rather than guessed at
  • Recovery at home

    5 / 20

    How much of the expected improvement in dressing, bathing and moving around patients actually reached by the time care ended, risk-adjusted by CMS for how they arrived.

    • 21.9 discharge function score (national median 67.3)
  • Care transitions

    3.75 / 15

    Whether the patient and their next doctor were handed an accurate, current medicine list when home health ended, the handover where things get missed.

    • 67% of patients were given their current medicine list when care ended (national median 96%)
    • 42% of records reached the next doctor or facility (national median 88%)
  • Starting on time

    5 / 10

    How often care actually began within the window the doctor ordered, or within two days of leaving hospital.

    • 96.3% of patients had care started on time (national median 97.8%)

Did it work?

Home health is judged on whether the patient stayed home, stayed out of hospital and got more capable. These are this agency's numbers against the national median.

Patients still living in the community after care ended65%
National average 84%Below average
Discharge function score, how much of the expected improvement patients reached21.9
National average 67.3Below average
Care started within the window the doctor ordered96.3%
National average 97.8%Below average
Patients given a current medicine list when care ended67%
National average 96%Below average
Records that reached the patient's next doctor or facility42%
National average 88%Below average

What patients said

From the HHCAHPS survey, which CMS sends to the agency's own patients after care. These are not online reviews and the agency cannot select who is asked. Percentages are the share who gave the best possible answer. 17% of those asked replied.

Would definitely recommend this agency42%
Rated the agency 9 or 10 out of 1062%
Team always gave care in a professional way70%
Team always communicated well75%
Team discussed medicines, pain and home safety55%

Services offered

  • ✓ Skilled nursing care
  • ✓ Physical therapy
  • ✓ Occupational therapy
  • ✓ Speech pathology
  • ✓ Home health aide
  • ✓ Medical social services

Improvement measures

The agency's own assessment of how many patients got better. We publish these because families ask about them, and we leave them out of the grade because none of them separated agencies when we tested them against what patients themselves reported.

  • Got better at walking or moving around 68%
  • Got better at getting in and out of bed 68%
  • Got better at bathing 73%
  • Got better at taking their medicines correctly 89%

Published, and deliberately not graded on

Before weighting anything we checked which direction each CMS measure actually runs, by comparing it against the patient survey across every agency in the country. These did not survive that check. They are here because they are part of the public record, and out of the grade because scoring them would make our letters worse, not better.

CMS quality of patient care star rating
2.0 of 5

CMS's own composite. Across every agency where both are published it tracks the patient survey at essentially zero, so we show it and do not grade on it.

Falls with major injury
0.00%

Also runs backwards, in every size band. It appears to measure whether an agency records adverse events rather than whether they happen. Left out of the grade.

Medicare spending per episode
0.93× the national average

A cost measure with no relationship to what patients reported. Left out of the grade.

Other agencies nearby

Capitol Home Health

San Antonio, TX

A
Patient rating
5/5
Still living at home
90%

PROPRIETARY

NursingPhysical therapyOccupational therapySpeech therapyHome health aideSocial services

Centerwell Home Health

San Antonio, TX

B
Patient rating
4/5
Still living at home
84%

PROPRIETARY

NursingPhysical therapyOccupational therapySpeech therapyHome health aideSocial services
Patient rating
4/5
Still living at home
91%

PROPRIETARY

NursingPhysical therapyOccupational therapySpeech therapySocial services

Elara Caring

San Antonio, TX

B
Patient rating
4/5
Still living at home
89%

PROPRIETARY

NursingPhysical therapyOccupational therapySpeech therapyHome health aide

Mission Home Health

San Antonio, TX

B
Patient rating
4/5
Still living at home
86%

PROPRIETARY

NursingPhysical therapyOccupational therapySpeech therapyHome health aideSocial services

Amedisys Home Health

San Antonio, TX

B
Patient rating
4/5
Still living at home
82%

PROPRIETARY

NursingPhysical therapyOccupational therapySpeech therapyHome health aideSocial services

Questions families ask about Alomega Home Health Care Llc

Does Medicare pay for Alomega Home Health Care Llc?
Yes, if a doctor certifies the patient is homebound and needs intermittent skilled nursing or therapy. Medicare then pays Alomega Home Health Care Llc directly for covered home health visits and the patient pays nothing for them. Durable medical equipment is billed separately at 20% of the approved amount. Home health does not cover round-the-clock care, meals, or help with bathing and dressing on its own.
What do patients say about Alomega Home Health Care Llc?
In the CMS-run HHCAHPS survey, results were published and 42% of patients said they would definitely recommend it, from 19 completed surveys. The survey is sent by CMS, not by the agency, and the agency cannot choose who is asked.
Do patients stay at home after Alomega Home Health Care Llc finishes?
65% of this agency's patients were still living in the community rather than in a facility after care ended, against a national median of 84%. CMS risk-adjusts this rate for how sick the patients were when they started.
How is Alomega Home Health Care Llc graded?
ElderGrade grades it F, poor, scoring 30 out of 100 on the federal home health record: what patients themselves reported, whether they went on living in the community and stayed out of hospital, how much function they regained, whether the handover to their next doctor was done, and whether care started on time. We take no payment from agencies.
What services does Alomega Home Health Care Llc provide?
CMS records this agency as offering skilled nursing care, physical therapy, occupational therapy, speech pathology, home health aide and medical social services. Which of them you actually receive depends on what the doctor writes into the plan of care.

Source: the CMS Home Health Care Agencies file and the HHCAHPS Patient Survey, published by the Centers for Medicare & Medicaid Services. ElderGrade takes no payment from agencies, chains or placement agencies, and holds no photographs of this provider. Graded 3 November 2026. How we source our data.