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A hospice care provider in San Antonio, Texas, we are dedicated to providing quality care and support to patients who are terminally ill and have a life expectancy of six months or less.

Hospice is where physical, emotional, and spiritual pains are met with comfort, care, and understanding. Hospice is a philosophy of care that centers on the patient’s comfort and quality of life rather than giving treatment to the disease. Hospice is a choice for someone who is terminally ill and has a life expectancy of six months or less. Hospice care is typically given in the patient’s home, in a hospital, independent facility, or nursing home. Patients are cared for by family members, caregivers, assisted living, or skilled nurses. When symptoms become too severe, a 24-hour care can be provided by Four Seasons Hospice dba Shepherd Living Hospice LLC. As we offer Hospice Care in San Antonio Texas, our goal is to provide effective and quality care that constantly meets the needs and goals of our patient and his or her own family. Our care team works to maximize the quality of life and minimize the suffering for those individuals we serve with Palliative Care and Home Health Care in San Antonio Texas.


Our Mission

To provide physical, emotional, social, and spiritual support to our patients and allow them, including their families, to receive an end-of-life care characterized by dignity, choice, and comfort.

Our Vision

Leading the transformation of care for those impacted by advanced complex illness by delivering clinical excellence, outstanding value, and an exceptional experience.

Our Values

To pursue excellence in our brand of care and act ethically, professionally, respectfully, and compassionately in the hospice care services we provide in San Antonio, Texas and its surrounding communities.

Our Philosophy

Four Seasons Hospice dba Shepherd Living Hospice LLC exists to provide support and care for persons in the last phases of terminal illness so that they may live as comfortable as possible.


  • Skilled observation and assessment
  • Assistance with activities of daily living
  • Skilled nursing care
  • Pain and symptom management
  • Caregiver training
  • Coordination of all in-home medical needs such as equipment, home-infusion medication, etc
  • Guidance on end-of-life decisions such as advance directives, do-not-resuscitate orders or funeral planning.
  • Emotional and spiritual support
  • Bereavement support and grief counseling
  • Personal care