Houston Senior AdvisorV & R Health Care Services, LLC is a Medicare-certified home health agency based at 3218 Spencer Hwy in Pasadena, TX 77504. Medicare first certified it in 2009, 17 years ago. Medicare rates its quality of patient care at 3 out of 5 stars, level with the Texas average of 3. Its strongest result against the Texas average is got better at bathing; its weakest is flu shot status checked.
What is V & R Health Care Services, LLC's Medicare record?
| Agency | V & R Health Care Services, LLC |
|---|---|
| Address | 3218 Spencer Hwy, Pasadena, TX 77504 |
| Phone | (281) 332-1140 |
| Medicare provider number (CCN) | 747192 |
| Ownership | Proprietary |
| Medicare-certified since | 10/01/2009 |
How does V & R Health Care Services, LLC score on Medicare's quality measures?
Medicare publishes 11 patient-outcome and process measures for V & R Health Care Services, LLC. It is better than the Texas average on 4 and worse on 4.
| Measure | V & R Health Care Services, LLC | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Started care on time | 91.3% | 96.9% | 96.6% | Worse |
| Got better at walking or moving around | 89.9% | 86.5% | 88.6% | Better |
| Got better at getting in and out of bed | 84.8% | 86.7% | 89.8% | About the same |
| Got better at bathing | 98.2% | 88.8% | 90.7% | Better |
| Breathing improved | 90.6% | 87.4% | 91.5% | Better |
| Got better at taking medicines correctly | 87.6% | 86.5% | 88.3% | About the same |
| Medication issues addressed on time | 98.5% | 94.9% | 94.4% | Better |
| Flu shot status checked | 42.5% | 63.8% | 63.3% | Worse |
| Met expected function at discharge | 54.5% | 64.5% | 71.7% | Worse |
| Falls with major injury (lower is better) | 2.9% | 1.1% | 0.9% | Worse |
| New or worsened pressure ulcers (lower is better) | 0% | 0.2% | 0.2% | About the same |
Where it stands out: got better at bathing, medication issues addressed on time and got better at walking or moving around.
Where it trails: flu shot status checked, met expected function at discharge and started care on time.
What do patients say about V & R Health Care Services, LLC?
75% of surveyed patients said they would definitely recommend V & R Health Care Services, LLC, based on 16 completed surveys. The Texas average is 80%.
| Survey question | V & R Health Care Services, LLC | Texas average | U.S. average | vs. Texas |
|---|---|---|---|---|
| Team gave care in a professional way | 87% | 90% | 89% | Worse |
| Team communicated well | 83% | 86% | 86% | Worse |
| Team discussed medicines, pain and home safety | 92% | 83% | 82% | Better |
| Rated the agency 9 or 10 out of 10 | 71% | 87% | 85% | Worse |
| Would definitely recommend the agency | 75% | 80% | 79% | Worse |
Do V & R Health Care Services, LLC's patients end up back in the hospital?
Medicare rates V & R Health Care Services, LLC worse than the national rate on: patients who went home and stayed home after care ended.
| Measure | Medicare's category | Risk-adjusted rate |
|---|---|---|
| Patients who went home and stayed home after care ended | Worse Than National Rate | 59.6% |
| Preventable hospital stays during care | Same As National Rate | 13.6% |
Which home health services does V & R Health Care Services, LLC provide, and which does it not?
V & R Health Care Services, LLC reports offering skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work and home health aide.
| Service | Offered by V & R Health Care Services, LLC? |
|---|---|
| Skilled nursing | Yes |
| Physical therapy | Yes |
| Occupational therapy | Yes |
| Speech therapy | Yes |
| Medical social work | Yes |
| Home health aide | Yes |
| Round-the-clock or shift care | No. Home health is visits, not shifts. |
| Housekeeping, meals and errands on their own | No. Medicare does not cover them unless tied to skilled care. |
| Long-term help with bathing and dressing | No. That is non-medical home care, which families usually arrange and pay for separately. |
Which Houston-area ZIP codes does V & R Health Care Services, LLC serve?
V & R Health Care Services, LLC tells Medicare it serves 29 ZIP codes in Houston and Harris, Fort Bend, Montgomery and Brazoria counties, out of 35 in total.
- 77007
- 77015
- 77017
- 77022
- 77029
- 77033
- 77034
- 77048
- 77058
- 77059
- 77061
- 77063
- 77075
- 77078
- 77089
- 77091
- 77502
- 77504
- 77506
- 77511
- 77515
- 77536
- 77571
- 77578
- 77581
- 77584
- 77586
- 77587
- 77598
A ZIP on this list means the agency accepts referrals there. It does not promise a nurse is available this week, so confirm your address when you call.
What should you ask V & R Health Care Services, LLC before starting care?
Ask what 'done' looks like
54.5% of patients reached the level of function Medicare expected by discharge (Texas average 64.5%). Ask what goals they would set for your situation and what happens if progress stalls.
Ask how fast the first visit happens
Medicare's data shows V & R Health Care Services, LLC started care on time for 91.3% of patients, against a Texas average of 96.9%. Ask how many days it takes from the doctor's order to the first nurse visit, and what happens if the order arrives on a Friday.
Ask about fall prevention
2.9% of its patients had a fall with a major injury during care, against 1.1% across Texas. Ask for a home safety review at the first visit and what they change after a fall.
Ask whether your plan treats it as in-network
Original Medicare pays any certified agency. Medicare Advantage plans use networks, and an out-of-network agency can mean a denied claim. Give them the exact plan name on the card.
Which other home health agencies serve Pasadena, TX?
These Medicare-certified agencies are also based in or near Pasadena.
- Elara Caring — 5 of 5 stars
- A-1 Home Health Care — 4.5 of 5 stars
- Enhabit Home Health — 3.5 of 5 stars
Last verified: November 2026, against the Medicare provider data release dated 2026-09-21.
Common questions
Is V & R Health Care Services, LLC Medicare-certified?
Yes. V & R Health Care Services, LLC is certified by Medicare under provider number 747192 and has been since 2009. Original Medicare pays certified agencies directly for covered home health care.
What is V & R Health Care Services, LLC's Medicare star rating?
3 out of 5 for quality of patient care. The Texas average is 3.
Does V & R Health Care Services, LLC provide physical therapy at home?
Yes, it reports offering physical therapy to Medicare. It also reports skilled nursing, occupational therapy, speech therapy, medical social work and home health aide.
