Methodist Hospice and Family Care
A hospice in San Antonio, Texas 78232
140 Heimer Road Ste 120b, San Antonio, Texas 78232. (210) 998-2966.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 4 deficiencies cited in the last three years
- Not rated family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean2
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
4 deficiencies cited in the last three years
The middle of the 88 hospices serving ZIP code 78232 had 4.
The last inspection on record was on May 14, 2026: a reaccreditation inspection by The Joint Commission.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
When those deficiencies happened
4 deficiencies in 1 month of the last 36. Last cited May 2026. Most serious: Standard-level. The last 3 years, to Oct 27, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
May 14, 2026: reaccreditation inspection by The Joint Commission4 deficiencies
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Content of comprehensive assessment (42 CFR 418.54(c)(6)(i))
The inspectors’ words, 130 words
“Observed in Patient Home. In 2 of 3 home visits conducted, it was observed the organization failed to assess SN failed to conduct medication as required by policy on Medication Profile Policy no. H:2-059.1 states A drug regimen review will be performed at the time of initial assessment and during each clinical visit. The review will identify drug/food interactions, potential adverse effect and drug reactions, ineffective drug therapy, duplicate drug therapy, and noncompliance with drug therapy. For example in HOSRRHV#2, the hospice nurse did ask the daughter in law if there were changes or new medication without going through medications. HOSRRHV#3, the hospice nurse (RN) had not conducted medication reconciliation at the Facility (ALF). This finding was discussed and validated by the Clinical Manager who was present during the visit.”
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Content of plan of care (42 CFR 418.56(c)(4))
The inspectors’ words, 225 words
“Observed in Record Review. In 5 of 10 patient records reviewed, it was noted the organization had failed to ensure that the plan of care includes all services needed for the palliation and management of the terminal illness and related conditions, including the medications and treatments necessary to meet the patient’s needs. For example in review of record HOSRRHV#1, the patient record revealed an order of Oxygen 2-5 LPM via NC as needed for shortness of breath, however, the order deemed incomplete as it had not include a defined parameters and indications for adjusting and/or changing the settings. -HOSRRNHV#5, an order was received for Acetaminophen 500 mg 2 tablets by mouth or rectally every 6 hours PRN for pain/fever and Morphine 20 mg/ml give 0.25-1 ml by mouth/SL every hour as needed for pain/SOB. However, there was no indication of when to use each drug for pain. In record of HOSRRNHV#6 and HOSRRNHV#10, patient record revealed an order for oxygen saturation level to be checked as needed, however, it did not indicate the reason for PRN. in record of HOSRRNHV#8, an order for Acetaminophen. 500 mg 2 tablets every 6 hours/PRN and Acetaminophen 650 mg 1 suppository every 4 hours/PRN, however, it did not indicate as to when to use each medication for pain. This finding was discussed and validated by the hospice leadership team.”
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Prevention (42 CFR 418.60(a))
The inspectors’ words, 109 words
“Observed in Patient Home. In 2 of 3 home visits conducted, it was noted the organization had failed to follow its accepted standards of practice to prevent the transmission of infections and communicable diseases, included the use of standard precautions. For example, in home visit conducted of HOSRRHV#2 and HOSRRHV#3, the clinical nursing staff had failed to clean I-pad after a home visit per agency policy. (Bag Technique Policy No. H:2-143.) stated when the visit is completed, the reusable equipment and electronic devices will be cleaned and returned to the bag. This finding was discussed and validated by the Clinical Manager who was present during the home visit tracer.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
The inspectors’ words, 106 words
“Observed in Record Review. In 1 of 3 active records with hospice aide services, it was noted that the organization had failed to ensure that a registered nurse, who is a member of the interdisciplinary group and is responsible for hospice aide supervision prepares written patient care instructions for the hospice aide. For example in HOSRRNHV#6, patient had been taking Eliquis 5 mg PO 2x a day and Aspirin 81 1 tablet by mouth daily, however, the aide care plan did not include additional written instructions for the aide such as watch out/report for bleeding. This finding was discussed and validated by the hospice leadership team.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 14, 2026 | Reaccreditation inspection by The Joint Commission | 4 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Nov 1, 2011.
- Ownership: for-profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency or CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3. on record in the last three years.
CMS, Hospice General Information. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Has anything been proven against it?
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- 0 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
Who does the caring?
- From Medicare claims (Jan 1, 2023 to Dec 31, 2024): 14.6 nurse care minutes per routine home care day, 11.8% of skilled nursing minutes at weekends and a visit near death for 95.9% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 85% at home, 3% in assisted living, 12% in a nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 14.6 min |
| Skilled nursing minutes at weekends | 11.8% |
| Visits near death | 95.9% of patients who died |
Who owns it?
- Health at Home-San Antonio, LLC owns 100% directly since Jun 22, 2021.
- Health at Home-Bhs, LLC runs it.
- 6 owners or officers are people: Eric D Smith (runs it (operational or managerial control)); Kara Wimberly (managing employee (on the payroll), 0%); Wesam Sabri Aziz (managing employee (under contract), 0%); Jarrod L Watson (corporate officer); Brandi Mains (managing employee (on the payroll), 0%); Brad Williams Parrish (corporate officer).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospice All Owners and Hospice Enrollments. Released Sep 29, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Methodist Healthcare System of San Antonio Ltd LLP | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| Health at Home-San Antonio, LLC | Owns 5% or more directly | 100% | Jun 22, 2021 |
| HCA Inc. | Owns 5% or more through other companies | 50% | Jul 1, 2021 |
| Methodist Healthcare Ministries of South Texas, Inc. | Owns 5% or more through other companies | 50% | Jul 1, 2021 |
| HCA Healthcare Inc. | Owns 5% or more through other companies | 50% | Jul 1, 2021 |
| Healthtrust Inc. - the Hospital Company | Owns 5% or more through other companies | 50% | Jul 1, 2021 |
| Columbia-HCA Healthcare Corporation of Central Texas | Owns 5% or more through other companies | 50% | Jul 1, 2021 |
| Hti Hospital Holdings Inc. | Owns 5% or more through other companies | 50% | Jul 1, 2021 |
| Indianapolis Hospital Partner, LLC | Owns 5% or more through other companies | 49.5% | Jul 1, 2021 |
| Hercules Holding II | Owns 5% or more through other companies | 12.5% | Jul 1, 2021 |
| Mgh Medical Inc. | Owns 5% or more through other companies | 10.06% | Jul 1, 2021 |
| W & C Hospital, Inc. | Owns 5% or more through other companies | 8.24% | Jul 1, 2021 |
| San Antonio Regional Hospital, Inc. | Owns 5% or more through other companies | 6.72% | Jul 1, 2021 |
| Frisco Holding II | Owns 5% or more through other companies | 6.63% | Jul 1, 2021 |
| Health at Home-Bhs, LLC | Runs it (operational or managerial control) | Jul 1, 2021 |
What do families say?
- CMS gives no family caregiver survey rating: “The number of cases is too small to report Star Ratings.”
- In CMS’s survey of family caregivers (Oct 1, 2023 to Sep 30, 2025): 88% rated it 9 or 10 out of 10, and 92% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 93.1% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 52% had visits from a nurse or social worker on at least 2 of their last 3 days (Jan 1, 2023 to Dec 31, 2024).
CMS, CAHPS Hospice Survey and Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Family caregiver survey ratingCMS star rating from its survey of patients’ family caregivers, 1 to 5 | Not rated |
| Hospice Care IndexCMS’s Hospice Care Index, 0 to 10 (higher is better): a point for each of ten measures from Medicare claims on which the hospice meets CMS’s threshold | 10 of 10 |
How does it compare nearby?
- Of the 88 hospices CMS’s data show serving patients in ZIP code 78232, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 4; this one had 4.
CMS, Hospice ZIP Data. Released Aug 26, 2026. Updated quarterly.
CMS, QCOR hospice inspection reports. Released Oct 23, 2026. Updated quarterly.
| Place | Deficiencies, 3 years |
|---|---|
| Heart to Heart Hospice of San Antonio, LLC | 6 |
| Methodist Hospice and Family Care This hospice | 4 |
| Enhabit Hospice | 0 |
| Suncrest Hospice San Antonio LLC | 3 |
| Abundant Hospice, LLC | 17 |
| Devoted Care Hospice Inc. | 0 |
| Compassion Hospice of Texas | 9 |
| Cfhc No22 Inc. | Not given |
| Christus VNA Hospice San Antonio | 0 |
| Vitas Healthcare of Texas LP | 3 |
| Gentiva | 10 |
| Amedisys Hospice of San Antonio | 14 |
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospices, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- CMS ended its Special Focus Program for hospices with serious problems on Feb 14, 2025, so no hospice is marked as one.
- Hospice quality measures have a gap from October 2025: CMS replaced its patient assessment then, and public results from the new one (HOPE) are expected around November 2027.
Sources
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Centers for Medicare & Medicaid Services, Hospice General Information (yc9t-dgbk).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Provider Data (252m-zfp9).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, CAHPS Hospice Survey (gxki-hrr8).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR hospice inspection reports (Hospice Survey Reports - Oct 2021 through Sep 2026.xlsx).
Released Oct 23, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice All Owners (e983965e-1603-4cb8-82b5-c40090e380d1).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice Enrollments (25704213-e833-4b8b-9dbc-58dd17149209).
Released Sep 29, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospice ZIP Data (95rg-2usp).
Released Aug 26, 2026 and checked Oct 27, 2026. Updated quarterly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 27, 2026.
From the hospice
The public record above comes first. Anything the hospice adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospice will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the hospice”, and paying will never change a finding, a rating or the order of results.