St. David’s Hospice & Family Care
A hospice in Austin, Texas 78731
3636 Executive Center, Bldg 8, Ste 210, Austin, Texas 78731. (512) 795-0204.
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The short answer
Record last released by CMS on Oct 23, 2026.
- 10 deficiencies cited in the last three years
- 4of 5 family caregiver rating
- 10of 10 CMS’s Hospice Care Index
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- 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?
10 deficiencies cited in the last three years
The middle of the 34 hospices serving ZIP code 78731 had 2.
The last inspection on record was on Dec 6, 2024: an initial 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
10 deficiencies in 1 month of the last 36. Last cited Dec 2024. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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.
Dec 6, 2024: initial inspection by The Joint Commission10 deficiencies
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EP Training Program (42 CFR 418.113(d)(1)(i))
“Observed in Tracer Activities. It was noted by the RN surveyor during review of the volunteer orientation materials that the organization did not provide initial education and training in emergency management to volunteers that was consistent with their roles and responsibilities in an emergency. This was reviewed with RN Survey Readiness, Volunteer Coordinator and HR Manager.”
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Patients rights (42 CFR 418.52)
“Observed in Record Review. In 1 of 19 patient records reviewed, it was noted by the nurse surveyor that the patient was not fully informed of their rights as that for RRNHV#3, the payment section was blank on the hospice consent form. Finding was verified by the Director of Clinical Services and the Regional Director of Survey Readiness.”
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Content of plan of care (42 CFR 418.56(c))
The inspectors’ words, 113 words
“Observed in Record Review. In 14 of 14 patient records reviewed, for active patients, the nurse surveyor noted that the goals were not measurable or individualized. For Example “Home safety measures will be effective while patient is on hospice AEB no falls with serious injury and safe use of oxygen”. There were no short-term goals at start of care to address issues of immediate needs such as understanding medication management, symptom management, pain management, or safety, most time frames for completion were at the end of life. Additionally, goal completion dates were not updated to reflect changes from certification period to certification period. Finding was confirmed by the Regional Director of Survey Readiness.”
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Content of plan of care (42 CFR 418.56(c)(2))
“Observed in Record Review. In 2 of 14 patient records reviewed, for active patients, it was noted by the nurse surveyor that PRN frequencies were not qualified. For RRHV#3, the SW frequency was increased, however, there was no reason given for making the 2 PRN visits that were ordered. For RRNHV#3, there were several orders to change the RN frequency, however there was no reason given for making the 2 prn visits. Finding was confirmed by the Regional Director of Survey Readiness.”
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Content of plan of care (42 CFR 418.56(c)(4))
“Observed in Record Review. In 1 of 14 patient records reviewed, for active patients, it was noted by the nurse surveyor during patient home visit and subsequent record review for RRHV#4 that patient had oxygen in the home and there was no order in the medical record. In addition, patient was taking Centrum multivitamins and there was no order in the medical records. Finding was discussed with RN clinical supervisor and RN for survey readiness.”
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Hospice aide assignments and duties (42 CFR 418.76(g)(1))
“Observed in Record Review. In 1 of 14 patient records reviewed, for active patients, it was noted by the nurse surveyor that the hospice aide care plans did not contain all of the information for the hospice aide to effectively provide care. For RRNHV#1, the patient was on continuous oxygen however, there were no instructions to indicate if the patient’s oxygen could be removed during the shower or not. Findings were verified by with the Director of Clinical Services and the Regional Director of Survey Readiness”
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Hospice aide assignments and duties (42 CFR 418.76(g)(2)(iii))
“Observed in Patient Home. In 1 of 4 home visits conducted, the nurse surveyor during the patient caregiver interview was informed that the aide applied Nystatin during some of the aide visits. In addition, it was reported the aide clipped the patient’s toe nails when the care plan clearly stated that was not allowed. This was reviewed with the RN Supervisor and RN Survey Readiness.”
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Content (42 CFR 418.104(a)(7))
The inspectors’ words, 107 words
“Observed in Record Review. In 2 of 14 patient records reviewed, it was noted by nurse surveyor that the medication profile in the patient’s medical record did not reflect what the patient was taking. For RRHV#4, patient was taking Aspirin 81mg PO daily, the medication profile had Aspirin 325mg PO daily. In addition, medication profile indicated patient was taking Memantine, the patient’s wife/primary caregiver reported he had stopped taking over one month prior. Findings discussed with RN clinical supervisor and RN survey readiness. For RRHV#2, patient was no longer utilizing dermal cleanser as there were no more wounds but it was still listed in the medication profile.”
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Use and mintenance of equipment and supplies (42 CFR 418.106(f)(2))
“Observed in Patient Home. In 1 of 4 home visits conducted, it was noted by the nurse surveyor for RRHV#4, only one out of four oxygen tanks were secured. There was no documentation of education on oxygen safety. Finding was discussed with RN clinical supervisor and RN Survey readiness.”
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Coordination of services (42 CFR 418.112(e)(3)(ii))
The inspectors’ words, 91 words
“Observed in Patient Home. In 1 of 4 home visits conducted, it was noted by the nurse surveyor that for RRHV#3, the Hospice did not provide the nursing facility with the certificate of terminal illness, the election of benefit nor a current list of medications. When asked, they had no clear process to do so and had been told that it was not necessary. Findings were validated by the Clinical Supervisor who was on the visit and discussed with the Director of Clinical Services and the Regional Director of Survey Readiness.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 6, 2024 | Initial inspection by The Joint Commission | 10 deficiencies cited |
Is it certified?
- Medicare-certified hospice since Mar 18, 2013.
- 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): 12.6 nurse care minutes per routine home care day, 14.3% of skilled nursing minutes at weekends and a visit near death for 96.6% of patients who died.
- Where its patients were cared for (Jan 1, 2024 to Dec 31, 2024): 27% at home, 58% in assisted living, 7% in a nursing facility, 8% in a skilled nursing facility.
CMS, Hospice Provider Data. Released Aug 26, 2026. Updated quarterly.
| Measure | This provider |
|---|---|
| Nurse care minutes per routine home care day | 12.6 min |
| Skilled nursing minutes at weekends | 14.3% |
| Visits near death | 96.6% of patients who died |
Who owns it?
- Health at Home Holdings-Austin LLC owns 100% directly since Jun 22, 2021.
- 6 owners or officers are people: Eric D Smith (runs it (operational or managerial control)); Kara Wimberly (managing employee (on the payroll), 0%); Rhonda Spencer (managing employee (on the payroll), 0%); Jarrod L Watson (corporate officer); Dieter R Martin (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 |
|---|---|---|---|
| Leadership Healthcare Holdings LP LLP | Owns 5% or more through other companies | 100% | Jul 1, 2021 |
| Health at Home Holdings-Austin LLC | Owns 5% or more directly | 100% | Jun 22, 2021 |
| HCA Healthcare Inc. | Owns 5% or more through other companies | 59% | Jul 1, 2021 |
| Healthtrust Inc. - the Hospital Company | Owns 5% or more through other companies | 59% | Jul 1, 2021 |
| St. David’s Foundation Community Fund | Owns 5% or more through other companies | 41% | Jul 1, 2021 |
| St. David’s Foundation | Owns 5% or more through other companies | 41% | Jul 1, 2021 |
| Columbia-Sdh Holdings Inc. | Owns 5% or more through other companies | 39.4% | Jul 1, 2021 |
| Hercules Holding II | Owns 5% or more through other companies | 14.8% | Jul 1, 2021 |
| Col-Namc Holdings Inc. | Owns 5% or more through other companies | 10.7% | Jul 1, 2021 |
| Galen Holdco LLC | Owns 5% or more through other companies | 10.7% | Jul 1, 2021 |
| Round Rock Hospital Inc. | Owns 5% or more through other companies | 8.9% | Jul 1, 2021 |
| Notco, LLC | Owns 5% or more through other companies | 8.9% | Jul 1, 2021 |
| Frisco Holding II | Owns 5% or more through other companies | 7.8% | Jul 1, 2021 |
What do families say?
- Family caregivers rate it 4 of 5 in CMS’s survey (Oct 1, 2023 to Sep 30, 2025): 84% rated it 9 or 10 out of 10, and 86% would definitely recommend it.
- CMS’s Hospice Care Index: 10 of 10 (Jan 1, 2023 to Dec 31, 2024).
- 99.1% of patients were assessed on all seven of CMS’s measures at the start of care (Oct 1, 2024 to Sep 30, 2025); 76.8% 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 | 4 of 5 |
| 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 34 hospices CMS’s data show serving patients in ZIP code 78731, where this hospice’s office is, the middle number of deficiencies cited in the last three years was 2; this one had 10.
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 |
|---|---|
| Gentiva | 11 |
| Accentcare Hospice & Palliative Care - Austin | 6 |
| Resolutions Hospice Austin | 2 |
| St. David’s Hospice & Family Care This hospice | 10 |
| Hospice Austin | 2 |
| Embrace Hospice | 1 |
| Three Oaks Hospice | 9 |
| New Century Hospice of Austin | 9 |
| Heart to Heart Hospice of Austin Ltd | 5 |
| Beacon Hospice of Austin | 21 |
| Halcyon Home LLC | 1 |
| Silverado Hospice- Austin | 13 |
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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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 Nov 5, 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.