Hearth Record

Dell Seton Med Center at the University of TX

An acute care hospital in Austin, Texas 78701

601 E 15th Street, Austin, Texas 78701. (512) 324-7000.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 20, 2026.

The last 24 months 3 deficiencies in 3 months of the last 36. Last cited Aug 2025. Most serious: Standard-level. Every month

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?

The last inspection on record was on Jun 11, 2026: a complaint inspection.

3 deficiencies cited in the last three years.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

When those deficiencies happened

3 deficiencies in 3 months of the last 36. Last cited Aug 2025. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.

3 deficiencies by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 Dec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOctNov

Hover or focus a month to read it.

No visit on record Visited, nothing cited A stronger orange is more serious, on its source’s own levels, read onto four bands: from the least serious it publishes to the most
Source:

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.

Source:

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Aug 18, 2025: complaint inspection1 deficiency

  • Patient Rights: Free From Abuse/Harassment

    The inspectors’ words, 290 words

    “PATIENT RIGHTS: FREE FROM ABUSE/HARASSMENT CFR(s): 482.13(c)(3) The patient has the right to be free from all forms of abuse or harassment. This Standard is not met as evidenced by: 31690 Based on record review, observations, and interview, the facility failed to protect a patient’s right to be free from all forms of abuse when the facility failed to report an allegation of a abuse for one out of three patients reviewed for allegations of aabuse, according to the State law. (Patient #1) Findings include: Review of facility policy #17667240, Abuse & Neglect-Reporting -Elderly and Disabled, last revised 3/12/2025, reflected the following: “ ...Procedures A. Any Ascension Seton associate, or any contracted person with direct patient care duties, having cause to believe that any elderly and/or disabled adult (patient or non-patient) may be or has been abused, neglected, or exploited is to report to the appropriate state agency with investigative responsibility. o If the alleged/suspected abuse, neglect, or exploitation occurred in a hospital, the report should be made to the Texas Department of State Health Services (DSHS) at 1-888-973-0022 ...” During a telephone interview, on the morning of 8/18/25, Staff # University of Texas Police Department (UTPD) Officer, reported that he had been the Victims Services representative investigation the allegation that had been reported. He continued that the patient reported that a sitter attempted to inappropriately touch the patient’s private area. This was called in by the supervisor of the hospital to the UTPD. When asked the outcome of the investigation he reported that they substantiated the allegation. During an interview, on the morning of 8/18/25, Staff #1, Risk Manager, reported that after the investigation the facility determined that this was unsubstantiated and therefor did not need to be reported.”

    Rule A0145. Standard-level. From a complaint.

Feb 7, 2025: complaint inspection1 deficiency

  • Emergency Services Policies

    The inspectors’ words, 613 words

    “EMERGENCY SERVICES POLICIES CFR(s): 482.55(a)(3) [If emergency services are provided at the hospital --] (3) The policies and procedures governing medical care provided in the emergency service or department are established by and are a continuing responsibility of the medical staff. This Standard is not met as evidenced by: 47893 Based on review of documents and staff interview, the facility failed to ensure the policies and procedures governing medical care provided in the emergency service or department are established by and are a continuing responsibility of the medical staff when policy and procedure for reassessment and documentation of vital signs for 1 of 12 patients reviewed (Patient #1) were not implemented for patients in the waiting room, placing patients at risk of indicators of current health condition, assessment of interventions, and abnormal vital signs not being monitored or observed. Findings include: Review of policy, “Vital Signs - Assessing of - Emergency,” effective 9/28/22, documented in part: “ ... Patients who present to the Emergency department will be provided an appropriate initial assessment by qualified personnel, as defined by Triaging Adult and Pediatric Patients in the Emergency Departments Using the Emergency Severity Index (ESI) ... Key Points 1. Vital signs are indicators of the patient’s current condition and must be evaluated in the context of the patient’s overall health with serial measurements used to detect trends and to assess the effectiveness of interventions. 2. This policy and the requirements for vital sign assessment / reassessment applies to all registered ED patients regardless of location (i.e., waiting room) ... Procedure Vital Signs - Patients in Treatment / Waiting Room ... 2. ESI Level 2 or 3 patients with any vital signs in the “Danger Zone” ... will have heart rate, respiratory rate, and blood pressure documented every 1 hour or more frequently per nursing judgement until stabilized. When vital signs are no longer in the “Danger Zone” or the patient has stabilized, vital signs will be documented at a minimum, every 4 hours ... 3. Patients at ESI level 3, 4, or 5 with signs in the normal range will have vital signs documented at least every 4 hours ...” In an interview on the afternoon of 2/6/25, in a facility conference room, in conjunction with a review of patient #1’s electronic medical record, Staff #1 (ED Director) reported: On 1/25/2025, Patient #1 registered in emergency department. Ten minutes later, Patient #1 was assessed by the triage nurse for vaginal bleeding; vital signs were measured. Patient #1 was Acuity 3 (ESI Acuity System) generally means vitals stable, able to wait if managing multiple patients; lab and interventions based on complaint and vital signs. Triage nurse makes determination of acuity level. ‘Quick Look’ nurse staffed 24/7, sees patient immediately. ‘Quick Look’ nurse sits with registrar. ‘Quick Look’ nurse takes a quick pulse ox, translator line available, if needed. Charge Nurse takes lead. “Quick Look” nurse/ tech / Triage nurse priority to reassess vital signs for patients in waiting room.” In further interview on the afternoon of 2/7/25, in a facility conference room, Staff #1 (ED Director), confirmed patient #1’s vital signs were not reassessed every 4 hours, as required for acuity level “3” patients by the Emergency Severity Index (ESI) policy. staff #1 (ED Director). reported facility identifed concern that patient #1 was not revitalized (vital signs were not reassessed). Discused case in meeting with ED leaders. Identifed need for education, especially because the hold situation would result in more patient waiting in the waiting room. Follow up conversation with Staff #5 to explain Staff #5 has to be able to escalate in the moment and address with charge nurse to prevent tasks not being completed.”

    Rule A1104. Standard-level. From a complaint.

Dec 18, 2023: complaint inspection1 deficiency

  • Infection Control Surveillance, Prevention

    The inspectors’ words, 293 words

    “INFECTION CONTROL SURVEILLANCE, PREVENTION CFR(s): The infection prevention and control program includes surveillance, prevention, and control of HAIs, including maintaining a clean and sanitary environment to avoid sources and transmission of infection, and addresses any infection control issues identified by public health authorities; and This Standard is not met as evidenced by: 30250 Based on a review of documents and interviews, the facility failed to ensure that any infection control issues identified by public health authorities were addressed per facility policies, as evidence by failing to ensure that notification was made to animal control following patients presenting with animal bites to the emergency department. Findings included: Facility Policy entitled, “Reportable Conditions and/or Crimes- Identifying and Managing” stated in part, “Crimes ... 8. Animal bites or exposure to any animal theoretically capable of transmitting rabies virus (including any contact with a bat) must be reported to Animal Control or local law enforcement, depending on local jurisdiction ... Animal Bites/Exposure 1. Animal bites (possible rabies exposures) are reportable to the appropriate Animal Control officer in the county where the incident occurred. Reporting is mandatory. 2. TDSHS Zoonosis Control also provides information and consultation regarding appropriate treatment of possible rabies exposure on their website @ www.dshs.state.tx.us/idcu/disease/ rabies/information/treatment/people/recommend or by phone: 254-778-6744 or 512-458-7676).” Review of Emergency Department records revealed 3 of 3 patients (#5, 19, and 20) presenting with a chief complaint of a dog bite, did not have documentation to reflect the report of the bites to animal control, which is mandatory per facility policy. Staff member #1 verified that typically the physician or nurse makes and documents the notification to animal control of animal bites presenting to the facility Emergency Department, however documentation of notification was not present in the above 3 medical records.”

    Rule A0750. Standard-level. From a complaint.

All 19 inspections in the last three years
Inspections on record
DateVisitWhat the record says
Jun 11, 2026Complaint inspectionNo deficiencies cited
Jun 10, 2026Complaint inspectionNo deficiencies cited
Apr 28, 2026Complaint inspectionNo deficiencies cited
Mar 3, 2026Complaint inspectionNo deficiencies cited
Jan 12, 2026Complaint inspectionNo deficiencies cited
Dec 3, 2025Complaint inspectionNo deficiencies cited
Dec 2, 2025Complaint inspectionNo deficiencies cited
Nov 4, 2025Complaint inspectionNo deficiencies cited
Aug 18, 2025Complaint inspection1 deficiency cited
Jul 8, 2025Complaint inspectionNo deficiencies cited
Apr 22, 2025Complaint inspectionNo deficiencies cited
Feb 7, 2025Complaint inspection1 deficiency cited
Nov 18, 2024Complaint inspectionNo deficiencies cited
Aug 27, 2024Complaint inspectionNo deficiencies cited
May 1, 2024Complaint inspectionNo deficiencies cited
Mar 4, 2024Complaint inspectionNo deficiencies cited
Dec 18, 2023Complaint inspection1 deficiency cited
Dec 5, 2023Complaint inspectionNo deficiencies cited
Nov 6, 2023Complaint inspectionNo deficiencies cited

How do patients fare?

  • CMS’s overall for it is 4 of 5.
  • Of the measures behind its , CMS counts against the national value: mortality, 0 better and 0 worse of 4; safety of care, 1 better and 0 worse of 7; readmission, 0 better and 0 worse of 4.
  • Patients rate it 4 of 5 in CMS’s patient survey (431 surveys completed, Oct 1, 2024 to Sep 30, 2025): 78% rated it 9 or 10 out of 10, and 78% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), better than the national benchmark; surgical site infections after colon surgery, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, no different than national benchmark.
  • CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
  • Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart failure 9.7%, pneumonia 14.4%, stroke 10.4%. CMS gives no comparison with the national rate for them in this release.
  • Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart failure 21.8%, pneumonia 17.3%, hip or knee replacement 5.8%. CMS gives no comparison with the national rate for them in this release.
  • After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
  • Emergency department patients spent a median of 249 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025).
  • 42% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
  • Medicare’s spending per patient here is 1.09 times the national median (Jan 1, 2024 to Dec 31, 2024).
Source:

CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.

CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Overall ratingCMS’s overall hospital quality star rating, 1 to 54 of 5
Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 54 of 5

Is it certified, and in good standing?

  • Medicare-certified acute care hospital since Jul 1, 1966.
  • Ownership: voluntary non-profit - private.
  • It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
  • No deficiency on record in the last three years.
  • Voluntary non-profit - Private.
Source:

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

Has it been penalized?

  • CMS doesn’t publish fines or other penalties for hospitals.
  • Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
  • 3 deficiencies cited in the last three years came from inspections that included a complaint investigation.
Source:

CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.

What do patients say about their care?

  • CMS doesn’t publish staffing levels for hospitals.
  • In CMS’s patient survey, patients rate how well its nurses communicated 4 of 5.
  • 92% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
Source:

CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.

Who owns it?

  • Ascension Seton owns an unstated share directly since Feb 1, 2009.
  • Ascension Seton and Ascension Texas and Ascension Health run it.
  • 12 owners or officers are people: John Thresher (corporate director); John Thresher (managing employee (on the payroll)); Andrew Lane (corporate director); Andrew Lane (managing employee (on the payroll)); James Ramzey Youssef (managing employee (on the payroll)); Adam Messer (managing employee (on the payroll), 0%); Ashley M Dickinson (corporate director); Ashley M Dickinson (managing employee (on the payroll), 0%); Julie Holly (corporate director); Julie Holly (managing employee (on the payroll)); Travis Watson (managing employee (on the payroll)); Gloria Chen (managing employee (on the payroll)).
  • CMS’s Provider of Services file records 2 changes of ownership.
  • No private-equity firm among the owners CMS lists.
  • No real-estate investment trust among the owners CMS lists.
Source:

CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.

CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.

Organisations CMS lists
OrganisationRoleShareSince
Ascension SetonOwns 5% or more directlyFeb 1, 2009
Ascension SetonRuns it (operational or managerial control)Feb 1, 2009
Ascension TexasRuns it (operational or managerial control)May 1, 2012
Ascension HealthRuns it (operational or managerial control)Jun 20, 2006

How does it compare nearby?

  • Of the 14 hospitals CMS lists in Travis County, 7 have an overall star rating from CMS: 4 rated 4 of 5, 3 rated 3 of 5.
  • CMS rates this one 4 of 5.
Source:

CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.

12 compared
PlaceOverall star rating
Ascension Seton Medical Center Austin3
St David’s Medical Center4
St David’s South Austin Medical Center3
Northwest Hills Surgical HospitalNot given
North Austin Medical Center3
Ascension Seton Northwest4
Dell Children’s Medical CenterNot given
Austin State HospitalNot given
Austin Oaks HospitalNot given
Cross Creek HospitalNot given
The Hospital at Westlake Medical CenterNot given
Baylor Scott & White Medical Center Pflugerville4

What the record doesn’t say

  • CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
  • Only complaints that led to a citation appear; complaints that didn’t aren’t published.
  • Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
  • QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
  • CMS doesn’t publish staffing levels for hospitals.
  • In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.

Sources

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.

Source:

This copy of the record was made on Nov 5, 2026.

From the hospital

The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.

Replies

None. Replies aren’t open yet. When they open, the hospital 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 hospital”, and paying will never change a finding, a rating or the order of results.

How to read a record

Four things every record does, shown on an example record made up for this guide.

An example record, made up for this guide

An example nursing home

Made up for this guide: no real place is shown

Not fully inspected in over two years (CMS flag)

11 health citations at the latest inspection cycle

The state average is 14.3.

Source:

CMS, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.

From the homeNone yet. Replies and paid listings aren’t open, and when they open they will sit here, below the record.

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