Hearth Record

Hill Country Memorial Hospital

An acute care hospital in Fredericksburg, Texas 78624

1020 South State Highway 16, Fredericksburg, Texas 78624. (830) 997-4353.

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 1 visit on record, nothing cited. 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 Jul 16, 2025: a complaint inspection.

No 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

1 visit on record, nothing cited. The last 3 years, to Nov 5, 2026.

0 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.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
Jul 16, 2025Complaint 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 5; safety of care, 1 better and 0 worse of 4; readmission, 1 better and 0 worse of 7.
  • Patients rate it 4 of 5 in CMS’s patient survey (420 surveys completed, Oct 1, 2024 to Sep 30, 2025): 74% rated it 9 or 10 out of 10, and 72% would definitely recommend it.
  • Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): surgical site infections after colon surgery, no different than national benchmark; C. diff infections, better than the 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 16%, pneumonia 14.8%, COPD 9.1%, stroke 16.8%. 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 16.9%, COPD 20.8%, hip or knee replacement 5.3%. 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 156 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 0% left before being seen.
  • 65% 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 1.01 times the national median (Jan 1, 2024 to Dec 31, 2024).
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 Feb 22, 1971.
  • Ownership: proprietary.
  • 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.
  • Proprietary.
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.
  • No deficiencies were cited in the last three years, so none came from 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.
  • 48% 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?

  • Methodist Healthcare Ministries of South Texas, Inc. owns 50% directly since Apr 1, 2023; Columbia-HCA Healthcare Corporation of Central Texas owns 22.62% directly since Apr 1, 2023; Mgh Medical Inc. owns 10.06% directly since Apr 1, 2023; W & C Hospital, Inc. owns 8.24% directly since Apr 1, 2023; San Antonio Regional Hospital, Inc. owns 6.72% directly since Apr 1, 2023.
  • Methodist Healthcare Ministries of South Texas, Inc. runs it.
  • 5 owners or officers are people: Eric D Smith (managing employee (under contract)); Justin Davis (corporate director, 0%); Justin Davis (managing employee (on the payroll), 0%); Clint Kotal (corporate officer); Clint Kotal (managing employee (on the payroll)).
  • CMS’s Provider of Services file records 2 changes of ownership, the latest on Apr 1, 2023.
  • 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
HCA Inc.Owns 5% or more through other companies100%Apr 1, 2023
HCA Healthcare Inc.Owns 5% or more through other companies100%Apr 1, 2023
Women’s Hospital Indianapolis, L.P.Owns 5% or more through other companies100%Apr 1, 2023
Healthtrust Inc. - the Hospital CompanyOwns 5% or more through other companies100%Apr 1, 2023
Indianapolis Hospital Partner, LLCOwns 5% or more through other companies99%Apr 1, 2023
Hti Hospital Holdings Inc.Owns 5% or more through other companies78.08%Apr 1, 2023
Methodist Healthcare Ministries of South Texas, Inc.Owns 5% or more directly50%Apr 1, 2023
Methodist Healthcare Ministries of South Texas, Inc.Runs it (operational or managerial control)50%Apr 1, 2023
Methodist Healthcare Ministries of South Texas, Inc.Limited partner30%Apr 1, 2023
Columbia-HCA Healthcare Corporation of Central TexasOwns 5% or more directly22.62%Apr 1, 2023
Methodist Healthcare Ministries of South Texas, Inc.General partner20%Apr 1, 2023
Frisco Holding IIOwns 5% or more through other companies16.3%Feb 6, 2026
Hercules Holding IIOwns 5% or more through other companies14.4%Feb 6, 2026
Mgh Medical Inc.Owns 5% or more directly10.06%Apr 1, 2023
Mgh Medical Inc.Limited partner10.06%Apr 1, 2023
W & C Hospital, Inc.Owns 5% or more directly8.24%Apr 1, 2023
W & C Hospital, Inc.Limited partner8.24%Apr 1, 2023
San Antonio Regional Hospital, Inc.Owns 5% or more directly6.72%Apr 1, 2023
San Antonio Regional Hospital, Inc.Limited partner6.72%Apr 1, 2023

How does it compare nearby?

  • No other hospital CMS lists is in Gillespie County.
Source:

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

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.

1 of 4

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