About Methodist Healthcare Hill Country Hospice & Family
Hospice overview and quality summary
Methodist Healthcare Hill Country Hospice & Family is a nonprofit hospice care provider in Fredericksburg, TX, serving patients and families in Gillespie County and the surrounding area. Medicare certified since 1994, Methodist Healthcare Hill Country Hospice & Family has provided 32 years of end-of-life and palliative care to the community.
Methodist Healthcare Hill Country Hospice & Family serves an average of 71 patients per day, covering 52 ZIP codes across its service area. 46% of care is delivered in patients' homes, consistent with the hospice philosophy of enabling comfort care in familiar surroundings.
Methodist Healthcare Hill Country Hospice & Family has earned a 4-star CMS quality rating based on caregiver survey results, reflecting strong satisfaction across communication, symptom management, and emotional support. The facility's Hospice Care Index score is 10 out of 10, a composite measure of care quality and efficiency. 11 physicians are affiliated with this hospice.
When choosing hospice care in Fredericksburg, TX, consider quality ratings, caregiver satisfaction surveys, the hospice's experience with your loved one's condition, and the service area. Since hospice care is typically delivered in the home, the responsiveness and availability of the care team are critical factors.
At a Glance
Caregiver Satisfaction
CAHPS Hospice Survey results from bereaved family caregivers
Very Good
CMS CAHPS Hospice Star Rating
Methodist Healthcare Hill Country Hospice & Family has earned a 4-star quality rating from the Centers for Medicare & Medicaid Services (CMS), based on the CAHPS Hospice Survey of bereaved family caregivers. This rating reflects above-average satisfaction across emotional support, symptom management, team communication, and respect. This places Methodist Healthcare Hill Country Hospice & Family among the higher-rated hospice providers serving families in Fredericksburg, TX.
Emotional & Spiritual Support
How well the hospice team provided emotional and spiritual support
91% of caregivers gave a top rating for emotional & spiritual support, consistent with the national average of 90%.
Treated with Respect
Whether the patient was treated with dignity and respect
94% of caregivers gave Methodist Healthcare Hill Country Hospice & Family a top rating for treated with respect, above the national average of 90%.
Help with Symptoms
How well the hospice team managed pain and other symptoms
74% of caregivers gave a top rating for help with symptoms, consistent with the national average of 74%.
Team Communication
How well the hospice team communicated with the family
83% of caregivers gave a top rating for team communication, consistent with the national average of 81%.
Getting Timely Care
Whether the patient received help as soon as it was needed
83% of caregivers gave Methodist Healthcare Hill Country Hospice & Family a top rating for getting timely care, above the national average of 77%.
Training for Family Caregivers
Whether sufficient training was provided to care for the patient
76% of caregivers gave a top rating for training for family caregivers, consistent with the national average of 75%.
Overall Rating (9-10)
Percentage of caregivers rating the hospice 9 or 10 out of 10
88% of caregivers gave Methodist Healthcare Hill Country Hospice & Family a top rating for overall rating (9-10), above the national average of 81%.
Would Recommend
Percentage of caregivers who would definitely recommend this hospice
93% of caregivers gave Methodist Healthcare Hill Country Hospice & Family a top rating for would recommend, above the national average of 84%.
Source: CMS CAHPS Hospice Survey · Vertical markers indicate national average
Quality Process Measures
CMS hospice care quality indicators vs. national benchmarks
Treatment Preferences Documented
Patients whose treatment preferences were discussed and documented
100.0%
Natl: 99.5%
Beliefs & Values Addressed
Patients whose beliefs and values were addressed in the plan of care
100.0%
Natl: 98.3%
Pain Screening
Patients screened for pain upon hospice admission
100.0%
Natl: 98.3%
Comprehensive Pain Assessment
Patients with pain who received a comprehensive pain assessment
100.0%
Natl: 94.8%
Dyspnea Screening
Patients screened for shortness of breath upon admission
100.0%
Natl: 99.0%
Dyspnea Treatment
Patients with dyspnea who received treatment within 24 hours
100.0%
Natl: 97.4%
Opioid Bowel Regimen
Patients on opioids who were offered a bowel regimen
100.0%
Natl: 93.2%
Composite Process Score
Composite measure of all hospice care process quality measures
100.0%
Natl: 91.6%
Hospice Care Index
Composite quality score with 10 sub-measures
Overall HCI Score
National average: 8.8/10
Methodist Healthcare Hill Country Hospice & Family's Hospice Care Index (HCI) score is 10 out of 10, above the national average of 8.8. This composite score reflects stronger-than-average performance across measures of nursing continuity, care transitions, and presence near death.
89.6% of Methodist Healthcare Hill Country Hospice & Family's patients received visits from the hospice team in their final days of life, significantly above the national average of 47.9%. This is one of the most meaningful quality indicators — having the hospice team present during the final hours provides critical comfort to both patients and families.
Visits Near Death
Patients with visits in last 3 days of life
98.4%
Natl: 89.5%
Nurse Care Minutes
Average nurse care minutes per routine home care day
16.7
Natl: 13.4
Weekend Nursing
Percentage of skilled nursing minutes on weekends
10.6%
Natl: 9.2%
Gaps in Nursing Visits
Stays with gaps in skilled nursing visits
13.4%
Natl: 55.4%
Early Live Discharges
Patients discharged alive within 3 days
3.9%
Natl: 7.2%
Late Live Discharges
Patients discharged alive after enrollment
42.1%
Natl: 40%
Burdensome Transitions (Type 1)
Hospice-to-acute-care transitions near death
7.9%
Natl: 8%
Burdensome Transitions (Type 2)
Acute care admissions near death
0%
Natl: 2.3%
CHC/GIP Days
Continuous home care & general inpatient days as share of total
1%
Natl: 0.6%
Per-Beneficiary Spending
Average Medicare spending per hospice beneficiary
$15,283
Natl: $16,971
Patient Population
Primary diagnoses of hospice patients
Methodist Healthcare Hill Country Hospice & Family's patient population is primarily composed of individuals with cancer (24%), followed by dementia (23%), cardiovascular disease (22%), other conditions (21%), respiratory disease (11%), stroke (4%).
Care Settings
Where hospice care is delivered
Methodist Healthcare Hill Country Hospice & Family delivers 46% of its care in patients' homes, with 32% in nursing facility settings, 21% in assisted living settings, 1% in hospital settings. The significant proportion of facility-based care may reflect patients requiring higher levels of medical support or those without available home caregivers. The hospice serves an average of 71 patients per day.
Patient's Home
Nursing Facility
Assisted Living
Hospital
Doctors at Methodist Healthcare Hill Country Hospice & Family
11 affiliated physicians
Dr. John Ramsay, MD
Family Practice
Dr. Jennifer Mayben, MD
Internal Medicine
Dr. Yvonne Haug, MD
Family Practice
Dr. Michael Johnson, MD
Internal Medicine
Dr. Maggie Gainer, MD
Family Practice
Dr. Amy Van Dorfy, MD
Family Practice
Dr. Jeffrey Holt, MD
Family Practice
Dr. Sandra Garred, MD
Internal Medicine
Dr. John Kothmann, MD
Family Practice
Dr. Matthew Hoermann, MD
Family Practice
Dr. John Weaver, MD
Family Practice
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Reviews and ratings from patients
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Frequently Asked Questions
About Methodist Healthcare Hill Country Hospice & Family
What is the CMS rating for Methodist Healthcare Hill Country Hospice & Family?
Methodist Healthcare Hill Country Hospice & Family has a 4-star quality rating from CMS based on the CAHPS Hospice Survey of bereaved family caregivers, which evaluates satisfaction across areas including symptom management, communication, and emotional support.
What conditions does Methodist Healthcare Hill Country Hospice & Family primarily treat?
Methodist Healthcare Hill Country Hospice & Family's patient population includes cancer (24%), dementia (23%), cardiovascular disease (22%), other conditions (21%), respiratory disease (11%), stroke (4%). This reflects the hospice's experience managing these conditions.
Where does Methodist Healthcare Hill Country Hospice & Family provide care?
Methodist Healthcare Hill Country Hospice & Family provides care in patient's home (46%), nursing facility (32%), assisted living (21%), hospital (1%).
How large is Methodist Healthcare Hill Country Hospice & Family?
Methodist Healthcare Hill Country Hospice & Family serves an average of 71 patients per day and covers 52 ZIP codes in its service area.
How many doctors are affiliated with Methodist Healthcare Hill Country Hospice & Family?
11 physicians are affiliated with Methodist Healthcare Hill Country Hospice & Family.
Data source: CMS Hospice Compare · CAHPS Hospice Survey ·