$8 Million Castroville Clinic Expansion to Increase Local Access to Rural Healthcare Services
Residents in Castroville and across Medina County will soon see visible progress at the Medina Healthcare Clinic on FM 471 — a project that represents more than new construction. The planned $8 million expansion signals continued investment in local rural healthcare services, increased medical capacity, and improved access to care close to home.
According to official permit filings, the project will add a two-story expansion to the existing single-story clinic at 8406 FM 471 in Castroville, TX 78009. Construction is scheduled to begin March 2, 2026, with completion targeted for December 31, 2026.
For families in Castroville, this expansion means additional clinical space, expanded services, and a strengthened local healthcare footprint in a growing community.
What the Castroville Clinic Expansion Means for Local Residents
As Castroville and surrounding Medina County communities continue to grow, access to nearby medical services becomes increasingly important for homeowners, seniors, and working families. The Medina Healthcare Clinic expansion aims to address that need directly.
The project includes general construction to add approximately 9,000 square feet of new space to the existing health clinic facility. State project filings list 4,982 square feet tied specifically to the two-story addition component. The work will expand the building vertically, adding a second floor to what is currently a single-story structure.
The clinic is part of the Medina County Hospital District, based in Hondo, Texas. By expanding services in Castroville, the district reinforces its commitment to rural healthcare accessibility across Medina County.
Importantly, the project is privately funded and located on private land for private use, meaning no public tax bond or voter-approved funding is associated with this construction.
Bid Process and Construction Timeline
The Medina County Hospital District is currently seeking sealed bids for the clinic addition.
A non-mandatory pre-bid meeting was scheduled for January 29, 2026, at 346 CR 4712 in Castroville. Contractors interested in the project may submit sealed bids to Medina Regional Hospital, located at 3100 Avenue E in Hondo, Texas, no later than 2:00 p.m. on Monday, February 16, 2026. A formal bid opening will follow at 2:10 p.m. in the Medina Regional Hospital Board Room.
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Construction is expected to span roughly 10 months, beginning in early March and concluding at the end of the calendar year.
For residents driving along FM 471, activity at the site will likely become more noticeable in the coming weeks.
Supporting Rural Healthcare Growth in Medina County
Healthcare infrastructure plays a central role in community stability, property values, and long-term growth. Expanding medical facilities locally can reduce travel times for appointments, ease scheduling pressures, and improve continuity of care for patients who prefer to stay close to home.
As Castroville continues to experience steady residential growth, investments like this clinic expansion reflect broader regional planning efforts to keep essential services aligned with population demand.
For longtime residents, it also represents continuity — strengthening an existing healthcare presence rather than replacing it.
What Happens Next
Following the bid opening in mid-February, contractor selection and final preparations will lead into the March 2 construction start date. Residents can expect phased construction activity through late 2026, with completion projected before the new year.
Updates regarding construction progress and any potential traffic impacts along FM 471 may be shared by the Medina County Hospital District as the project moves forward.
As Castroville evolves, so does the infrastructure that supports it — including the healthcare services families rely on every day.
Stay with My Neighborhood News for continued updates on the Castroville clinic expansion and other developments shaping Medina County.
Tiffany Krenek has been on the My Neighborhood News team since August 2021. She is passionate about curating and sharing content that enriches the lives of our readers in a personal, meaningful way. A loving mother and wife, Tiffany and her family live in the West Houston/Cypress region.
