Davita Concord Township Dialysis
A dialysis facility in Chadds Ford, Pennsylvania 19317
265 Wilmington West Chester Pike, Chadds Ford, Pennsylvania 19317. (610) 558-6965.
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The short answer
Record last released by CMS on Oct 14, 2026.
- 5of 5 CMS’s star rating
- Not rated patient survey rating
- 1 deficiency cited in the last three years
- 13 dialysis stations
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 Dec 14, 2023: a standard inspection.
1 deficiency cited in the last three years.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 14, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited Dec 2023. Most serious: Standard-level. The last 3 years, to Oct 19, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | 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 |
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 Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 14, 2026. Updated monthly.
Dec 14, 2023: standard inspection1 deficiency
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Ic - Wear Gloves/Hand Hygiene
The inspectors’ words, 467 words
“IC-WEAR GLOVES/HAND HYGIENE CFR(s): 494.30(a)(1) Wear disposable gloves when caring for the patient or touching the patient’s equipment at the dialysis station. Staff must remove gloves and wash hands between each patient or station. This Standard is not met as evidenced by: 37972 Based on review of facility policy, observation (OBS) of treatments performed, and an interview with the Facility Administrator, the facility did not ensure that patient care staff removed gloves, performed hand hygiene, and donned clean gloves during central venous catheter (CVC) exit site care for one (1) of two (2) OBS (OBS #3), and during discontinuation of dialysis with an AV fistula for one (1) of two (2) OBS (OBS #11). Findings include: A review of facility policy on December 14, 2023, at approximately 2:00 P.M. revealed the following: Policy # 1-05-01 titled “Infection Control for Dialysis Facilities” stated, “Hand Hygiene: 1. All teammates, Physicians and Non-Physicians (NPP) will perform hand hygiene: ... b. prior to gloving and immediately after removal of gloves,... d. after patient and dialysis delivery system contact,... g. before touching clean areas such as supplies, supply cart and chairside keyboard/mouse.” Policy # 1-04-02B titled “Central Venous Catheter (CVC) With Clearguard HD Antimicrobial End Caps Procedure” stated, “Procedure: 1. Perform had hygiene per procedure. Put on PPE (personal protective equipment)... 4. Remove old dressing and discard... 7. Remove gloves and discard. Perform hand hygiene per procedure and re-glove. 8. Holding catheter with the non-dominant hand and using aseptic technique, clean exit site... 9. Clean each CVC limb/cap... 10. Remove gloves and discard, perform hand hygiene per procedure and re-glove... 12. Place sterile 2x2 gauze over catheter exit site... 14. Remove gloves and discard, perform hand hygiene per procedure and re-glove...” Observation of the treatment area was conducted on December 13, 2023, from approximately 10:00 A.M. to 12:30 P.M. and December 14, 2023, from approximately 9:30 A.M. to 10:45 A.M. revealed the following: OBS #3, Station #2, on December 13, 2023, at approximately 11:20 A.M., during initiation of dialysis with a CVC and CVC exit site care, EMP #3 (employee) was observed initiating dialysis with a CVC. After treatment was initiated, EMP #3 did not perform hand hygiene or don new gloves before or during performance of CVC exit site care as required by facility policy. OBS #11, Station #4, on December 14, 2023, at approximately 9:46 A.M., during discontinuation of dialysis with an AV fistula/graft, EMP #3 was observed performing hand hygiene and donning gloves, disconnecting the dialysis lines, touching the dialysis machine, preparing strips of tape, removing the fistula needles, and applying dressings to the needle sites without changing gloves and performing hand hygiene throughout the procedure as required by facility policy. An interview with the Facility Administrator on December 14, 2023, at approximately 4:15 P.M. confirmed the above findings.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 14, 2023 | Standard inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified dialysis facility, certified or last recertified on Sep 20, 2017.
- Run 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 on record in the last three years.
- Chain: DaVita.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 14, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for dialysis facilities.
- None of the deficiencies cited in the last three years came from an inspection that included a complaint investigation.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 14, 2026. Updated monthly.
What does it offer?
- Offers in-center hemodialysis.
- Doesn’t offer peritoneal dialysis, home hemodialysis training and a shift starting at 5 p.m. or later.
- 13 dialysis stations.
- CMS doesn’t publish staffing levels for dialysis facilities.
CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.
Who owns it?
- Part of the DaVita chain, as CMS lists it.
- CMS publishes no owners file for dialysis facilities, so no other owner is named.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
How do patients fare?
- CMS rates it 5 of 5 stars (Jan 1, 2021 to Dec 31, 2024).
- Compared by CMS with what it expects for the facility’s patients: patient survival, better than expected; hospital admissions, as expected; readmissions to hospital, as expected; emergency department visits, as expected; emergency department visits within 30 days of a hospital stay, as expected; bloodstream infections, as expected; patients dialysing through a fistula, as expected; patients on a kidney transplant waitlist, as expected.
- CMS gives no 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.: “Too few completed survey responses to report.”
CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Star ratingCMS’s star rating for dialysis facilities, 1 to 5 | 5 of 5 |
| Patient survey ratingCMS star rating from its survey of the facility’s in-center hemodialysis patients (ICH CAHPS), 1 to 5 | Not rated |
How does it compare nearby?
- Of the 11 dialysis facilities CMS lists in Delaware County, 10 have a star rating from CMS: 1 rated 5 of 5, 6 rated 4 of 5, 1 rated 3 of 5, 2 rated 2 of 5.
- CMS rates this one 5 of 5.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for dialysis facilities, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says it has no dialysis inspection reports after February 19, 2026, while it moves to a new system: a later inspection is not shown yet.
- CMS doesn’t publish staffing levels for dialysis facilities.
- CMS publishes no owners file for dialysis facilities: the chain it lists is the only owner named.
Sources
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Centers for Medicare & Medicaid Services, Dialysis Facility - Listing by Facility (23ew-n7w9).
Released Jul 15, 2026 and checked Oct 19, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (ICH CAHPS) - Facility (59mq-zhts).
Released Jul 15, 2026 and checked Oct 19, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies (ESRD_2567s_2018_to_2026YTD.xlsx).
Released Oct 14, 2026 and checked Oct 19, 2026. Updated monthly. 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 Oct 19, 2026.
From the facility
The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the facility 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 facility”, and paying will never change a finding, a rating or the order of results.