Hearth Record

Davita Napoleon Place Dialysis

A dialysis facility in Johnstown, Pennsylvania 15901

420 Napoleon Place, Johnstown, Pennsylvania 15901. (814) 535-8205.

CMS’s own record, on Care Compare

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The short answer

Record last released by CMS on Oct 28, 2026.

The last 24 months 1 deficiency in 1 month of the last 36. Last cited May 2024. 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 May 9, 2024: a standard inspection.

1 deficiency cited in the last three years.

Source:

CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.

When those deficiencies happened

1 deficiency in 1 month of the last 36. Last cited May 2024. Most serious: Standard-level. The last 3 years, to Oct 30, 2026.

1 deficiency by month over the last 3 years. Each cell is one month.
JanFebMarAprMayJunJulAugSepOctNovDec
2023 NovDec
2024 JanFebMarAprMayJunJulAugSepOctNovDec
2025 JanFebMarAprMayJunJulAugSepOctNovDec
2026 JanFebMarAprMayJunJulAugSepOct

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 Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.

May 9, 2024: standard inspection1 deficiency
  • Ro - Meets Aami/Monitored, Recorded On Log

    The inspectors’ words, 454 words

    “RO-MEETS AAMI/MONITORED, RECORDED ON LOG CFR(s): 494.40(a) 5.2.7 Reverse osmosis: meets AAMI/monitored/recorded on log Refer to RD62:2001, 4.3.7 Reverse osmosis: When used to prepare water for hemodialysis applications, either alone or as the last stage in a purification cascade, reverse osmosis systems shall be shown to be capable, at installation, of meeting the requirements of Table 1, when tested with the typical feed water of the user, in accordance with the methods of [AAMI] 5.2.2. 5.2.7 Reverse osmosis Users should carefully follow the manufacturer’s instructions for feed water treatment and monitoring to ensure that the RO is operated within its design parameters. 6.2.7 Reverse osmosis All results of measurements of RO performance should be recorded daily in an operating log that permits trending and historical review. This Standard is not met as evidenced by: 37471 Based on the review of the facilities policy and procedures, daily waterlog sheets and staff (EMP) interviews the agency failed to follow the manufacturer’s instructions for feed water treatment and monitoring to ensure that the RO is operated within its design parameters for one (1) of ten (10) daily water log review. Findings included: Review of facility policy and procedures on 5/14/2024 at approximately 11:15 AM revealed, “ TITLE: DAILY WATER TREATMENT SYSTEM MONITORING ...POLICY: 1. All observations and test results must be recorded on the approved Daily Water Treatment Log and required IT Clinical System entries ...5. All observations and test results will be within the limits specified on the Daily Water Treatment Log. If observations or test results are found outside the specified limits, follow the instruction given on the Daily Water Treatment Log for the parameter(s) in question. In addition to following the log form instructions, the teammate completing he log will notify the Facility Administrator/designee and Biomed teammate assigned to the facility of any observation or test result found outside the limit specified on the Daily Water Treatment Log ... “ A review of the “ CWP Daily Water Log “ was conducted on 5/7/2024 at approximately 3:15 PM from 3/11/2024 to 5/5/2024. On the following date of 4/30/2024 there were two (2) reading out of range for the following: “ 24 Ultrafilter Inlet Pressure, >25 Pre UF gauge #G8 ...(reading) 20 ... “ “ 25 Ultrafilter Outlet Pressure >25 psi but <90 psi, Post UF Gauge #G9 ...(reading) 20 ... “ No documentation was provided by the agency to confirm the readings were reported as outside the acceptable limits to management or the biomedical technician, at the time daily readings were conducted or when review of the daily water treatment logs where completed. An exit interview was conducted on 5/9/2024 at approximately 2:30 PM with the group facility administrator which confirmed the above findings.”

    Rule V0199. Standard-level.

The one inspection in the last three years
Inspections on record
DateVisitWhat the record says
May 9, 2024Standard inspection1 deficiency cited

Is it certified?

  • Medicare-certified dialysis facility, certified or last recertified on May 21, 2018.
  • Run for profit.
  • No deficiency on record in the last three years.
  • Chain: DaVita.
Source:

CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.

CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 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.
Source:

CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 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.
  • 12 dialysis stations.
  • CMS doesn’t publish staffing levels for dialysis facilities.
Source:

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.
Source:

CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.

How do patients fare?

  • CMS rates it 3 of 5 stars (Jan 1, 2021 to Dec 31, 2024).
  • Compared by CMS with what it expects for the facility’s patients: patient survival, as 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 : “Too few completed survey responses to report.”
Source:

CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.

Ratings and measures, as published
MeasureRating
Star ratingCMS’s star rating for dialysis facilities, 1 to 53 of 5
Patient survey ratingCMS star rating from its survey of the facility’s in-center hemodialysis patients (ICH CAHPS), 1 to 5Not rated

How does it compare nearby?

  • Of the 7 dialysis facilities CMS lists in Cambria County, 6 have a star rating from CMS: 2 rated 4 of 5, 3 rated 3 of 5, 1 rated 2 of 5.
  • CMS rates this one 3 of 5.
Source:

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

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 Oct 30, 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.

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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Who published it, when, and how often it changes sit beside each fact, with a link to the agency’s own file.

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