Davita Northwest Kidney Center
A dialysis facility in Houston, Texas 77092
10985 Northwest Freeway, Houston, Texas 77092. (713) 812-1217.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s star rating
- Not rated patient survey rating
- 2 deficiencies cited in the last three years
- 24 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 Jan 31, 2024: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 1 month of the last 36. Last cited Jan 2024. Most serious: Standard-level. The last 3 years, to Oct 30, 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 28, 2026. Updated monthly.
Jan 22, 2024: complaint inspection2 deficiencies
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Pe - Safe, Functional, Comfortable Environment
The inspectors’ words, 236 words
“PE-SAFE/FUNCTIONAL/COMFORTABLE ENVIRONMENT CFR(s): 494.60 The dialysis facility must be designed, constructed, equipped, and maintained to provide dialysis patients, staff, and the public a safe, functional, and comfortable treatment environment. This Standard is not met as evidenced by: 10802 Based on observation, and interview, the facility governing body failed to ensure furniture in use in the facility are maintained intact in sanitary conditions and the stock room floor which leads to the facility’s water treatment room floor is free of moisture and the floor epoxy is intact. Findings: Observation on 01/22/2024 at 6:10 a.m. of the facility’s nurses’ station revealed 5 of six chairs in use in the station upholstery were peeling and discolored. Observation of biomedical workstation revealed a chair with the upholstery peeling. Observation at 01/22/2024 at 1:00 p.m. of the facility’s stock room floor, which leads into the facility’s water treatment room revealed accumulation of moisture on the flooring which makes it slippery with the risk of falling. Patches of epoxy are missing with discoloration of the flooring near the entry room to the stock room. Registered Nurse (A) instructed the Surveyor to be careful before falling due to the moisture on the floor. Interview with the Facility’s Biomedical Technician revealed he said the moisture was coming from the air conditioning vent. The Surveyor immediately notified the Facility’s Administrator and the Facility’s Medical Clinical Support of the safety risk of staff and visitors falling.”
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Gb - Responsible For Staff Oriented To Facility & Resp
The inspectors’ words, 247 words
“GOV-GB RESP FOR STAFF ORIENTATION CFR(s): 494.180(b)(3) The governing body or designated person responsible must ensure that- (3) All staff, including the medical director, have appropriate orientation to the facility and their work responsibilities; This Standard is not met as evidenced by: 10802 Based on observation, interview and record the facility’ s governing body failed to ensure visiting staff to the facility is provided orientation to the facility, prior to assuming role as Charge Nurse in 1 of 1 visiting staff observed and personnel record reviewed. Registered Nurse (D) Findings: On 1/22/2024 at 06:00 a.m. Registered Nurse (D) was observed on the treatment floor of the facility. The registered nurse was observed assessing patients, providing central venous catheter care and initiating hemodialysis treatment on patients. Interview on 01/22/2024 at 6:10 a.m. with Registered Nurse (D) revealed she states “I am the charge nurse, today is my first day in this clinic, I have not been here before, my home clinic is in another division.” The Surveyor asked Registered Nurse (D) if she had orientation to the clinic. She responded “ No, today is my first day here.” The Surveyor notified the Facility’s Administrator of the lack of orientation to the Registered Nurse in Charge of Nursing in the facility. Review of a personnel file provided by the Facility’s Administrator revealed documentation of orientation and skills check list from another facility but no orientation from the facility Registered Nurse (D) currently is working as the Facility’s Charge Nurse.”
All 2 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 31, 2024 | Complaint inspection | No deficiencies cited |
| Jan 22, 2024 | Complaint inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified dialysis facility, certified or last recertified on Feb 26, 1992.
- 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 28, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for dialysis facilities.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
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.
- 24 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 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 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 | 3 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 137 dialysis facilities CMS lists in Harris County, 124 have a star rating from CMS: 4 rated 5 of 5, 11 rated 4 of 5, 53 rated 3 of 5, 41 rated 2 of 5, 15 rated 1 of 5.
- CMS rates this one 3 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 30, 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 30, 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 28, 2026 and checked Oct 30, 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 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.