Usrc Conroe Dialysis
A dialysis facility in Conroe, Texas 77304
200 S Rivershire Dr Ste 100, Conroe, Texas 77304. (936) 270-8400.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 4of 5 CMS’s star rating
- Not rated patient survey rating
- 2 deficiencies 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 Jan 19, 2026: 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 2 months of the last 36. Last cited Jan 2026. 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 19, 2026: complaint inspection1 deficiency
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Identifiable Governing Body W/Full Authority/Responsibility
The inspectors’ words, 281 words
“GOV-ID GOV BODY W/FULL AUTHORITY/RESPONS CFR(s): 494.180 The ESRD facility is under the control of an identifiable governing body, or designated person(s) with full legal authority and responsibility for the governance and operation of the facility. The governing body adopts and enforces rules and regulations relative to its own governance and to the health care and safety of patients, to the protection of the patients ’ personal and property rights, and to the general operation of the facility. This Standard is not met as evidenced by: 37492 The facility’s governing body failed to ensure that policy and procedure for expired supplies were followed by the facilty staff. A total of 55 vials used for patient blood work were not discarded and available for patient use, causing a potential for inaccurate blood results. Observation in the facility dialysis area on 01/16/2026 at 10:30 am, the following items were observed in stock for patient use, that were expired. Record review of policy and procedure for “Disposal of Medication”, Policy Number C-MA-0010.5, Revised 11/2025 states the following: “Nursing staff will ensure all expired and unusable pharmaceuticals medications are disposed of properly”. The following supplies were found in the patient care area (Lab area): Vacuette Tubes with CAT Serum Clot Activator red/yellow top, expired on 07/31/2025 (20 tubes) lot# B2405347. Vacuette Tubes with CAT Serum Clot Activator red/yellow top, expired on 10/31/2025/ (20 tubes) lot# B240833E. Vacuette Tubes with Z no additive black/white top, expired on 01/01/2026 (15 tubes) lot# B2405347. Interview on 1/16/2026 12:35 am with Administrative Employee A, confirmed expiration dates on expired items and stated that the items should have been thrown away. Administrator immediately removed and disposed of the expired supplies.”
Mar 10, 2025: complaint inspection1 deficiency
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Environment: Secure And Restricted
The inspectors’ words, 282 words
“ENVIRONMENT-SECURE & RESTRICTED CFR(s): 494.40(a) 8 Environment: secure & restricted The water purification and storage system should be located in a secure area that is readily accessible to authorized users. The location should be chosen with a view to minimizing the length and complexity of the distribution system. Access to the purification system should be restricted to those individuals responsible for monitoring and maintenance of the system. This Standard is not met as evidenced by: 37492 Based on observation, interview, and record review the facility failed to ensure the door for the water room was closed and prevented unauthorized entry. On 03/07/2025 at 09:38 a.m. this Surveyor walked into the stock room of the facility, it was noted that the stock room door and water room door was propped open, and access was freely obtained. On the outside of the door a sign that was clearly visible to this surveyor state, “Attention Staff: Door must stay closed and secured at all times during clinical operating hours”. The sign was all in capital letters. The Charge Nurse Employee (D) was interviewed at 10:00 a.m. and asked why the water room door was left opened, she indicated she was unaware of the door being left open and unsecured. Nurse is only Licensed personnel on duty at the time of this incident. On 3/7/25 Surveyor spoke with Employee (a) the Admin. Asst. as the RN was confined to the treatment area due to staffing. Employee (A) confirmed the water room door should be closed at all times. She took a picture of the door open with the sign on it stating door must be closed and locked at all times to send to her superior.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jan 19, 2026 | Complaint inspection | 1 deficiency cited |
| Sep 30, 2025 | Complaint inspection | No deficiencies cited |
| Mar 10, 2025 | Complaint inspection | 1 deficiency cited |
| Nov 2, 2023 | Complaint inspection | No deficiencies cited |
Is it certified?
- Medicare-certified dialysis facility, certified or last recertified on Mar 24, 2021.
- 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: US Renal Care, Inc.
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, peritoneal dialysis and home hemodialysis training.
- Doesn’t offer 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 US Renal Care, Inc. 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 4 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; blood transfusions, 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 put on a kidney transplant waitlist in their first year of dialysis, 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 | 4 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 14 dialysis facilities CMS lists in Montgomery County, 13 have a star rating from CMS: 1 rated 4 of 5, 5 rated 3 of 5, 6 rated 2 of 5, 1 rated 1 of 5.
- CMS rates this one 4 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.