Memorial Hermann Northeast Hospital
An acute care hospital in Humble, Texas 77338
18951 Memorial North, Humble, Texas 77338. (281) 540-7700.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 3of 5 CMS’s overall rating
- 3of 5 patient survey rating
- 2 deficiencies cited in the last three years
- 257 beds
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 Jun 12, 2026: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 2 months of the last 36. Last cited Jun 2026. Most serious: Standard-level. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | 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 | Nov |
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 Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Jun 12, 2026: complaint inspection1 deficiency
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Patient Rights: Care In Safe Setting
The inspectors’ words, 308 words
“PATIENT RIGHTS: CARE IN SAFE SETTING CFR(s): 482.13(c)(2) The patient has the right to receive care in a safe setting. This Standard is not met as evidenced by: 37322 Based on observation, record review and staff interview, patients have the right to receive care in a safe setting. During the tour of several units, it was noted that the crash carts had not been consistently checked by personnel in the department, and oxygen tank was not secure in a patient care area. Findings Included: The facility policy” Crash Cart Ceck, publication date 03/25/2026 The crash cart will be checked at a minimum every 24 hours each day the unit is operational, and the action will be documented on the Crash Cart Checklist. The Facility Policy, Medical Gas System, was last reviewed 04/19/2024; stated Ensure Medical gas cylinders are securely transported via the appropriate cart or rack system Observation and record review of the 4 ED carts on 06/10/2026 at 1133 revealed two (2) of the four emergency carts were not checked daily per hospital policy in the emergency department. Cart POD D: missing 6/03/2026, Cart POD A: missing 06/08/2026 Interview with nurse (ID#8) on 06/10/2026 during rounds validated the findings. Observation and record review of the two crash carts on 3W-Neuro Medicine on 1205 revealed two crash carts on the unit had not been checked daily per hospital policy. On May 10 & 29, 2026, June 7, 2026 2nd crash cart: April 11, & 26, 2026 -May 17 & 29, 2026, Interview with nurse (ID#11) during rounds validated the findings. On 06/10/2026 at 1045 an unsecure oxygen tank was found standing without a carrier in the corner of the recovery area of the Labor & Delivery department. Interview with nurse (ID#6), during the tour, validated the finding and stated the tank should be in a stand for safety.”
May 20, 2024: complaint inspection1 deficiency
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Staffing And Delivery Of Care
The inspectors’ words, 479 words
“STAFFING AND DELIVERY OF CARE CFR(s): 482.23(b) The nursing service must have adequate numbers of licensed registered nurses, licensed practical (vocational) nurses, and other personnel to provide nursing care to all patients as needed. There must be supervisory and staff personnel for each department or nursing unit to ensure, when needed, the immediate availability of a registered nurse for care of any patient. This Standard is not met as evidenced by: 37490 Based on record review and interview, the facility failed to ensure nursing staff: 1. Implemented and carried out physician orders for 1 of 10 patients (ID# 2). 2. Assessed and documented care of patients with female external urinary catheters in 1 of 1 patient (ID# 2). 3. Followed the established process for pressure injury staging in 1 of 1 patient (ID# 1). Findings included: 1. Medical record for patient ID#2 for showed on an order for oral care to be performed three times daily (TID). Documented oral care was performed one time each day on 4/18/24 and 4/23/24. Interview with clinical coordinator staff (ID# 60) on 5/20/24 at 1:30 PM confirmed the above findings. 2. Record review of facility policy titled “Memorial Hermann Health System Clinical Guideline- Female External Urinary Catheter,” dated 6/11/2019 showed the following information: Guideline Purpose To utilize an external urinary collection system clinically indicated to minimize the utilization of indwelling urinary catheters while reducing the risk of incontinence associated dermatitis (IAD) ... F. Documentation 2. External catheter placement and skin assessment every 2 hours ... Medical record review for patient ID# 2 showed the patient had an external urinary catheter in place on 4/20/24 with no documentation during a twelve-hour period. Interview with clinical coordinator staff (ID# 60) on 5/20/24 at 1:35 PM confirmed the above findings stating that this nurse missed the documentation the entire night shift. 3. Record review of facility policy titled “Memorial Hermann Health System Clinical Guideline- Pressure Injury identification and follow up,” dated 12/14/2022 showed the following information: Guideline Purpose The purpose of this clinical guideline is to provide a system wide standardized evidence-based and best practice guideline for pressure injury identification, staging, and follow up assessments. Pressure Injury Staging Process 1. Assess patient for pressure injuries at the time of admission and ongoing throughout hospitalization. 2. If a suspected pressure injury is identified, promptly notify a Qualified Staging Staff member to assess area(s) of concern. 3. If pressure injury is confirmed by staging staff member ... Medical record for patient ID#1 showed nursing documentation of skin assessment on 7/23/23 of buttocks erythema/intact/dressing intact. Skin assessment on 7/31/23 showed buttock now pressure injury. Interview with staff ID# 52 on 5/20/24 at 3:30 pm, she confirmed that the medical record for patient ID# 1 did not contain documentation that followed the approved process for the patient’s buttock pressure injury staging. Wound care notes were only for documented foot wound.”
All 6 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 12, 2026 | Complaint inspection | 1 deficiency cited |
| Dec 12, 2025 | Complaint inspection | No deficiencies cited |
| Apr 17, 2025 | Complaint inspection | No deficiencies cited |
| Apr 14, 2025 | Complaint inspection | No deficiencies cited |
| May 20, 2024 | Complaint inspection | 1 deficiency cited |
| Nov 8, 2023 | Complaint inspection | No deficiencies cited |
How do patients fare?
- CMS’s overall 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. for it is 3 of 5.
- Of the measures behind its 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., CMS counts against the national value: mortality, 0 better and 0 worse of 7; safety of care, 1 better and 1 worse of 7; readmission, 0 better and 2 worse of 7.
- Patients rate it 3 of 5 in CMS’s patient survey (619 surveys completed, Oct 1, 2024 to Sep 30, 2025): 71% rated it 9 or 10 out of 10, and 71% would definitely recommend it.
- Infections, compared by CMS with the national benchmark (Oct 1, 2024 to Sep 30, 2025): central line bloodstream infections (CLABSI), no different than national benchmark; catheter urinary tract infections (CAUTI), no different than national benchmark; surgical site infections after colon surgery, no different than national benchmark; surgical site infections after abdominal hysterectomy, no different than national benchmark; MRSA bloodstream infections, no different than national benchmark; C. diff infections, better than the national benchmark.
- CMS’s patient safety composite for serious complications, PSI 90, Jul 1, 2022 to Jun 30, 2024: no different than the national value.
- Deaths within 30 days, as CMS gives them (Jul 1, 2022 to Jun 30, 2025): heart attack 13.1%, heart failure 10.3%, pneumonia 15.1%, COPD 8.3%, stroke 10.1%. CMS gives no comparison with the national rate for them in this release.
- Readmissions within 30 days, as CMS gives them (Jul 1, 2023 to Jun 30, 2025): heart attack 12.9%, heart failure 22%, pneumonia 17.9%, COPD 19.5%. CMS gives no comparison with the national rate for them in this release.
- After outpatient care, compared by CMS: unplanned hospital visits after a colonoscopy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 235 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 39% of patients with severe sepsis or septic shock got the care CMS measures, SEP-1 (Oct 1, 2024 to Sep 30, 2025).
- Medicare’s spending per patient here is 0.99 times the national median (Jan 1, 2024 to Dec 31, 2024).
CMS, Hospital General Information, Patient survey (HCAHPS) - Hospital, Healthcare Associated Infections - Hospital, Timely and Effective Care - Hospital and Medicare Spending Per Beneficiary - Hospital. Released Aug 13, 2026. Updated quarterly.
CMS, Complications and Deaths - Hospital and Unplanned Hospital Visits - Hospital. Released Sep 30, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Overall ratingCMS’s overall hospital quality star rating, 1 to 5 | 3 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 3 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Oct 10, 1977.
- Ownership: voluntary non-profit - private.
- It is accredited by The Joint Commission, whose surveys stand in for the state’s routine inspections.
- 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.
- Voluntary non-profit - Private.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for hospitals.
- Not among the hospitals whose Medicare payments CMS cut under the Hospital-Acquired Condition Reduction Program for fiscal year 2026.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, Hospital-Acquired Condition (HAC) Reduction Program. Released Aug 13, 2026. Updated yearly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
What do patients say about their care?
- CMS doesn’t publish staffing levels for hospitals.
- In CMS’s patient survey, patients rate how well its nurses communicated 3 of 5.
- 95% of its health care workers got a flu shot (Oct 1, 2024 to Mar 31, 2025).
CMS, Patient survey (HCAHPS) - Hospital and Timely and Effective Care - Hospital. Released Aug 13, 2026. Updated quarterly.
Who owns it?
- Memorial Hermann Health System owns 100% directly since Jan 1, 2007.
- Memorial Hermann Health System runs it.
- 30 owners or officers are people: Greg Armstrong (other role (CMS gives no detail), 0%); Rishi Varma (other role (CMS gives no detail), 0%); Monica Benton (other role (CMS gives no detail), 0%); Richard Figueroa (other role (CMS gives no detail), 0%); Theresa Ancelet Pappas (corporate officer, 0%); John A. Graf (other role (CMS gives no detail), 0%); Jarvis Hollingsworth (other role (CMS gives no detail), 0%); Jay F Schneider (other role (CMS gives no detail)); David Habachy (other role (CMS gives no detail), 0%); John Esquivel (other role (CMS gives no detail), 0%); Alan Victor Ytterberg (other role (CMS gives no detail), 0%); Neelofer S Durrani (other role (CMS gives no detail), 0%); Anne Taylor (other role (CMS gives no detail), 0%); Max Reynolds (corporate officer, 0%); Max Reynolds (managing employee (on the payroll), 0%); Ira L Flax (corporate director, 0%); Charmaine Ferguson (managing employee (on the payroll), 0%); Aileen Mccormick (corporate director, 0%); Edward Adams (other role (CMS gives no detail), 0%); Caralisa M Simon (corporate director, 0%); Alec King (corporate officer, 0%); Harry Pefanis (corporate director, 0%); Gary J Sheppard (other role (CMS gives no detail), 0%); Kevin Brady (other role (CMS gives no detail), 0%); Alejandra Loessin (corporate officer, 0%); Anne Clutterbuck (corporate director, 0%); Donald M Woo (other role (CMS gives no detail), 0%); David L Callender (corporate officer, 0%); David L Callender (managing employee (on the payroll), 0%); Willoughby C Williams (corporate director, 0%).
- CMS’s Provider of Services file records 1 change of ownership, the latest on Jan 1, 2007.
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, Hospital All Owners and Hospital Enrollments. Released Sep 29, 2026. Updated monthly.
CMS, Provider of Services File - Hospital & Non-Hospital Facilities. Released Oct 14, 2026. Updated quarterly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Memorial Hermann Health System | Owns 5% or more directly | 100% | Jan 1, 2007 |
| Memorial Hermann Health System | Runs it (operational or managerial control) | 100% | Jan 1, 2007 |
How does it compare nearby?
- Of the 50 hospitals CMS lists in Harris County, 23 have an overall star rating from CMS: 6 rated 5 of 5, 7 rated 4 of 5, 8 rated 3 of 5, 1 rated 2 of 5, 1 rated 1 of 5.
- CMS rates this one 3 of 5.
CMS, Hospital General Information. Released Aug 13, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for hospitals, so none are shown. The one payment cut CMS publishes for each hospital, under its Hospital-Acquired Condition Reduction Program, is shown where it applies.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- Most hospitals are accredited by a private organisation (The Joint Commission, DNV and others) whose routine inspections stand in for the state’s; those reports aren’t public, and QCOR holds only the state’s surveys: no inspection on record here doesn’t mean none took place.
- QCOR says its hospital inspection data are complete only through September 17, 2026, while it moves to a new system.
- CMS doesn’t publish staffing levels for hospitals.
- In its September 2026 release CMS gives no comparison with the national rate for death and readmission rates, though it gives the rates.
Sources
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Centers for Medicare & Medicaid Services, Hospital General Information (xubh-q36u).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (HCAHPS) - Hospital.
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Healthcare Associated Infections - Hospital (77hc-ibv8).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Complications and Deaths - Hospital (ynj2-r877).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Unplanned Hospital Visits - Hospital (632h-zaca).
Released Sep 30, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Timely and Effective Care - Hospital (yv7e-xc69).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Medicare Spending Per Beneficiary - Hospital (rrqw-56er).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital-Acquired Condition (HAC) Reduction Program (yq43-i98g).
Released Aug 13, 2026 and checked Nov 5, 2026. Updated yearly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Provider of Services File - Hospital & Non-Hospital Facilities (Hospital_and_other.DATA.Q3_2026.csv).
Released Oct 14, 2026 and checked Nov 5, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Hospital 2567 statements of deficiencies (Hospital_2567s_2010_to_2026YTD.xlsx).
Released Oct 20, 2026 and checked Oct 27, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital All Owners (Hospital_All_Owners_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Hospital Enrollments (Hospital_Enrollments_2026.09.29.csv).
Released Sep 29, 2026 and checked Nov 5, 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 Nov 5, 2026.
From the hospital
The public record above comes first. Anything the hospital adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the hospital 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 hospital”, and paying will never change a finding, a rating or the order of results.