Houston Methodist West Hospital
An acute care hospital in Houston, Texas 77094
18500 Katy Freeway, Houston, Texas 77094. (832) 522-1000.
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The short answer
Record last released by CMS on Oct 20, 2026.
- 5of 5 CMS’s overall rating
- 4of 5 patient survey rating
- 1 deficiency cited in the last three years
- 302 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 17, 2026: a complaint inspection.
1 deficiency cited in the last three years, 1 of them under EMTALA, the law requiring an emergency department to examine and stabilise anyone who comes to it.
CMS, QCOR Hospital 2567 statements of deficiencies. Released Oct 20, 2026. Updated monthly.
When those deficiencies happened
5 visits on record, nothing cited. The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
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| 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.
Nov 15, 2023: complaint inspection1 deficiency
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Medical Screening Exam
The inspectors’ words, 1,313 words
“MEDICAL SCREENING EXAM CFR(s): 489.24(a) & 489.24(c) (a) Applicability of provisions of this section. (1) In the case of a hospital that has an emergency department, if an individual (whether or not eligible for Medicare benefits and regardless of ability to pay) “comes to the emergency department”, as defined in paragraph (b) of this section, the hospital must- (i) Provide an appropriate medical screening examination within the capability of the hospital’s emergency department, including ancillary services routinely available to the emergency department, to determine whether or not an emergency medical condition exists. The examination must be conducted by an individual(s) who is determined qualified by hospital bylaws or rules and regulations and who meets the requirements of §482.55 of this chapter concerning emergency services personnel and direction; and (ii) If an emergency medical condition is determined to exist, provide any necessary stabilizing treatment, as defined in paragraph (d) of this section, or an appropriate transfer as defined in paragraph (e) of this section. If the hospital admits the individual as an inpatient for further treatment, the hospital’s obligation under this section ends, as specified in paragraph (d)(2) of this section. (2)(i) When a waiver has been issued in accordance with section 1135 of the Act that includes a waiver under section 1135(b)(3) of the Act, sanctions under this section for an inappropriate transfer or for the direction or relocation of an individual to receive medical screening at an alternate location do not apply to a hospital with a dedicated emergency department if the following conditions are met: (A) The transfer is necessitated by the circumstances of the declared emergency in the emergency area during the emergency period. (B) The direction or relocation of an individual to receive medical screening at an alternate location is pursuant to an appropriate State emergency preparedness plan or, in the case of a public health emergency that involves a pandemic infectious disease, pursuant to a State pandemic preparedness plan. (C) The hospital does not discriminate on the basis of an individual’s source of payment or ability to pay. (D) The hospital is located in an emergency area during an emergency period, as those terms are defined in section 1135(g)(1) of the Act. (E) There has been a determination that a waiver of sanctions is necessary. (ii) A waiver of these sanctions is limited to a 72-hour period beginning upon the implementation of a hospital disaster protocol, except that, if a public health emergency involves a pandemic infectious disease (such as pandemic influenza), the waiver will continue in effect until the termination of the applicable declaration of a public health emergency, as provided under section 1135(e)(1)(B) of the Act. (c) Use of dedicated emergency department for nonemergency services. If an individual comes to a hospital’s dedicated emergency department and a request is made on his or her behalf for examination or treatment for a medical condition, but the nature of the request makes it clear that the medical condition is not of an emergency nature, the hospital is required only to perform such screening as would be appropriate for any individual presenting in that manner, to determine that the individual does not have an emergency medical condition. This Standard is not met as evidenced by: 35089 Based on review of documentation and interviews with facility staff, the facility failed to provide an appropriate and thorough medical screening examination (MSE) within the capability of the hospital’s emergency department, including gastroenterology or gynecology consultations and pelvic ultrasound available to the emergency department, to determine whether an emergency medical condition (EMC) existed for 1 of 41 (Patient #1) patients reviewed that presented to the emergency department (ED). Patient #1 presented to the ED in acute distress complaining of 10 out 10 lower abdominal pain. The patient had a CT Abdomen Pelvis with contrast completed and the radiologist report indicated ovarian cysts on left and right ovary and recommended a pelvic ultrasound for further evaluation. No gastroenterology or gynecology consultation was obtained by the ED, and the patient’s symptoms did not resolve prior to being discharged home with a last pain score of 9 out of 10. The patient was seen at a different ED the next day, received another CT and was diagnosed with an internal hernia and small bowel obstruction, which required surgical intervention. The findings were: Patient #1’s medical record from Hospital A was reviewed, it was noted: Patient #1 was seen on 7/12/23 complaining of “lower abdominal pain that started 3 PM today 10 out of 10 in nature. She is in acute distress due to the pain. Says it happened 11 days ago with similar presentation when she went to the ER and was told she had food poisoning. She was okay in the interim. She is also been having multiple episodes of nonbilious nonbloody emesis.” A CT Abdomen Pelvis with contrast was performed and the radiologist’s report indicated, “Findings suggestive of 4.9 x 3.1 cm left ovarian cyst and 2.6 and 2. 6 cm right ovarian cyst. Recommend pelvic ultrasound for further evaluation.” The ED physician’s notes indicated, “This patient presents with abdominal pain of unclear etiology. A CT scan was performed to evaluate for potential causes of the abdominal pain, however, neither the clinical exam nor the CT has identified an emergent etiology for the abdominal pain. Specifically, given the benign exam, the laboratory studies, and unremarkable CT, I have a very low suspicion for appendicitis, ischemic bowel, bowel perforation, or any other life threatening disease.” During this visit, Patient #1 received 8mg morphine, 50mcg fentanyl, and 30mg ketorolac. The patient’s last assessed pain score of “9” was recorded at 2202 and the patient was discharged at 2251. No documentation indicate that gastroenterology or gynecology was consulted by ED physician. Review of the on-call schedule for 7/12/23 indicated both services were available for consults. The consults could have assisted the ED physician in determining need for admission and further testing or discharge with prompt follow-up. Interviewed Staff #7 (the ED physician that took care of Patient #1 on 7/12/23) via email on 11/14/23. Surveyor: What do you remember about this particular patient? Staff #7: “From what I remember in July, she was having bouts of abdominal pain with n/v. She was seen 11 days earlier for similar GI sx. She was not peritonitic on exam. Her CT showed 5cm ovarian cyst on left and 2.6cm cyst on right. No free fluid in pelvis. She wasn’t septic. She improved after morphine and Zofran.” Surveyor: The CT abdomen/pelvis radiologist report recommended a pelvic ultrasound for further evaluation. Was a pelvic ultrasound performed? If no, why not? Staff #7: “No ultrasound was done as there wasn’t any secondary signs of inflammation or rupture of the cysts to indicate an emergent ultrasound.” Surveyor: Was there an immediate/emergent need to transfer the patient to a higher level of care or service not provided by this hospital? Staff #7: “There was not an immediate need for transfer at the time of my evaluation.” Patient #1’s medical record from Hospital B was reviewed, it was noted: Patient #1 was seen at the ED of Hospital B on 7/13/23 complaining of “abdominal pain that started since 6/29 was seen and treated for gastroenteritis. Pt stated pain is recurrent and worse since yesterday with vomiting.” A CT Abdomen/Pelvis with contrast was completed and the report revealed, “A markedly dilated short-segment of small bowel in the left lower quadrant is mildly to moderately inflamed, oriented in a loop, and demonstrates marked narrowing of the small bowel at both ends of the loop compatible with closed loop small-bowel obstruction, possibly secondary to internal hernia ... The small bowel loops proximal to the closed loop obstruction are moderately dilated and organized with air-fluid levels, again compatible with small-bowel obstruction.” General surgery and gastroenterology were consulted and Patient #1 was admitted to the hospital for a small bowel resection.”
All 7 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 17, 2026 | Complaint inspection | No deficiencies cited |
| Dec 19, 2025 | Complaint inspection | No deficiencies cited |
| Sep 11, 2024 | Complaint inspection | No deficiencies cited |
| Aug 20, 2024 | Complaint inspection | No deficiencies cited |
| Jan 25, 2024 | Complaint inspection | No deficiencies cited |
| Nov 27, 2023 | Complaint inspection | No deficiencies cited |
| Nov 15, 2023 | Complaint inspection | 1 deficiency 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 5 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, 1 better and 0 worse of 8; safety of care, 2 better and 0 worse of 8; readmission, 1 better and 0 worse of 11.
- Patients rate it 4 of 5 in CMS’s patient survey (2,208 surveys completed, Oct 1, 2024 to Sep 30, 2025): 80% rated it 9 or 10 out of 10, and 83% 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), better than the 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, better than the 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 12%, heart failure 9.3%, pneumonia 15.1%, COPD 7.3%, stroke 9.4%, heart bypass surgery 2.2%. 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 13.7%, heart failure 21.9%, pneumonia 17.6%, COPD 20.2%, heart bypass surgery 9.8%, hip or knee replacement 5.7%. 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; hospital admissions after outpatient chemotherapy, no different than the national rate; emergency visits after outpatient chemotherapy, no different than the national rate; unplanned hospital visits after outpatient surgery, no different than expected.
- Emergency department patients spent a median of 190 minutes there before leaving (Oct 1, 2024 to Sep 30, 2025), and 1% left before being seen.
- 77% 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 1.01 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 | 5 of 5 |
| Patient survey ratingCMS star rating from its survey of the hospital’s patients (HCAHPS), 1 to 5 | 4 of 5 |
Is it certified, and in good standing?
- Medicare-certified acute care hospital since Jan 3, 2011.
- Ownership: voluntary non-profit - private.
- It is accredited by DNV, 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.
- 1 deficiency cited in the last three years came from an inspection 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.
- 64% 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?
- Tmh Health CARE Group owns an unstated share directly since Sep 18, 2010.
- The Methodist Hospital runs it.
- 18 owners or officers are people: Robert Moses (corporate director); Vidal Ramirez (corporate director); Ewing Werlein (corporate director); Emily Crosswell (corporate director); Kenneth Levingston (corporate director); Kyle Stanzel (corporate officer); W Benjamin Moreland (corporate director); Wayne Voss (corporate officer); Wayne Voss (managing employee (on the payroll)); Marc L Boom (corporate director); Marc L Boom (other role (CMS gives no detail)); Levi Benton (corporate director); Sutapa Sur (corporate director); Gregory V Nelson (corporate director); Shlomit Schaal (corporate director); Ann Snyder (corporate director); Reginald Lillie (corporate director); Sheila Lang (corporate director).
- CMS’s Provider of Services file records no change of ownership.
- 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 |
|---|---|---|---|
| The Methodist Hospital | Runs it (operational or managerial control) | 100% | Sep 18, 2010 |
| The Methodist Hospital | Owns 5% or more through other companies | Sep 18, 2010 | |
| Tmh Health CARE Group | Owns 5% or more directly | Sep 18, 2010 |
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 5 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.