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Source: CMS · Released July 15, 2026
Every treatment needs a way into the bloodstream. A fistula is a connection made surgically in the arm. A catheter is a tube placed in a large vein. Fistulas last longer and get infected less, so they are generally preferred where a patient's veins allow one.
These two do not add up to 100%. Some patients use a graft or another form of access. Access type depends on a patient's own veins, whether earlier attempts held, how soon surgery was available, and what the patient chose.
| Distance | Clinic | Also offers |
|---|---|---|
| 1.7 mi | DaVita Carmel Mountain Dialysis9850 Carmel Mountain Road, San Diego, CA 92129 | Peritoneal (PD) · Evening Shifts |
| 5.1 mi | FMCNA Dialysis Services of Rancho11031 Via Frontera, Suite C, San Diego, CA 92127 | — |
| 6.7 mi | Fresenius Medical Care of La Jolla4765 Carmel Mountain Road, Suite 100, San Diego, CA 92130 | — |
| 8.7 mi | FKC Home Training Center of San Diego3939 Ruffin Road, Suite 100, San Diego, CA 92123 | Home Hemodialysis · Peritoneal (PD) |
Yes. This clinic trains patients for home hemodialysis and peritoneal dialysis. Training is a series of visits rather than a permanent move, and your nephrologist has to agree it suits you.
Not according to Medicare's records. Shift times change and are published nowhere, so it is still worth asking when you call.
5 stations, meaning up to 5 people can be treated at once. A larger unit usually means more shift options. It says nothing about the quality of care.
No. Medicare did not have enough data to calculate a star rating here. That is a gap in what was published, not a finding about the care given. 491 of the 7,490 US clinics are in the same position.
It is a for-profit facility, Medicare-certified since 2005.
By calling. Chair availability, insurance acceptance and wait times are not published by Medicare, or by anyone else, for any clinic in the country. That is why the phone number is at the top of this page.
Every measure Medicare publishes about a dialysis facility, grouped in Medicare's nine categories and numbered for citation. Nothing here is selected. Where this clinic has no figure, the cell carries a dash and Medicare's code, and the codes are explained below the table.
| № | Measure | Patients | Clinic | US | CA | Reading |
|---|---|---|---|---|---|---|
| Anemia management | ||||||
| 01 | Medicare patients with hemoglobin < 10 g/dL | 17 | 24% | 21% | 18% | |
| 02 | Medicare patients with hemoglobin > 12 g/dL | |||||
A ratio below 1 means fewer infections than Medicare expected for this clinic's patients. The published range is wide enough here to include the national expectation, which is why Medicare rates it as expected.
This facility is one of 506 California clinics rated as expected. The state has 577. Based on 34 patients.
This facility is one of 149 California clinics rated better than expected. The state has 726. Based on 84 patients.
Listing depends on a patient's own health, what the regional transplant centre requires, and the patient's own choice — not on the clinic alone.
This facility is one of 672 California clinics rated as expected. The state has 701. Based on 69 discharges.
This facility is one of 660 California clinics rated as expected. The state has 691. Based on 92 discharges.
This facility is one of 682 California clinics rated as expected. The state has 706. Based on 347 patients.
This facility is one of 694 California clinics rated as expected. The state has 716. Based on 73 patients.
This facility is one of 640 California clinics rated as expected. The state has 690. Based on 50 patients.
These are adjusted for how sick a clinic's patients are. For a clinic this size the published ranges are usually wide enough that the figure cannot be told apart from the national expectation.
This facility is one of 581 California clinics rated as expected. The state has 605. Based on 36 patients.
Based on 17 patients.
| 9.3 mi | Fresenius Medical Care Balboa - Kearny Mesa7927 Ostrow Street, Suite A, San Diego, CA 92111 | Peritoneal (PD) · Evening Shifts |
|---|
| 17 |
| 0% |
| 1% |
| 1% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 199. | 97% | 96% | ||
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | 91 | 95% | 92% | 89% | |
| 05 | Pediatric hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 201. | 87% | 60% | ||
| 06 | Pediatric peritoneal dialysis patients with Kt/V ≥ 1.8 | No figure published. Reason code 201. | 78% | 72% | ||
| 07 | Pediatric hemodialysis patients with nPCR measured | No figure published. Reason code 201. | 91% | 74% | ||
| Infection | ||||||
|---|---|---|---|---|---|---|
| 08 | Standardized bloodstream infection ratio | No figure published. Reason code 201. | ||||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | 98 | 1% | 1% | 1% | |
| 10 | Adult serum phosphorus less than 3.5 mg/dL | 104 | 4% | 7% | 7% | |
| 11 | Adult serum phosphorus between 3.5-4.5 mg/dL | 104 | 19% | 22% | 22% | |
| 12 | Adult serum phosphorus between 4.6-5.5 mg/dL | 104 | 28% | 27% | 27% | |
| 13 | Adult serum phosphorus between 5.6-7.0 mg/dL | 104 | 30% | 26% | 26% | |
| 14 | Adult serum phosphorus greater than 7.0 mg/dL | 104 | 18% | 18% | 18% | |
| Patient experience | ||||||
|---|---|---|---|---|---|---|
| 15 | Nephrologists' communication and caring (stars, 1–5) | No figure published. Reason code 102. | ||||
| 16 | Quality of dialysis center care and operations (stars, 1–5) | No figure published. Reason code 102. | ||||
| 17 | Providing information to patients (stars, 1–5) | No figure published. Reason code 102. | ||||
| 18 | Patients' rating of the nephrologist (stars, 1–5) | No figure published. Reason code 102. | ||||
| 19 | Patients' rating of the dialysis center staff (stars, 1–5) | No figure published. Reason code 102. | ||||
| 20 | Patients' rating of the dialysis facility (stars, 1–5) | No figure published. Reason code 102. | ||||
| 21 | Survey response rate | No figure published. Reason code 102. | 24% | 25% | ||
| Staff vaccination | ||||||
|---|---|---|---|---|---|---|
| 22 | Healthcare personnel COVID-19 vaccination rate | No figure published. Reason code 201. | 4% | 4% | ||
| Survival & hospitalization | ||||||
|---|---|---|---|---|---|---|
| 23 | Mortality rate (per 100 patient-years) | 347 | 29.5 | 22.2 | As Expected | |
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | 73 | 174.8 | 148 | As Expected | |
| 25 | Readmission rate | 69 | 28.9% | 27.2% | As Expected | |
| 26 | Transfusion rate (per 100 patient-years) | 36 | 40.2 | 32.5 | As Expected | |
| 27 | Standardized emergency department visit ratio | 50 | 0.37 | 0.99 | As Expected | |
| 28 | ED visits within 30 days of hospital discharge (ratio) | 92 | 0.6 | 1.04 | As Expected | |
| 29 | Standardized modality switch ratio | No figure published. Reason code 201. | 1 | |||
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | 34 | 2.19 | 1 | As Expected | |
| 31 | Prevalent patients waitlisted for transplant | 84 | 45.9% | 16.5% | Better than Expected | |
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | No figure published. Reason code 199. | 57.1% | |||
| 33 | Adult patients with a catheter in use 90+ days | No figure published. Reason code 199. | 19% | 17% | ||