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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.
| Distance | Clinic | Also offers |
|---|---|---|
| 20 mi | Liberty Dialysis Hawaii - Kauai Dialysis Facility3224 Elua Street, Lihue, HI 96766 | Peritoneal (PD) · Evening Shifts |
No. Medicare's records show no home hemodialysis or peritoneal dialysis training here. Other clinics nearby may offer it, and training does not usually mean leaving your current clinic permanently.
Not according to Medicare's records. Shift times change and are published nowhere, so it is still worth asking when you call.
8 stations, meaning up to 8 people can be treated at once. A larger unit usually means more shift options. It says nothing about the quality of care.
Yes. Medicare places this clinic in the middle 41% of US clinics. That is a position in a national distribution, not a score it passed or failed — most clinics sit in the middle band by design.
It is a for-profit facility operated by Fresenius Medical Care, Medicare-certified since 2006.
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 | HI | Reading |
|---|---|---|---|---|---|---|
| Anemia management | ||||||
| 01 | Medicare patients with hemoglobin < 10 g/dL | 11 | 9% | 21% | 15% | |
| 02 | Medicare patients with hemoglobin > 12 g/dL | |||||
This facility is one of 41 Hawaii clinics rated as expected. The state has 41. Based on 60 patients.
Based on 60 patients.
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.
This facility is one of 25 Hawaii clinics rated as expected. The state has 38.
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 20 Hawaii clinics rated as expected. The state has 28. Based on 27 patients.
This facility is one of 36 Hawaii clinics rated as expected. The state has 40. Based on 52 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 33 Hawaii clinics rated as expected. The state has 38. Based on 27 discharges.
This facility is one of 32 Hawaii clinics rated as expected. The state has 33. Based on 14 discharges.
This facility is one of 34 Hawaii clinics rated as expected. The state has 39. Based on 212 patients.
This facility is one of 38 Hawaii clinics rated as expected. The state has 40. Based on 54 patients.
This facility is one of 3 Hawaii clinics rated worse than expected. The state has 36. Based on 22 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.
Based on 11 patients.
| 11 |
| 0% |
| 1% |
| 0% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | 56 | 99% | 97% | 97% | |
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | No figure published. Reason code 257. | 92% | 97% | ||
| 05 | Pediatric hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 259. | 87% | 100% | ||
| 06 | Pediatric peritoneal dialysis patients with Kt/V ≥ 1.8 | No figure published. Reason code 259. | 78% | 98% | ||
| 07 | Pediatric hemodialysis patients with nPCR measured | No figure published. Reason code 259. | 91% | 96% | ||
| Infection | ||||||
|---|---|---|---|---|---|---|
| 08 | Standardized bloodstream infection ratio | 0.99 | As Expected | |||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | 56 | 1% | 1% | 1% | |
| 10 | Adult serum phosphorus less than 3.5 mg/dL | 60 | 11% | 7% | 7% | |
| 11 | Adult serum phosphorus between 3.5-4.5 mg/dL | 60 | 19% | 22% | 23% | |
| 12 | Adult serum phosphorus between 4.6-5.5 mg/dL | 60 | 24% | 27% | 27% | |
| 13 | Adult serum phosphorus between 5.6-7.0 mg/dL | 60 | 24% | 26% | 25% | |
| 14 | Adult serum phosphorus greater than 7.0 mg/dL | 60 | 22% | 18% | 17% | |
| Patient experience | ||||||
|---|---|---|---|---|---|---|
| 15 | Nephrologists' communication and caring (stars, 1–5) | No figure published. Reason code 101. | ||||
| 16 | Quality of dialysis center care and operations (stars, 1–5) | No figure published. Reason code 101. | ||||
| 17 | Providing information to patients (stars, 1–5) | No figure published. Reason code 101. | ||||
| 18 | Patients' rating of the nephrologist (stars, 1–5) | No figure published. Reason code 101. | ||||
| 19 | Patients' rating of the dialysis center staff (stars, 1–5) | No figure published. Reason code 101. | ||||
| 20 | Patients' rating of the dialysis facility (stars, 1–5) | No figure published. Reason code 101. | ||||
| 21 | Survey response rate | No figure published. Reason code 101. | 24% | 32% | ||
| Staff vaccination | ||||||
|---|---|---|---|---|---|---|
| 22 | Healthcare personnel COVID-19 vaccination rate | No figure published. Reason code 201. | 4% | 1% | ||
| Survival & hospitalization | ||||||
|---|---|---|---|---|---|---|
| 23 | Mortality rate (per 100 patient-years) | 212 | 24.1 | 22.2 | As Expected | |
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | 54 | 80.8 | 148 | As Expected | |
| 25 | Readmission rate | 27 | 22.4% | 27.2% | As Expected | |
| 26 | Transfusion rate (per 100 patient-years) | No figure published. Reason code 199. | 32.5 | |||
| 27 | Standardized emergency department visit ratio | 22 | 2.61 | 0.99 | Worse than Expected | |
| 28 | ED visits within 30 days of hospital discharge (ratio) | 14 | 2.99 | 1.04 | As Expected | |
| 29 | Standardized modality switch ratio | 45 | 0.24 | 1 | As Expected | |
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | 27 | 0 | 1 | As Expected | |
| 31 | Prevalent patients waitlisted for transplant | 52 | 1.7% | 16.5% | As Expected | |
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | 60 | 61.9% | 57.1% | As Expected | |
| 33 | Adult patients with a catheter in use 90+ days | 60 | 11% | 19% | 11% | |