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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 |
|---|---|---|
| 1.0 mi | Freeman Nephrology & Dialysis Center932 E 34th ST, Joplin, MO 64804 | Peritoneal (PD) |
| 5.6 mi | Freeman Health System Outpatient Dialysis Center1636 S Madison St, Webb City, MO 64870 | — |
| 13 mi | Heartland Kidney Center2828 South Grand, Carthage, MO 64836 | Home Hemodialysis · Peritoneal (PD) |
| 22 mi | Heartland Miami DX LLP2111 Denver Harner Dr, Miami, OK 74354 | 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.
Yes — Medicare records chairs available after 5pm. Which specific times are free changes constantly and is published nowhere, so call to ask.
24 stations, meaning up to 24 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 bottom 34% 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 1996.
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 | MO | Reading |
|---|---|---|---|---|---|---|
| Anemia management | ||||||
| 01 | Medicare patients with hemoglobin < 10 g/dL | 23 | 26% | 21% | 21% | |
| 02 | Medicare patients with hemoglobin > 12 g/dL | |||||
This facility is one of 131 Missouri clinics rated as expected. The state has 136. Based on 84 patients.
Based on 84 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 85 Missouri clinics rated as expected. The state has 127.
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 61 Missouri clinics rated as expected. The state has 68. Based on 63 patients.
This facility is one of 140 Missouri clinics rated as expected. The state has 147. Based on 104 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 133 Missouri clinics rated as expected. The state has 143. Based on 115 discharges.
This facility is one of 138 Missouri clinics rated as expected. The state has 141. Based on 125 discharges.
This facility is one of 140 Missouri clinics rated as expected. The state has 145. Based on 413 patients.
This facility is one of 143 Missouri clinics rated as expected. The state has 147. Based on 100 patients.
This facility is one of 7 Missouri clinics rated worse than expected. The state has 140. Based on 59 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 81 Missouri clinics rated as expected. The state has 89. Based on 51 patients.
Based on 23 patients.
| 22 mi |
| DaVita Tri-State Dialysis2510 N Main, Miami, OK 74354 |
|---|
| — |
| 23 |
| 0% |
| 1% |
| 0% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | 50 | 97% | 97% | 96% | |
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | 36 | 98% | 92% | 94% | |
| 05 | Pediatric hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 259. | 87% | 92% | ||
| 06 | Pediatric peritoneal dialysis patients with Kt/V ≥ 1.8 | No figure published. Reason code 259. | 78% | 93% | ||
| 07 | Pediatric hemodialysis patients with nPCR measured | No figure published. Reason code 259. | 91% | 99% | ||
| Infection | ||||||
|---|---|---|---|---|---|---|
| 08 | Standardized bloodstream infection ratio | 0.69 | As Expected | |||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | 100 | 2% | 1% | 1% | |
| 10 | Adult serum phosphorus less than 3.5 mg/dL | 115 | 6% | 7% | 7% | |
| 11 | Adult serum phosphorus between 3.5-4.5 mg/dL | 115 | 18% | 22% | 21% | |
| 12 | Adult serum phosphorus between 4.6-5.5 mg/dL | 115 | 22% | 27% | 26% | |
| 13 | Adult serum phosphorus between 5.6-7.0 mg/dL | 115 | 29% | 26% | 26% | |
| 14 | Adult serum phosphorus greater than 7.0 mg/dL | 115 | 24% | 18% | 20% | |
| 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% | 24% | ||
| Staff vaccination | ||||||
|---|---|---|---|---|---|---|
| 22 | Healthcare personnel COVID-19 vaccination rate | No figure published. Reason code 201. | 4% | 2% | ||
| Survival & hospitalization | ||||||
|---|---|---|---|---|---|---|
| 23 | Mortality rate (per 100 patient-years) | 413 | 28.8 | 22.2 | As Expected | |
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | 100 | 196.7 | 148 | As Expected | |
| 25 | Readmission rate | 115 | 27.7% | 27.2% | As Expected | |
| 26 | Transfusion rate (per 100 patient-years) | 51 | 45 | 32.5 | As Expected | |
| 27 | Standardized emergency department visit ratio | 59 | 1.55 | 0.99 | Worse than Expected | |
| 28 | ED visits within 30 days of hospital discharge (ratio) | 125 | 1.13 | 1.04 | As Expected | |
| 29 | Standardized modality switch ratio | 59 | 4.75 | 1 | Better than Expected | |
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | 63 | 0.76 | 1 | As Expected | |
| 31 | Prevalent patients waitlisted for transplant | 104 | 19.6% | 16.5% | As Expected | |
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | 84 | 66.6% | 57.1% | As Expected | |
| 33 | Adult patients with a catheter in use 90+ days | 84 | 15% | 19% | 20% | |