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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 | Fresenius Great Falls Clinic Dialysis1724 26th Street S, Great Falls, MT 59405 | Peritoneal (PD) |
| 72 mi | St Peter's Health Dialysis Center2475 Broadway, Helena, MT 59601 | 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.
17 stations, meaning up to 17 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 DaVita, Medicare-certified since 2013.
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 | MT | Reading |
|---|---|---|---|---|---|---|
| Anemia management | ||||||
| 01 | Medicare patients with hemoglobin < 10 g/dL | 21 | 24% | 21% | 13% | |
| 02 | Medicare patients with hemoglobin > 12 g/dL | |||||
This facility is one of 17 Montana clinics rated as expected. The state has 17. Based on 68 patients.
Based on 68 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.
Medicare surveys patients at this clinic directly.
This facility is one of 6 Montana clinics rated better than expected. The state has 17.
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 9 Montana clinics rated as expected. The state has 9. Based on 33 patients.
This facility is one of 16 Montana clinics rated as expected. The state has 17. Based on 61 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 16 Montana clinics rated as expected. The state has 16. Based on 62 discharges.
This facility is one of 15 Montana clinics rated as expected. The state has 16. Based on 51 discharges.
This facility is one of 17 Montana clinics rated as expected. The state has 17. Based on 284 patients.
This facility is one of 17 Montana clinics rated as expected. The state has 17. Based on 78 patients.
This facility is one of 16 Montana clinics rated as expected. The state has 17. Based on 46 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 14 Montana clinics rated as expected. The state has 14. Based on 44 patients.
Based on 21 patients.
| 21 |
| 5% |
| 1% |
| 1% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 280. | 97% | 94% | ||
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | No figure published. Reason code 280. | 92% | 89% | ||
| 05 | Pediatric hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 280. | 87% | 100% | ||
| 06 | Pediatric peritoneal dialysis patients with Kt/V ≥ 1.8 | No figure published. Reason code 280. | 78% | 0% | ||
| 07 | Pediatric hemodialysis patients with nPCR measured | No figure published. Reason code 280. | 91% | 100% | ||
| Infection | ||||||
|---|---|---|---|---|---|---|
| 08 | Standardized bloodstream infection ratio | 0 | Better than Expected | |||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | No figure published. Reason code 280. | 1% | 2% | ||
| 10 | Adult serum phosphorus less than 3.5 mg/dL | No figure published. Reason code 280. | 7% | 6% | ||
| 11 | Adult serum phosphorus between 3.5-4.5 mg/dL | No figure published. Reason code 280. | 22% | 21% | ||
| 12 | Adult serum phosphorus between 4.6-5.5 mg/dL | No figure published. Reason code 280. | 27% | 24% | ||
| 13 | Adult serum phosphorus between 5.6-7.0 mg/dL | No figure published. Reason code 280. | 26% | 26% | ||
| 14 | Adult serum phosphorus greater than 7.0 mg/dL | No figure published. Reason code 280. | 18% | 22% | ||
| Patient experience | ||||||
|---|---|---|---|---|---|---|
| 15 | Nephrologists' communication and caring (stars, 1–5) | 33 | 5 | |||
| 16 | Quality of dialysis center care and operations (stars, 1–5) | 33 | 5 | |||
| 17 | Providing information to patients (stars, 1–5) | 33 | 5 | |||
| 18 | Patients' rating of the nephrologist (stars, 1–5) | 33 | 5 | |||
| 19 | Patients' rating of the dialysis center staff (stars, 1–5) | 33 | 4 | |||
| 20 | Patients' rating of the dialysis facility (stars, 1–5) | 33 | 4 | |||
| 21 | Survey response rate | 33 | 35% | 24% | 25% | |
| Staff vaccination | ||||||
|---|---|---|---|---|---|---|
| 22 | Healthcare personnel COVID-19 vaccination rate | 0% | 4% | 4% | ||
| Survival & hospitalization | ||||||
|---|---|---|---|---|---|---|
| 23 | Mortality rate (per 100 patient-years) | 284 | 22.9 | 22.2 | As Expected | |
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | 78 | 128.2 | 148 | As Expected | |
| 25 | Readmission rate | 62 | 26.3% | 27.2% | As Expected | |
| 26 | Transfusion rate (per 100 patient-years) | 44 | 18 | 32.5 | As Expected | |
| 27 | Standardized emergency department visit ratio | 46 | 1.02 | 0.99 | As Expected | |
| 28 | ED visits within 30 days of hospital discharge (ratio) | 51 | 0.58 | 1.04 | As Expected | |
| 29 | Standardized modality switch ratio | 39 | 4.23 | 1 | Better than Expected | |
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | 33 | 0.93 | 1 | As Expected | |
| 31 | Prevalent patients waitlisted for transplant | 61 | 11.1% | 16.5% | As Expected | |
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | 68 | 52.3% | 57.1% | As Expected | |
| 33 | Adult patients with a catheter in use 90+ days | 68 | 28% | 19% | 25% | |