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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 |
|---|---|---|
| 0.0 mi | FMC Arecibo NorteHospital Pavia Arecibo, Arecibo, PR 00612 | Evening Shifts |
| 20 mi | Atlantis Isabela2641 Ave Militar, Isabela, PR 00662 | — |
| 27 mi | Atlantis AguadillaAve Severiano Cuevas #18, Aguadilla, PR 00603 | Home Hemodialysis · Peritoneal (PD) |
| 27 mi | FMC AguadillaCarr 459 KM 0.7 Bo Camaseyes, Aguadilla, PR 00603 | Home Hemodialysis · Peritoneal (PD) |
| 33 mi |
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.
28 stations, meaning up to 28 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 12% 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 1987.
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 | PR | Reading |
|---|---|---|---|---|---|---|
| Anemia management | ||||||
| 01 | Medicare patients with hemoglobin < 10 g/dL | No figure published. Reason code 199. | 21% | 7% | ||
This facility is one of 28 Puerto Rico clinics rated as expected. The state has 49. Based on 184 patients.
Based on 184 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 43 Puerto Rico clinics rated better than expected. The state has 47.
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 37 Puerto Rico clinics rated as expected. The state has 42. Based on 80 patients.
This facility is one of 50 Puerto Rico clinics rated as expected. The state has 50. Based on 151 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 11 Puerto Rico clinics rated worse than expected. The state has 49. Based on 199 discharges.
This facility is one of 42 Puerto Rico clinics rated as expected. The state has 43. Based on 12 discharges.
This facility is one of 11 Puerto Rico clinics rated worse than expected. The state has 47. Based on 680 patients.
This facility is one of 7 Puerto Rico clinics rated worse than expected. The state has 50. Based on 170 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.
| FMC San GermanCarr # 2 KM 173.4, San German, PR 00683 |
|---|
| Evening Shifts |
| 02 |
| Medicare patients with hemoglobin > 12 g/dL |
|---|
| No figure published. Reason code 199. |
| 1% |
| 0% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | 158 | 99% | 97% | 99% | |
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | 16 | 99% | 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% | 44% | ||
| 07 | Pediatric hemodialysis patients with nPCR measured | No figure published. Reason code 259. | 91% | 100% | ||
| Infection | ||||||
|---|---|---|---|---|---|---|
| 08 | Standardized bloodstream infection ratio | 0.11 | Better than Expected | |||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | 182 | 0% | 1% | 0% | |
| 10 | Adult serum phosphorus less than 3.5 mg/dL | 195 | 8% | 7% | 8% | |
| 11 | Adult serum phosphorus between 3.5-4.5 mg/dL | 195 | 27% | 22% | 25% | |
| 12 | Adult serum phosphorus between 4.6-5.5 mg/dL | 195 | 27% | 27% | 31% | |
| 13 | Adult serum phosphorus between 5.6-7.0 mg/dL | 195 | 27% | 26% | 26% | |
| 14 | Adult serum phosphorus greater than 7.0 mg/dL | 195 | 11% | 18% | 11% | |
| Patient experience | ||||||
|---|---|---|---|---|---|---|
| 15 | Nephrologists' communication and caring (stars, 1–5) | 75 | 4 | |||
| 16 | Quality of dialysis center care and operations (stars, 1–5) | 75 | 3 | |||
| 17 | Providing information to patients (stars, 1–5) | 75 | 4 | |||
| 18 | Patients' rating of the nephrologist (stars, 1–5) | 75 | 5 | |||
| 19 | Patients' rating of the dialysis center staff (stars, 1–5) | 75 | 2 | |||
| 20 | Patients' rating of the dialysis facility (stars, 1–5) | 75 | 2 | |||
| 21 | Survey response rate | 75 | 30% | 24% | 33% | |
| Staff vaccination | ||||||
|---|---|---|---|---|---|---|
| 22 | Healthcare personnel COVID-19 vaccination rate | No figure published. Reason code 201. | 4% | 7% | ||
| Survival & hospitalization | ||||||
|---|---|---|---|---|---|---|
| 23 | Mortality rate (per 100 patient-years) | 680 | 37.4 | 22.2 | Worse than Expected | |
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | 170 | 232.8 | 148 | Worse than Expected | |
| 25 | Readmission rate | 199 | 53.5% | 27.2% | Worse than Expected | |
| 26 | Transfusion rate (per 100 patient-years) | No figure published. Reason code 199. | 32.5 | |||
| 27 | Standardized emergency department visit ratio | No figure published. Reason code 199. | 0.99 | |||
| 28 | ED visits within 30 days of hospital discharge (ratio) | 12 | 0 | 1.04 | As Expected | |
| 29 | Standardized modality switch ratio | 110 | 0.89 | 1 | As Expected | |
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | 80 | 0.61 | 1 | As Expected | |
| 31 | Prevalent patients waitlisted for transplant | 151 | 9.8% | 16.5% | As Expected | |
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | 184 | 42.2% | 57.1% | As Expected | |
| 33 | Adult patients with a catheter in use 90+ days | 184 | 32% | 19% | 35% | |