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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 |
|---|---|---|
| 47 mi | Monument Health Dialysis LLC Rapid City955 E North Street, Rapid City, SD 57701 | Peritoneal (PD) |
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.
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 nonprofit facility operated by Veterans Administration, Medicare-certified since 2001.
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 | SD | Reading |
|---|---|---|---|---|---|---|
| Anemia management | ||||||
| 01 | Medicare patients with hemoglobin < 10 g/dL | No figure published. Reason code 201. | 21% | 22% | ||
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.
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.
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.
| 02 |
| Medicare patients with hemoglobin > 12 g/dL |
|---|
| No figure published. Reason code 201. |
| 1% |
| 0% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 201. | 97% | 95% | ||
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | No figure published. Reason code 201. | 92% | 94% | ||
| 05 | Pediatric hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 201. | 87% | 100% | ||
| 06 | Pediatric peritoneal dialysis patients with Kt/V ≥ 1.8 | No figure published. Reason code 201. | 78% | |||
| 07 | Pediatric hemodialysis patients with nPCR measured | No figure published. Reason code 201. | 91% | 100% | ||
| Infection | ||||||
|---|---|---|---|---|---|---|
| 08 | Standardized bloodstream infection ratio | No figure published. Reason code 201. | ||||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | No figure published. Reason code 201. | 1% | 1% | ||
| 10 | Adult serum phosphorus less than 3.5 mg/dL | No figure published. Reason code 201. | 7% | 8% | ||
| 11 | Adult serum phosphorus between 3.5-4.5 mg/dL | No figure published. Reason code 201. | 22% | 24% | ||
| 12 | Adult serum phosphorus between 4.6-5.5 mg/dL | No figure published. Reason code 201. | 27% | 29% | ||
| 13 | Adult serum phosphorus between 5.6-7.0 mg/dL | No figure published. Reason code 201. | 26% | 23% | ||
| 14 | Adult serum phosphorus greater than 7.0 mg/dL | No figure published. Reason code 201. | 18% | 15% | ||
| Patient experience | ||||||
|---|---|---|---|---|---|---|
| 15 | Nephrologists' communication and caring (stars, 1–5) | No figure published. Reason code 201. | ||||
| 16 | Quality of dialysis center care and operations (stars, 1–5) | No figure published. Reason code 201. | ||||
| 17 | Providing information to patients (stars, 1–5) | No figure published. Reason code 201. | ||||
| 18 | Patients' rating of the nephrologist (stars, 1–5) | No figure published. Reason code 201. | ||||
| 19 | Patients' rating of the dialysis center staff (stars, 1–5) | No figure published. Reason code 201. | ||||
| 20 | Patients' rating of the dialysis facility (stars, 1–5) | No figure published. Reason code 201. | ||||
| 21 | Survey response rate | No figure published. Reason code 201. | 24% | 17% | ||
| Staff vaccination | ||||||
|---|---|---|---|---|---|---|
| 22 | Healthcare personnel COVID-19 vaccination rate | No figure published. Reason code 201. | 4% | 5% | ||
| Survival & hospitalization | ||||||
|---|---|---|---|---|---|---|
| 23 | Mortality rate (per 100 patient-years) | No figure published. Reason code 201. | 22.2 | |||
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | No figure published. Reason code 201. | 148 | |||
| 25 | Readmission rate | No figure published. Reason code 201. | 27.2% | |||
| 26 | Transfusion rate (per 100 patient-years) | No figure published. Reason code 201. | 32.5 | |||
| 27 | Standardized emergency department visit ratio | No figure published. Reason code 201. | 0.99 | |||
| 28 | ED visits within 30 days of hospital discharge (ratio) | No figure published. Reason code 201. | 1.04 | |||
| 29 | Standardized modality switch ratio | No figure published. Reason code 201. | 1 | |||
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | No figure published. Reason code 201. | 1 | |||
| 31 | Prevalent patients waitlisted for transplant | No figure published. Reason code 201. | 16.5% | |||
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | No figure published. Reason code 201. | 57.1% | |||
| 33 | Adult patients with a catheter in use 90+ days | No figure published. Reason code 201. | 19% | 19% | ||