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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 |
|---|---|---|
| 44 mi | Monument Health Dialysis LLC Spearfish132 Yankee Street, Spearfish, SD 57783 | — |
| 47 mi | VA Medical Center - Hot Springs500 N 5th St, Hot Springs, SD 57747 | — |
Yes. This clinic trains patients for 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.
36 stations, meaning up to 36 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 Dialysis Clinic, Inc., Medicare-certified since 2024.
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 | 70 | 14% | 21% | 22% | |
| 02 | Medicare patients with hemoglobin > 12 g/dL | |||||
This facility is one of 22 South Dakota clinics rated as expected. The state has 25. Based on 173 patients.
Based on 173 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.
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 3 South Dakota clinics rated better than expected. The state has 22. Based on 165 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.
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 70 patients.
| 70 |
| 0% |
| 1% |
| 0% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | 161 | 90% | 97% | 95% | |
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | 43 | 87% | 92% | 94% | |
| 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% | |||
| 07 | Pediatric hemodialysis patients with nPCR measured | No figure published. Reason code 259. | 91% | 100% | ||
| Infection | ||||||
|---|---|---|---|---|---|---|
| 08 | Standardized bloodstream infection ratio | No figure published. Reason code 258. | ||||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | 202 | 1% | 1% | 1% | |
| 10 | Adult serum phosphorus less than 3.5 mg/dL | 213 | 6% | 7% | 8% | |
| 11 | Adult serum phosphorus between 3.5-4.5 mg/dL | 213 | 22% | 22% | 24% | |
| 12 | Adult serum phosphorus between 4.6-5.5 mg/dL | 213 | 28% | 27% | 29% | |
| 13 | Adult serum phosphorus between 5.6-7.0 mg/dL | 213 | 27% | 26% | 23% | |
| 14 | Adult serum phosphorus greater than 7.0 mg/dL | 213 | 18% | 18% | 15% | |
| Patient experience | ||||||
|---|---|---|---|---|---|---|
| 15 | Nephrologists' communication and caring (stars, 1–5) | No figure published. Reason code 103. | ||||
| 16 | Quality of dialysis center care and operations (stars, 1–5) | No figure published. Reason code 103. | ||||
| 17 | Providing information to patients (stars, 1–5) | No figure published. Reason code 103. | ||||
| 18 | Patients' rating of the nephrologist (stars, 1–5) | No figure published. Reason code 103. | ||||
| 19 | Patients' rating of the dialysis center staff (stars, 1–5) | No figure published. Reason code 103. | ||||
| 20 | Patients' rating of the dialysis facility (stars, 1–5) | No figure published. Reason code 103. | ||||
| 21 | Survey response rate | No figure published. Reason code 103. | 24% | 17% | ||
| Staff vaccination | ||||||
|---|---|---|---|---|---|---|
| 22 | Healthcare personnel COVID-19 vaccination rate | 2% | 4% | 5% | ||
| Survival & hospitalization | ||||||
|---|---|---|---|---|---|---|
| 23 | Mortality rate (per 100 patient-years) | No figure published. Reason code 258. | 22.2 | |||
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | No figure published. Reason code 258. | 148 | |||
| 25 | Readmission rate | No figure published. Reason code 258. | 27.2% | |||
| 26 | Transfusion rate (per 100 patient-years) | No figure published. Reason code 258. | 32.5 | |||
| 27 | Standardized emergency department visit ratio | No figure published. Reason code 258. | 0.99 | |||
| 28 | ED visits within 30 days of hospital discharge (ratio) | No figure published. Reason code 258. | 1.04 | |||
| 29 | Standardized modality switch ratio | No figure published. Reason code 258. | 1 | |||
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | No figure published. Reason code 258. | 1 | |||
| 31 | Prevalent patients waitlisted for transplant | 165 | 40.1% | 16.5% | Better than Expected | |
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | 173 | 63.3% | 57.1% | As Expected | |
| 33 | Adult patients with a catheter in use 90+ days | 173 | 20% | 19% | 19% | |