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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 |
|---|---|---|
| 25 mi | USRC Canton Dialysis400 East State Highway 243, Suite 14, Canton, TX 75103 | Home Hemodialysis · Peritoneal (PD) |
| 32 mi | West Tyler Dialysis3600 West Erwin, Tyler, TX 75702 | — |
| 32 mi | DaVita Renal Center of Tyler510 S. SW Loop 323, Tyler, TX 75702 | Peritoneal (PD) |
| 34 mi | Palestine Dialysis Center2260 South Sycamore Street, Palestine, TX 75801 | — |
| 34 mi |
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.
29 stations, meaning up to 29 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 2000.
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 | TX | Reading |
|---|---|---|---|---|---|---|
| Anemia management | ||||||
| 01 | Medicare patients with hemoglobin < 10 g/dL | 24 | 21% | 21% | 21% | |
| 02 | Medicare patients with hemoglobin > 12 g/dL | |||||
This facility is one of 665 Texas clinics rated as expected. The state has 701. Based on 122 patients.
Based on 122 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 340 Texas clinics rated as expected. The state has 642.
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 476 Texas clinics rated as expected. The state has 551. Based on 61 patients.
This facility is one of 694 Texas clinics rated as expected. The state has 731. Based on 115 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 664 Texas clinics rated as expected. The state has 706. Based on 171 discharges.
This facility is one of 651 Texas clinics rated as expected. The state has 675. Based on 78 discharges.
This facility is one of 681 Texas clinics rated as expected. The state has 705. Based on 447 patients.
This facility is one of 45 Texas clinics rated worse than expected. The state has 713. Based on 120 patients.
This facility is one of 38 Texas clinics rated worse than expected. The state has 688. Based on 58 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 36 Texas clinics rated worse than expected. The state has 466. Based on 47 patients.
Based on 24 patients.
| FKC Palestine Home Therapies201 Medical Dr, Palestine, TX 75801 |
|---|
| Home Hemodialysis · Peritoneal (PD) |
| 24 |
| 0% |
| 1% |
| 1% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | 107 | 98% | 97% | 97% | |
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | 25 | 98% | 92% | 93% | |
| 05 | Pediatric hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 259. | 87% | 97% | ||
| 06 | Pediatric peritoneal dialysis patients with Kt/V ≥ 1.8 | No figure published. Reason code 259. | 78% | 84% | ||
| 07 | Pediatric hemodialysis patients with nPCR measured | No figure published. Reason code 259. | 91% | 97% | ||
| Infection | ||||||
|---|---|---|---|---|---|---|
| 08 | Standardized bloodstream infection ratio | 0.91 | As Expected | |||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | 134 | 1% | 1% | 1% | |
| 10 | Adult serum phosphorus less than 3.5 mg/dL | 145 | 8% | 7% | 7% | |
| 11 | Adult serum phosphorus between 3.5-4.5 mg/dL | 145 | 22% | 22% | 21% | |
| 12 | Adult serum phosphorus between 4.6-5.5 mg/dL | 145 | 24% | 27% | 26% | |
| 13 | Adult serum phosphorus between 5.6-7.0 mg/dL | 145 | 26% | 26% | 26% | |
| 14 | Adult serum phosphorus greater than 7.0 mg/dL | 145 | 21% | 18% | 20% | |
| Patient experience | ||||||
|---|---|---|---|---|---|---|
| 15 | Nephrologists' communication and caring (stars, 1–5) | 31 | 2 | |||
| 16 | Quality of dialysis center care and operations (stars, 1–5) | 31 | 3 | |||
| 17 | Providing information to patients (stars, 1–5) | 31 | 2 | |||
| 18 | Patients' rating of the nephrologist (stars, 1–5) | 31 | 1 | |||
| 19 | Patients' rating of the dialysis center staff (stars, 1–5) | 31 | 2 | |||
| 20 | Patients' rating of the dialysis facility (stars, 1–5) | 31 | 3 | |||
| 21 | Survey response rate | 31 | 18% | 24% | 23% | |
| 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) | 447 | 26.6 | 22.2 | As Expected | |
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | 120 | 209.4 | 148 | Worse than Expected | |
| 25 | Readmission rate | 171 | 34.6% | 27.2% | As Expected | |
| 26 | Transfusion rate (per 100 patient-years) | 47 | 94.3 | 32.5 | Worse than Expected | |
| 27 | Standardized emergency department visit ratio | 58 | 1.75 | 0.99 | Worse than Expected | |
| 28 | ED visits within 30 days of hospital discharge (ratio) | 78 | 1.59 | 1.04 | As Expected | |
| 29 | Standardized modality switch ratio | 79 | 1.73 | 1 | As Expected | |
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | 61 | 0.79 | 1 | As Expected | |
| 31 | Prevalent patients waitlisted for transplant | 115 | 5% | 16.5% | As Expected | |
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | 122 | 52% | 57.1% | As Expected | |
| 33 | Adult patients with a catheter in use 90+ days | 122 | 9% | 19% | 16% | |