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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 |
|---|---|---|
| 1.8 mi | New Braunfels Kidney Disease Clinic1561 IH 35 North, New Braunfels, TX 78130 | Peritoneal (PD) · Evening Shifts |
| 11 mi | NNA San Marcos1340 Wonder World Drive, San Marcos, TX 78666 | Peritoneal (PD) · Evening Shifts |
| 12 mi | Fresenius Medical Care of West Seguin757 West Court, Seguin, TX 78155 | Peritoneal (PD) |
| 12 mi | DaVita Guadalupe Dialysis851 Best Drive, Seguin, TX 78155 | Peritoneal (PD) |
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.
27 stations, meaning up to 27 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 middle 41% 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 1999.
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 | 45 | 13% | 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 148 patients.
Based on 148 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 301 Texas clinics rated better than 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 33 Texas clinics rated better than expected. The state has 551. Based on 88 patients.
This facility is one of 694 Texas clinics rated as expected. The state has 731. Based on 135 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 21 Texas clinics rated worse than expected. The state has 706. Based on 154 discharges.
This facility is one of 651 Texas clinics rated as expected. The state has 675. Based on 121 discharges.
This facility is one of 681 Texas clinics rated as expected. The state has 705. Based on 644 patients.
This facility is one of 666 Texas clinics rated as expected. The state has 713. Based on 161 patients.
This facility is one of 649 Texas clinics rated as expected. The state has 688. Based on 77 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 430 Texas clinics rated as expected. The state has 466. Based on 68 patients.
Based on 45 patients.
| 12 mi |
| DaVita Seguin Dialysis618 E Court St, Seguin, TX 78155 |
|---|
| Peritoneal (PD) · Evening Shifts |
| 45 |
| 0% |
| 1% |
| 1% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 280. | 97% | 97% | ||
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | No figure published. Reason code 280. | 92% | 93% | ||
| 05 | Pediatric hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 280. | 87% | 97% | ||
| 06 | Pediatric peritoneal dialysis patients with Kt/V ≥ 1.8 | No figure published. Reason code 280. | 78% | 84% | ||
| 07 | Pediatric hemodialysis patients with nPCR measured | No figure published. Reason code 280. | 91% | 97% | ||
| Infection | ||||||
|---|---|---|---|---|---|---|
| 08 | Standardized bloodstream infection ratio | 0.23 | Better than Expected | |||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | No figure published. Reason code 280. | 1% | 1% | ||
| 10 | Adult serum phosphorus less than 3.5 mg/dL | No figure published. Reason code 280. | 7% | 7% | ||
| 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% | 26% | ||
| 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% | 20% | ||
| Patient experience | ||||||
|---|---|---|---|---|---|---|
| 15 | Nephrologists' communication and caring (stars, 1–5) | 39 | 2 | |||
| 16 | Quality of dialysis center care and operations (stars, 1–5) | 39 | 2 | |||
| 17 | Providing information to patients (stars, 1–5) | 39 | 3 | |||
| 18 | Patients' rating of the nephrologist (stars, 1–5) | 39 | 2 | |||
| 19 | Patients' rating of the dialysis center staff (stars, 1–5) | 39 | 2 | |||
| 20 | Patients' rating of the dialysis facility (stars, 1–5) | 39 | 2 | |||
| 21 | Survey response rate | 39 | 18% | 24% | 23% | |
| Staff vaccination | ||||||
|---|---|---|---|---|---|---|
| 22 | Healthcare personnel COVID-19 vaccination rate | 0% | 4% | 2% | ||
| Survival & hospitalization | ||||||
|---|---|---|---|---|---|---|
| 23 | Mortality rate (per 100 patient-years) | 644 | 26.9 | 22.2 | As Expected | |
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | 161 | 158.6 | 148 | As Expected | |
| 25 | Readmission rate | 154 | 37.6% | 27.2% | Worse than Expected | |
| 26 | Transfusion rate (per 100 patient-years) | 68 | 33.9 | 32.5 | As Expected | |
| 27 | Standardized emergency department visit ratio | 77 | 1.15 | 0.99 | As Expected | |
| 28 | ED visits within 30 days of hospital discharge (ratio) | 121 | 0.7 | 1.04 | As Expected | |
| 29 | Standardized modality switch ratio | 87 | 1.35 | 1 | As Expected | |
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | 88 | 1.92 | 1 | Better than Expected | |
| 31 | Prevalent patients waitlisted for transplant | 135 | 22.1% | 16.5% | As Expected | |
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | 148 | 61.1% | 57.1% | As Expected | |
| 33 | Adult patients with a catheter in use 90+ days | 148 | 17% | 19% | 16% | |