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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 | FKC Palestine Home Therapies201 Medical Dr, Palestine, TX 75801 | Home Hemodialysis · Peritoneal (PD) |
| 34 mi | Fresenius Medical Care Henderson County1220 S Palestine Street, Athens, TX 75751 | Peritoneal (PD) |
| 44 mi | DaVita Renal Center of Waterton2895 Shiloh Road, Tyler, TX 75703 | — |
| 45 mi | Renal Care Group-Southeast Tyler3826 Troup Highway, Suite # L, Tyler, TX 75703 | — |
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.
25 stations, meaning up to 25 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 Fresenius Medical Care, Medicare-certified since 1988.
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 | 20 | 15% | 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 107 patients.
Based on 107 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 52 patients.
This facility is one of 694 Texas clinics rated as expected. The state has 731. Based on 92 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 60 discharges.
This facility is one of 651 Texas clinics rated as expected. The state has 675. Based on 45 discharges.
This facility is one of 681 Texas clinics rated as expected. The state has 705. Based on 372 patients.
This facility is one of 666 Texas clinics rated as expected. The state has 713. Based on 91 patients.
This facility is one of 38 Texas clinics rated worse than expected. The state has 688. Based on 31 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 26 patients.
Based on 20 patients.
| 45 mi |
| Fresenius Medical Care Tyler Home Dialysis3824 Troup Highway, Tyler, TX 75703 |
|---|
| Home Hemodialysis · Peritoneal (PD) |
| 20 |
| 0% |
| 1% |
| 1% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | 101 | 97% | 97% | 97% | |
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | No figure published. Reason code 257. | 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 | 0.51 | As Expected | |||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | 101 | 3% | 1% | 1% | |
| 10 | Adult serum phosphorus less than 3.5 mg/dL | 106 | 8% | 7% | 7% | |
| 11 | Adult serum phosphorus between 3.5-4.5 mg/dL | 106 | 23% | 22% | 21% | |
| 12 | Adult serum phosphorus between 4.6-5.5 mg/dL | 106 | 22% | 27% | 26% | |
| 13 | Adult serum phosphorus between 5.6-7.0 mg/dL | 106 | 26% | 26% | 26% | |
| 14 | Adult serum phosphorus greater than 7.0 mg/dL | 106 | 21% | 18% | 20% | |
| Patient experience | ||||||
|---|---|---|---|---|---|---|
| 15 | Nephrologists' communication and caring (stars, 1–5) | 39 | 3 | |||
| 16 | Quality of dialysis center care and operations (stars, 1–5) | 39 | 2 | |||
| 17 | Providing information to patients (stars, 1–5) | 39 | 4 | |||
| 18 | Patients' rating of the nephrologist (stars, 1–5) | 39 | 3 | |||
| 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 | 23% | 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) | 372 | 20.7 | 22.2 | As Expected | |
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | 91 | 115.4 | 148 | As Expected | |
| 25 | Readmission rate | 60 | 25.7% | 27.2% | As Expected | |
| 26 | Transfusion rate (per 100 patient-years) | 26 | 41.3 | 32.5 | As Expected | |
| 27 | Standardized emergency department visit ratio | 31 | 1.76 | 0.99 | Worse than Expected | |
| 28 | ED visits within 30 days of hospital discharge (ratio) | 45 | 1.38 | 1.04 | As Expected | |
| 29 | Standardized modality switch ratio | 62 | 2.32 | 1 | Better than Expected | |
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | 52 | 1.34 | 1 | As Expected | |
| 31 | Prevalent patients waitlisted for transplant | 92 | 12.2% | 16.5% | As Expected | |
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | 107 | 53.3% | 57.1% | As Expected | |
| 33 | Adult patients with a catheter in use 90+ days | 107 | 10% | 19% | 16% | |