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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 |
|---|---|---|
| 14 mi | BMA - Russell County150 E Main Street, Lebanon, VA 24266 | Peritoneal (PD) |
| 14 mi | FMC Bristol2530 W. State St, Bristol, TN 37620 | Home Hemodialysis · Peritoneal (PD) |
| 14 mi | FMC Bristol Home Therapies1 Medical Park Blvd, Bristol, TN 37620 | Home Hemodialysis · Peritoneal (PD) |
| 29 mi | Fresenius Kidney Care Smyth County945 N Main Street, Marion, VA 24354 | — |
| 29 mi |
Yes. This clinic trains patients for home hemodialysis and peritoneal dialysis. Training is a series of visits rather than a permanent move, and your nephrologist has to agree it suits you.
Yes — Medicare records chairs available after 5pm. Which specific times are free changes constantly and is published nowhere, so call to ask.
12 stations, meaning up to 12 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 2005.
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 | VA | Reading |
|---|---|---|---|---|---|---|
| Anemia management | ||||||
| 01 | Medicare patients with hemoglobin < 10 g/dL | 17 | 12% | 21% | 22% | |
| 02 | Medicare patients with hemoglobin > 12 g/dL | |||||
This facility is one of 172 Virginia clinics rated as expected. The state has 197. Based on 53 patients.
Based on 53 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.
This facility is one of 95 Virginia clinics rated better than expected. The state has 180.
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 193 Virginia clinics rated as expected. The state has 200. Based on 63 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 187 Virginia clinics rated as expected. The state has 193. Based on 75 discharges.
This facility is one of 181 Virginia clinics rated as expected. The state has 190. Based on 61 discharges.
This facility is one of 9 Virginia clinics rated worse than expected. The state has 197. Based on 342 patients.
This facility is one of 189 Virginia clinics rated as expected. The state has 198. Based on 75 patients.
This facility is one of 179 Virginia clinics rated as expected. The state has 194. Based on 28 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 109 Virginia clinics rated as expected. The state has 123. Based on 24 patients.
Based on 17 patients.
| FMC Elizabethton1210 Militia Court, Elizabethton, TN 37643 |
|---|
| — |
| 17 |
| 0% |
| 1% |
| 1% |
| Dialysis adequacy | ||||||
|---|---|---|---|---|---|---|
| 03 | Adult hemodialysis patients with Kt/V ≥ 1.2 | 39 | 92% | 97% | 97% | |
| 04 | Adult peritoneal dialysis patients with Kt/V ≥ 1.7 | 24 | 97% | 92% | 92% | |
| 05 | Pediatric hemodialysis patients with Kt/V ≥ 1.2 | No figure published. Reason code 259. | 87% | 90% | ||
| 06 | Pediatric peritoneal dialysis patients with Kt/V ≥ 1.8 | No figure published. Reason code 259. | 78% | 65% | ||
| 07 | Pediatric hemodialysis patients with nPCR measured | No figure published. Reason code 259. | 91% | 99% | ||
| Infection | ||||||
|---|---|---|---|---|---|---|
| 08 | Standardized bloodstream infection ratio | 0 | Better than Expected | |||
| Mineral metabolism | ||||||
|---|---|---|---|---|---|---|
| 09 | Adult patients with hypercalcemia (calcium > 10.2 mg/dL) | 74 | 0% | 1% | 1% | |
| 10 | Adult serum phosphorus less than 3.5 mg/dL | 79 | 6% | 7% | 6% | |
| 11 | Adult serum phosphorus between 3.5-4.5 mg/dL | 79 | 18% | 22% | 21% | |
| 12 | Adult serum phosphorus between 4.6-5.5 mg/dL | 79 | 28% | 27% | 26% | |
| 13 | Adult serum phosphorus between 5.6-7.0 mg/dL | 79 | 27% | 26% | 27% | |
| 14 | Adult serum phosphorus greater than 7.0 mg/dL | 79 | 21% | 18% | 19% | |
| Patient experience | ||||||
|---|---|---|---|---|---|---|
| 15 | Nephrologists' communication and caring (stars, 1–5) | No figure published. Reason code 101. | ||||
| 16 | Quality of dialysis center care and operations (stars, 1–5) | No figure published. Reason code 101. | ||||
| 17 | Providing information to patients (stars, 1–5) | No figure published. Reason code 101. | ||||
| 18 | Patients' rating of the nephrologist (stars, 1–5) | No figure published. Reason code 101. | ||||
| 19 | Patients' rating of the dialysis center staff (stars, 1–5) | No figure published. Reason code 101. | ||||
| 20 | Patients' rating of the dialysis facility (stars, 1–5) | No figure published. Reason code 101. | ||||
| 21 | Survey response rate | No figure published. Reason code 101. | 24% | 27% | ||
| 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) | 342 | 33.1 | 22.2 | Worse than Expected | |
| 24 | Hospitalization rate (admissions) (per 100 patient-years) | 75 | 167.8 | 148 | As Expected | |
| 25 | Readmission rate | 75 | 31.6% | 27.2% | As Expected | |
| 26 | Transfusion rate (per 100 patient-years) | 24 | 66.8 | 32.5 | As Expected | |
| 27 | Standardized emergency department visit ratio | 28 | 0.97 | 0.99 | As Expected | |
| 28 | ED visits within 30 days of hospital discharge (ratio) | 61 | 1.24 | 1.04 | As Expected | |
| 29 | Standardized modality switch ratio | 44 | 1.73 | 1 | As Expected | |
| Transplant access | ||||||
|---|---|---|---|---|---|---|
| 30 | First-year kidney transplant waitlist ratio | No figure published. Reason code 199. | 1 | |||
| 31 | Prevalent patients waitlisted for transplant | 63 | 12.5% | 16.5% | As Expected | |
| Vascular access | ||||||
|---|---|---|---|---|---|---|
| 32 | Adult patients with an arteriovenous fistula | 53 | 49.5% | 57.1% | As Expected | |
| 33 | Adult patients with a catheter in use 90+ days | 53 | 30% | 19% | 21% | |