Compare dialysis facility quality

Medicare publishes quality data on every dialysis facility in the country through Dialysis Facility Compare. Here are the mortality, hospitalization, and transplant-waitlist numbers for all 62 facilities in San Antonio and Laredo — each one shown against the national average.

62
dialysis facilities compared
5
rated worse than the national average on mortality
3
rated worse than the national average on hospitalization
1
rated better than average on hospitalization

Why can 98.8 and 200.9 both be “about average”? University Dialysis South’s hospitalization rate is 98.8 and USRC Houston Street’s is 200.9 — yet Medicare rates both “about average.” That’s because the verdicts are statistical, not a head-to-head comparison of the two numbers. With only 53 and 72 patients in the measure, the margins of error are so wide that neither rate can be proven different from the national average of 148.0. Smaller facilities get wider margins — so always check the patient count under each rate.
Facility Mortalitydeaths per 100 patient-years · US avg 22.2 Hospitalizationadmissions per 100 patient-years · US avg 148.0 Transplant waitlist% of patients on the kidney transplant list · US avg 16.5%

How to read this table

  • Mortality = deaths per 100 patient-years, adjusted for how sick each facility’s patients are. Hospitalization = hospital admissions per 100 patient-years, similarly adjusted. Lower is better for both.
  • The colored label is Medicare’s own verdict, based on statistical models: Worse than average About average Better than average. Most facilities land “about average” — that is the normal result, not a red flag.
  • Patient count matters. A rate built on 50 patients has a far wider margin of error than one built on 500. That’s why two very different-looking rates can share the same verdict — see the note above the table.
  • Transplant waitlist = the percentage of the facility’s patients on the kidney transplant waiting list (national average: 16.5%). Higher is better — it means more patients are getting a shot at a transplant. Medicare publishes no better/worse verdict for this one, so compare the number itself.
  • Not reported means Medicare didn’t publish a rate — usually because the facility treated too few patients to rate reliably (for example, children’s centers). It is a data gap, not a bad grade.
  • The mortality window (2021–2024) includes the heavy COVID years, when dialysis patients died at elevated rates everywhere. Medicare’s models account for this, but keep it in mind when comparing across time.
  • These describe facility-level patterns, not your personal risk. One measure never tells the whole story — talk with your nephrologist about what matters for you.

Source: CMS Dialysis Facility Compare, July 2026 refresh (mortality: Jan 2021–Dec 2024; hospitalization: Jan–Dec 2024). Facility file: data.cms.gov/provider-data/dataset/23ew-n7w9 · National averages: data.cms.gov/provider-data/dataset/2rkq-ygai