Data / Dialysis facilities
US dialysis facilities: Five Star ratings, chains and outcomes for 7,471 facilities
Medicare certifies 7,471 US dialysis facilities, and 25 chains run three or more of them. They have 132,479 dialysis stations, and 6,689 are for profit. The average Five Star rating is 2.8 of 5 and 994 are rated one star. 1,364 facilities are worse than expected on at least one patient outcome CMS tracks.
SpecStream is the live web data engine for teams and agents. It reads the CMS dialysis facility file, and this page is that reading, keyed on the CMS Certification Number. Ask for the facilities you track by state, chain or rating, and each new rating or chain change arrives in your sheet, CRM, Slack or agent as CMS publishes it.
- 7,471Dialysis facilities
- 2.8 of 5Average Five Star rating
- 994One star facilities
- 496Five star facilities
- 132,479Dialysis stations
- 6,689For profit facilities
- 1,364Worse than expected on at least one outcome
- 25Owner pages
- October 22, 2026Data as of
States
| State | Facilities | Average stars | One star | Stations | With a worse outcome |
|---|---|---|---|---|---|
| Alaska | 7 | 4.2 | 0 | 131 | 1 |
| Alabama | 172 | 2.6 | 19 | 2,884 | 30 |
| Arkansas | 65 | 2.1 | 15 | 1,157 | 17 |
| American Samoa | 2 | 1.5 | 1 | 44 | 2 |
| Arizona | 123 | 2.7 | 10 | 2,348 | 11 |
| California | 734 | 3.3 | 51 | 15,367 | 98 |
| Colorado | 83 | 3.6 | 0 | 1,353 | 5 |
| Connecticut | 49 | 3.4 | 1 | 1,004 | 5 |
| District of Columbia | 17 | 2.8 | 0 | 300 | 2 |
| Delaware | 34 | 2.4 | 2 | 509 | 3 |
| Florida | 535 | 2.2 | 142 | 9,049 | 139 |
| Georgia | 356 | 2.4 | 78 | 5,956 | 75 |
| Guam | 5 | 2 | 0 | 123 | 0 |
| Hawaii | 41 | 3.5 | 0 | 1,018 | 4 |
| Iowa | 61 | 3 | 3 | 885 | 11 |
| Idaho | 28 | 2.9 | 1 | 390 | 3 |
| Illinois | 334 | 2.7 | 47 | 4,949 | 61 |
| Indiana | 153 | 2.7 | 18 | 2,449 | 19 |
| Kansas | 59 | 3.2 | 3 | 913 | 10 |
| Kentucky | 121 | 2.6 | 15 | 1,767 | 14 |
| Louisiana | 168 | 2.7 | 21 | 2,900 | 31 |
| Massachusetts | 83 | 3.6 | 1 | 1,525 | 10 |
| Maryland | 170 | 3 | 17 | 2,961 | 18 |
| Maine | 20 | 3.1 | 0 | 299 | 4 |
| Michigan | 219 | 2.6 | 36 | 3,609 | 52 |
| Minnesota | 113 | 3 | 8 | 1,470 | 15 |
| Missouri | 148 | 2.4 | 27 | 2,305 | 35 |
| Northern Mariana Islands | 2 | 2 | 1 | 40 | 1 |
| Mississippi | 98 | 2.3 | 22 | 1,989 | 36 |
| Montana | 19 | 2.4 | 1 | 291 | 3 |
| North Carolina | 252 | 3 | 12 | 5,632 | 41 |
| North Dakota | 16 | 2.2 | 5 | 209 | 3 |
| Nebraska | 36 | 2.8 | 4 | 492 | 5 |
| New Hampshire | 20 | 3.1 | 2 | 317 | 3 |
| New Jersey | 192 | 3.5 | 7 | 3,474 | 29 |
| New Mexico | 60 | 2.4 | 8 | 1,032 | 9 |
| Nevada | 52 | 2.2 | 13 | 1,095 | 14 |
| New York | 338 | 3 | 49 | 6,571 | 58 |
| Ohio | 310 | 2.4 | 57 | 4,811 | 49 |
| Oklahoma | 82 | 2.3 | 17 | 1,305 | 26 |
| Oregon | 69 | 2.6 | 7 | 1,105 | 13 |
| Pennsylvania | 298 | 2.9 | 26 | 4,958 | 47 |
| Puerto Rico | 50 | 1.2 | 42 | 1,461 | 35 |
| Rhode Island | 16 | 3.9 | 0 | 323 | 0 |
| South Carolina | 148 | 2.8 | 12 | 2,816 | 38 |
| South Dakota | 26 | 3.7 | 0 | 281 | 2 |
| Tennessee | 189 | 2.4 | 37 | 3,412 | 31 |
| Texas | 744 | 2.8 | 76 | 14,279 | 130 |
| Utah | 51 | 3.3 | 3 | 742 | 6 |
| Virginia | 206 | 2.8 | 35 | 3,631 | 54 |
| U.S. Virgin Islands | 3 | 2.3 | 1 | 48 | 1 |
| Vermont | 8 | 2.3 | 1 | 87 | 3 |
| Washington | 113 | 2.9 | 7 | 1,783 | 20 |
| Wisconsin | 122 | 2.7 | 12 | 1,851 | 18 |
| West Virginia | 40 | 1.7 | 19 | 653 | 11 |
| Wyoming | 11 | 2.9 | 2 | 126 | 3 |
Owners and managers with the most dialysis facilities
Grouped on CMS's own owner ID. Each page lists the owner's facilities.
| Organization | Facilities | Average stars | One star | Stations | With a worse outcome |
|---|---|---|---|---|---|
| DaVita | 2,801 | 3 | 186 | 48,992 | 462 |
| Fresenius Medical Care | 2,688 | 2.7 | 403 | 50,902 | 463 |
| US Renal Care, Inc. | 466 | 3 | 41 | 8,211 | 64 |
| Dialysis Clinic, Inc. | 240 | 2.5 | 43 | 4,502 | 41 |
| American Renal Associates | 216 | 2.8 | 32 | 4,107 | 34 |
| Kaiser Permanente | 22 | 4 | 0 | 98 | 1 |
| Northwest Kidney Centers | 19 | 3 | 0 | 378 | 6 |
| State Owned | 19 | 1.8 | 10 | 400 | 6 |
| Wake Forest University | 19 | 2.6 | 1 | 549 | 8 |
| Atlantis Healthcare Group | 17 | 1.2 | 15 | 502 | 12 |
| Centers for Dialysis Care | 17 | 1.6 | 10 | 379 | 5 |
| Greenfield Health Systems | 15 | 1.6 | 7 | 321 | 7 |
| Atlantic Dialysis Management Services | 13 | 2.9 | 3 | 350 | 1 |
| Sanford Health | 13 | 3.7 | 0 | 131 | 2 |
| Mayo Clinic Dialysis | 12 | 2.6 | 0 | 204 | 2 |
| Puget Sound Kidney Centers | 11 | 2.9 | 1 | 197 | 4 |
| Central Florida Kidney Centers | 7 | 1.4 | 5 | 145 | 3 |
| Intermountain Healthcare | 7 | 3.3 | 0 | 95 | 2 |
| Independent Dialysis Foundation (IDF) | 6 | 2 | 2 | 124 | 0 |
| Gundersen Lutheran | 5 | 3 | 0 | 84 | 3 |
| North Central Pennsylvania Dialysis Clinics | 4 | 2 | 0 | 55 | 2 |
| Scott & White Memorial Hospital | 4 | 2.5 | 0 | 116 | 1 |
| Satellite Dialysis | 3 | 1.3 | 2 | 67 | 0 |
| Satellite Healthcare | 3 | 1.5 | 1 | 39 | 1 |
| Veterans Administration | 3 | Not listed | 0 | 30 | 0 |
Facilities with the lowest ratings
Ranked by lowest Five Star rating, then by most outcomes worse than expected.
Updated November 7, 2026. Read from CMS Provider Data Catalog, dialysis facilities. Open data from the Centers for Medicare & Medicaid Services (US government work). Ratings and outcome categories are as CMS lists them on the date shown and CMS refreshes them on its own schedule. CMS publishes the chain organization of each facility and no owner file, so a chain page groups facilities on the chain name as CMS spells it. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.