How often is dialysis facility data updated?

DialysisCenterUSA updates facility data quarterly from CMS.gov, typically within 48 hours of government release.

What quality metrics are shown for each facility?

We display CMS star ratings, patient survival rates, hospitalization rates, infection rates, and transplant referral percentages.

Dialysis Quality Map: Chain vs Independent

How do DaVita and Fresenius clinics compare to independent dialysis facilities on CMS quality ratings? This page breaks down average star ratings, patient survival, and infection rates by chain ownership — using only government data.

National Average Comparison

DaVita

3.0

avg star rating

2,796 facilities

Fresenius

2.9

avg star rating

2,769 facilities

Independent

2.3

avg star rating

740 facilities

National average across all facilities: 2.9 stars

Why chain ownership matters

DaVita and Fresenius Medical Care together control over two-thirds of all dialysis clinics in the United States and account for roughly 90% of the industry's $25 billion in annual revenue. Both companies have paid over $1 billion in combined settlements and fines over the past decade.

Peer-reviewed research (published in JAMA, 2025) has found that when these chains acquire independent clinics, kidney transplant referrals drop by approximately 10%, patient survival rates decline, hospitalization rates increase, and infection rates rise. The financial incentive is clear: a patient who receives a kidney transplant stops generating dialysis revenue.