End Stage Renal Dialysis

End Stage Renal Dialysis Facilities provide dialysis treatment and education to people with chronic kidney failure. When a person’s kidney disease progresses to the point that the kidneys no longer work at a level needed for day-to-day life, ESRD facilities can provide options for home- or facility-based treatment. A team of physicians, nurses, social workers, and nutritionists works with each dialysis patient with the goal of the patient living as normally as possible and maximizing his or her quality of life.

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Services may include:

• home peritoneal dialysis (PD);

• home hemodialysis (HHD);

• in-center dialysis;

• in-center nocturnal dialysis;

• education;

• travel support;

• prescription management;

• disease management;

• insurance and financial management support;

• emergency services.

Payment options

Several options exist for payment of nursing home services, but the primary payment source is Medicare, which provides coverage for people of any age who have End Stage Renal Disease. They are:

• private funds;
• health insurance;
• Medicaid;
• VA benefits.

End Stage Renal Dialysis Facility Checklist

Printable version


_____ Do you provide home- and facility-based services? What are those services?

_____ What treatment options would you recommend for my lifestyle and condition?

_____ What are the operating hours of the facility?

_____ What time of the day would I receive my treatment?

_____ What kind of training courses do you offer?

_____ Do the in-center dialysis hours or training time for home dialysis treatments meet my scheduling needs?

_____ Do you offer online training?

_____ Do you offer travel support?

_____ Will you arrange for my medications to be delivered?

_____ If I choose in-center care, what am I allowed to bring to make myself more comfortable (i.e., blankets, laptops, snacks)?

_____ What resources are available to help me manage my diet?

_____ Do you have staff available at night and/or weekends for emergencies?


_____ Does the facility have a warm and inviting feel?

_____ May I see the area where that care will be provided?

_____ What are the facility’s staffing patterns?

_____ Is the location of the facility convenient?

_____ Observe staff and patient interactions. Are they positive? Courteous?

_____ Are the staff and director approachable?

_____ Ask other patients whether staff members handle requests in a timely way.

Care Plan

_____ Does each patient have a written care plan?

_____ Will I be involved in creating that plan?

_____ Who will be primarily responsible for my care?

_____ How does the facility work to provide me with a better quality of life?


_____ Will you help me determine my payment options?

_____ Will you directly bill to my insurance or Medicare/Medicaid?

_____ How much money will I have to pay out of pocket?


_____ Is the facility licensed? Ask to review the last Office of Health Facility Licensure and Certification survey report.

_____ Does the facility conduct patient-satisfaction surveys? If so, ask to see the latest results.

_____ How does the facility reduce the risk of hospitalization?


_____ How long have you been providing services in the community?

_____ Who owns the facility?

_____ Will you provide me a list of references of doctors and other health care providers who are
           familiar with your services?


_____ Whom should I call with questions or complaints?

_____ Is there a 24-hour telephone number I can call?

End Stage Renal Dialysis Related links

Dialysis Facility Compare

Medicare Coverage of Kidney Dialysis and Kidney Transplant Services

National Kidney Disease Education Program

National Kidney Foundation