FKC Alamo Ranch
Medicare-certified dialysis center in San Antonio, Texas, operated by Fresenius Kidney Care. Figures below are from CMS (July 2026 release); call (210) 688-0377 to confirm availability.
At a glance
| CMS quality rating | ★★★★★ 5 / 5 Quality of Patient Care star rating · Dialysis Facility dataset · what this means |
|---|---|
| Patient survey rating | Not surveyed, or too few completed surveys to report ICH CAHPS patient survey |
| Medicare payment (ESRD QIP) | No Medicare payment reduction (PY2026) — Total Performance Score 67 vs Texas 54 / national 54 ESRD QIP Total Performance Scores dataset |
| Treatment options | In-center hemodialysis · Peritoneal dialysis · Home hemodialysis training |
| Shift starting after 5 p.m. | No |
| Dialysis stations | 17 |
| Patients in CMS survival summary | 403 a size indicator, not a current patient count |
| Ownership | Fresenius Medical Care (Profit) |
| Medicare-certified since | 2018-08-03 |
| CMS Certification Number | 672875 |
How this center compares
| Measure | This center | TX avg | US avg | CMS category or TX rank |
|---|---|---|---|---|
| Outcomes | ||||
| Deaths among patients treated here, risk-adjusted by CMS for age and health, per 100 patient-years. Red blood cell transfusions among patients treated here, risk-adjusted by CMS, per 100 patient-years. | ||||
| Death rateper 100 patient-years · Lower is better | 27.3403 patients | — | 22.2 | As Expected |
| Blood transfusion rateper 100 patient-years · Lower is better | 11.337 patients | — | 32.5 | As Expected |
| Hospital & ED | ||||
| Hospital admissions among patients treated here, risk-adjusted by CMS, per 100 patient-years. Share of hospital discharges followed by an unplanned readmission within 30 days, risk-adjusted by CMS. Emergency department visits compared with the number CMS expected for these patients; 1.0 means as expected. Emergency department visits in the 30 days after a hospital discharge, compared with the number CMS expected; 1.0 means as expected. | ||||
| Hospital admissionsper 100 patient-years · Lower is better | 146.6109 patients | — | 148 | As Expected |
| 30-day hospital readmissionLower is better | 27.5%98 hospital stays | — | 27.2% | As Expected |
| Emergency department visits (ratio)Lower is better | 0.5443 patients | — | 0.99 | As Expected |
| ED visits within 30 days of discharge (ratio)Lower is better | 0.6572 hospital stays | — | 1.04 | As Expected |
| Vascular access | ||||
| Share of adult hemodialysis patients dialyzing through an arteriovenous fistula, risk-adjusted by CMS. Share of adult hemodialysis patients who had used a catheter (rather than a fistula or graft) for three months or longer. | ||||
| Fistula useHigher is better | 78.7%137 patients | — | 57.1% | Better than Expected |
| Long-term catheter useLower is better | 10%137 patients | 16% | 19% | Better than 81% |
| Dialysis adequacy | ||||
| Share of adult hemodialysis patients whose treatments met the Kt/V ≥ 1.2 waste-removal target. | ||||
| Hemodialysis adequacy (Kt/V ≥ 1.2)Higher is better | 98%97 patients | 97% | 97% | Better than 43% |
| Labs | ||||
| Share of adult patients whose average serum calcium was above 10.2 mg/dL. Share of adult patients whose serum phosphorus was above 7.0 mg/dL (CMS reports five phosphorus bands; this is the highest). Share of Medicare patients whose hemoglobin averaged below 10 g/dL. Share of Medicare patients whose hemoglobin averaged above 12 g/dL. | ||||
| High blood calciumLower is better | 1%138 patients | 1% | 1% | Better than 42% |
| Serum phosphorus above 7.0 mg/dLNot ranked | 21%146 patients | 20% | 18% | Not ranked |
| Hemoglobin below 10 g/dLNot ranked | 14%21 patients | 21% | 21% | Not ranked |
| Hemoglobin above 12 g/dLNot ranked | 0%21 patients | 1% | 1% | Not ranked |
| Transplant & home dialysis | ||||
| Share of patients under 75 on the kidney transplant waitlist, risk-adjusted by CMS. New patients placed on the transplant waitlist within a year of starting dialysis, compared with the number CMS expected; 1.0 means as expected. Patients switching from in-center to home dialysis, compared with the number CMS expected; 1.0 means as expected. | ||||
| Patients on the transplant waitlistHigher is better | 36.5%120 patients | — | 16.5% | Better than Expected |
| Waitlisted in first year (ratio)Higher is better | 1.9759 patients | — | 1.00 | As Expected |
| Switches to home dialysis (ratio)Higher is better | 1.1876 patients | — | 1.00 | As Expected |
| Infection | ||||
| Bloodstream infections reported to the CDC, compared with the number expected (standardized infection ratio); 1.0 means as expected. | ||||
| Bloodstream infections (ratio)Lower is better | 0.39 | — | — | As Expected |
Values and averages are published by CMS (July 2026 release); "—" means CMS publishes no average for that measure. Where CMS assigns a risk-adjusted category ("Better than", "As" or "Worse than Expected"), that category is shown — we never rank those measures ourselves. For the other measures, "Better than X%" is computed by DialysisCompare: the share of Texas facilities with at least 25 patients in the measure that this center does better than; centers with fewer patients are not ranked. One measure never tells the whole story — how every figure is sourced and computed.
Nearest alternatives
The 8 closest Medicare-certified dialysis facilities within 30 miles, in any town (straight-line distance).
| Facility | Miles | CMS rating | Patient survey | QIP payment cut | After 5 p.m. |
|---|---|---|---|---|---|
| Davita Roadrunner DialysisSan Antonio, TX | 1.9 | ★★★☆☆ | Not rated | 0.5% | No |
| Davita Westover DialysisSan Antonio, TX | 2.9 | ★★★★★ | ★★★★☆ | None | No |
| Fresenius Medical Care Westover HillsSan Antonio, TX | 3.7 | ★★★★★ | ★★★★☆ | None | No |
| FMC Dialysis Services of IngramSan Antonio, TX | 6.6 | ★★★★☆ | ★★★★★ | None | No |
| Davita San Antonio West DialysisSan Antonio, TX | 7.4 | ★★★★☆ | Not rated | None | No |
| University Health Dialysis - Medical CenterSan Antonio, TX | 7.4 | Not rated | Not rated | — | No |
| USRC Gateway DialysisSan Antonio, TX | 8.1 | ★★★★☆ | Not rated | None | No |
| Davita Northwest Medical Center DialysisSan Antonio, TX | 8.2 | ★★★★☆ | Not rated | None | Yes |
Location & contact
5620 Lone Star Parkway
San Antonio, TX 78253 · Bexar County
(210) 688-0377 (click to call)
View on Google Maps (opens in new tab) View this facility on Medicare Care Compare (opens in new tab)
Coverage: only Medicare-certified dialysis facilities appear here. VA dialysis units and clinics that do not bill Medicare are not in the CMS file. Phone is the only contact channel CMS publishes for each facility.
Other dialysis centers in San Antonio
- BMA Northwest Bexar County ★ 5
- Davita South San Antonio Dialysis Center ★ 5
- Davita the Mission Home Dialysis ★ 5
- Davita Westover Dialysis ★ 5
- Fresenius Medical Care Westover Hills ★ 5
More Fresenius Kidney Care centers in Texas
- BMA Northwest Bexar County, San Antonio ★ 5
- FKC Baytown Home, Baytown ★ 5
- FKC Corpus Christi Home, Corpus Christi ★ 5
- FKC Pflugerville, Pflugerville ★ 5
- FMC Greenway Kidney Center, Waco ★ 5
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