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Rai-East First-Tustin

Medicare-certified dialysis center in Tustin, California, operated by Fresenius Kidney Care. Figures below are from CMS (July 2026 release); call (714) 730-1428 to confirm availability.

At a glance

Key facts for Rai-East First-Tustin
CMS quality rating ★★★★★ 5 / 5 Quality of Patient Care star rating · Dialysis Facility dataset · what this means
Patient survey rating ★★★★☆ 4 / 5 ICH CAHPS patient survey · 106 completed interviews · 38% response rateTopic ratings: Nephrologists' communication and caring 3/5 · Quality of dialysis center care and operations 4/5 · Providing information to patients 4/5 · Rating of the nephrologist 4/5 · Rating of the dialysis center staff 4/5 · Rating of the dialysis facility 4/5
Medicare payment (ESRD QIP) No Medicare payment reduction (PY2026) — Total Performance Score 70 vs California 55 / national 54 ESRD QIP Total Performance Scores dataset
Treatment optionsIn-center hemodialysis
Shift starting after 5 p.m.No
Dialysis stations25
Patients in CMS survival summary489 a size indicator, not a current patient count
OwnershipFresenius Medical Care (Profit)
Medicare-certified since2003-03-05
CMS Certification Number552502

How this center compares

CMS quality measures for Rai-East First-Tustin compared with California and national averages
Measure This center CA avg US avg CMS category or CA 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 17.9489 patients — 22.2 As Expected
Blood transfusion rateper 100 patient-years · Lower is better 19.520 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 115.6137 patients — 148 As Expected
30-day hospital readmissionLower is better 26.4%89 hospital stays — 27.2% As Expected
Emergency department visits (ratio)Lower is better 0.6830 patients — 0.99 As Expected
ED visits within 30 days of discharge (ratio)Lower is better 0.2930 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 71%175 patients — 57.1% As Expected
Long-term catheter useLower is better 9%175 patients 17% 19% Better than 90%
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 99%155 patients 96% 97% Better than 73%
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 0%170 patients 1% 1% Better than 81%
Serum phosphorus above 7.0 mg/dLNot ranked 10%176 patients 18% 18% Not ranked
Hemoglobin below 10 g/dLNot ranked 29%14 patients 18% 21% Not ranked
Hemoglobin above 12 g/dLNot ranked 0%14 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 26.9%137 patients — 16.5% As Expected
Waitlisted in first year (ratio)Higher is better 1.1252 patients — 1.00 As Expected
Switches to home dialysis (ratio)Higher is better 1.1389 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 0.45 — — 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 California 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).

Dialysis facilities nearest to Rai-East First-Tustin
Facility Miles CMS rating Patient survey QIP payment cut After 5 p.m.
Davita Tustin Ranch DialysisTustin, CA 1 ★★★☆☆ Not rated 0.5% No
SHC Santa AnaSanta Ana, CA 1.3 ★★★★☆ ★★★★☆ None No
Davita Tustin DialysisSanta Ana, CA 1.8 ★★★★☆ ★★★☆☆ 0.5% No
St. Joseph Hospital Renal CenterOrange, CA 3.9 ★★★★☆ ★★★★☆ None Yes
SHC OrangeOrange, CA 3.9 ★★★★★ ★★★★☆ None Yes
Davita Mainplace Dialysis CenterOrange, CA 4.2 ★★★☆☆ ★★★☆☆ None Yes
Davita Bristol DialysisSanta Ana, CA 4.2 ★☆☆☆☆ ★★★☆☆ None No
Fmc-University Dialysis Center of OrangeOrange, CA 4.4 ★★★★☆ ★★★☆☆ None No

Location & contact

535 E. First Street
Tustin, CA 92780 · Orange County

(714) 730-1428 (click to call)

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Before you visit: call (714) 730-1428 to confirm chair availability, treatment times, and that the center accepts your insurance or Medicare plan. Data from the CMS July 2026 release; details can change between quarterly updates.

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.

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