Fresenius Medical Care Balboa East County
✓ In-center✓ PD
74/ 100
RAI - Fletcher Parkway - El Cajon
Dialysis center · 858 Fletcher Parkway, El Cajon, CA 92020
CMS star rating · Patient survey: 4★
97/ 100
Excellent
Better than 97% of US centers
At a glance
- Operator
- Fresenius Medical Care · For-profit
- Dialysis options
- ✓ In-center hemodialysis✗ Peritoneal dialysis (PD)✗ Home hemodialysis training
- Evening shift
- No shift starting after 5 pm reported
- Stations
- 22 dialysis chairs
- Medicare-certified
- Since 1987-10-01 · CCN 052740
- Rank in El Cajon, CA
- #1 of 2 dialysis centers
- Rank in California
- #28 of 715 scored centers
- County
- San Diego
- ESRD Network
- Network 18 (for grievances and help changing centers)
Patient outcomes and quality of care
CMS quality measures: better than the national average on 9 of 13 reported measures, worse on 3.
| Measure | This center | State | National | vs. national |
|---|---|---|---|---|
| Patient deaths (risk-adjusted rate) (lower is better) CMS: As Expected | 18.7 | 21.3 | 22.2 | Better |
| Hospital admissions (risk-adjusted rate) (lower is better) CMS: As Expected | 91.5 | 135.6 | 148 | Better |
| Readmitted within 30 days of a hospital stay (lower is better) CMS: As Expected | 22.2% | 27.7% | 27.2% | Better |
| Bloodstream infections (ratio to expected) (lower is better) CMS: Better than Expected | 0.35 | 0.35 | 1 | Better |
| Emergency room visits (ratio to expected) (lower is better) CMS: As Expected | 1.12 | 1.01 | 0.99 | Worse |
| ER visits within 30 days of a hospital stay (ratio to expected) (lower is better) CMS: As Expected | 0 | 1.06 | 1.04 | Better |
| Patients dialyzing through an AV fistula CMS: As Expected | 70.2% | 62.8% | 57.1% | Better |
| Patients with a long-term catheter (90+ days) (lower is better) | 16% | 17.9% | 19% | Better |
| Hemodialysis patients getting adequate dialysis (Kt/V ≥ 1.2) | 100% | 95.1% | 97% | Better |
| Patients with high blood calcium (over 10.2 mg/dL) (lower is better) | 0% | 3.2% | 1% | About the same |
| Patients with very high phosphorus (over 7.0 mg/dL) (lower is better) | 13% | 15.9% | 18% | Better |
| New patients put on the transplant waitlist (ratio to expected) CMS: As Expected | 0 | 0.9 | 1 | Worse |
| Patients on the kidney transplant waitlist CMS: As Expected | 15.3% | 24.4% | 16.5% | Worse |
Rates for deaths, hospital admissions and transfusions are risk-adjusted per 100 patient-years; ratios compare the center to what CMS expects for its patients (1.00 = as expected). State figures are the average of centers in the state. 'CMS:' notes show CMS's own verdict after accounting for statistical uncertainty.
What patients say (ICH-CAHPS survey)
In-center hemodialysis patient survey (0–100 scores): better than the national average on 6 of 6 reported measures, worse on 0.
| Measure | This center | State | National | vs. national |
|---|---|---|---|---|
| Kidney doctors' communication and caring | 88 | 81 | 81 | Better |
| Quality of dialysis center care and operations | 86 | 82 | 81 | Better |
| Providing information to patients | 85 | 80 | 80 | Better |
| Rating of the kidney doctor | 91 | 85 | 84 | Better |
| Rating of the dialysis center staff | 93 | 88 | 87 | Better |
| Rating of the dialysis center | 93 | 89 | 88 | Better |
Based on 67 completed interviews (39% response rate). CMS publishes survey results only for centers with at least 30 completed interviews.
Location
Other dialysis centers in El Cajon
Dialysis centers nearby
Fresenius Medical Care Balboa la Mesa
✓ In-center
58/ 100
DaVita College Dialysis
✓ In-center✓ PD
48/ 100
FMC Dialysis Services of College
✓ In-center
33/ 100
RAI - Mission Gorge - San Diego
✓ In-center✓ PD✓ Home HD✓ Evening shift
65/ 100
Frequently asked questions
Is RAI - Fletcher Parkway - El Cajon Medicare-certified?
Yes. RAI - Fletcher Parkway - El Cajon (CMS Certification Number 052740) has been Medicare-certified since 1987-10-01, which means it meets federal ESRD Conditions for Coverage and Medicare pays for covered dialysis there.
What dialysis options does RAI - Fletcher Parkway - El Cajon offer?
RAI - Fletcher Parkway - El Cajon reports offering in-center hemodialysis with 22 dialysis stations. It does not report a shift starting after 5 pm.
How does RAI - Fletcher Parkway - El Cajon compare to other dialysis centers?
RAI - Fletcher Parkway - El Cajon scores 97/100 on Dialysis Scorecard (excellent), better than 97% of US dialysis centers, and ranks #28 of 715 scored centers in California. CMS gives it 3 out of 5 stars.
Who owns RAI - Fletcher Parkway - El Cajon?
RAI - Fletcher Parkway - El Cajon is operated by Fresenius Medical Care and is a for-profit facility.
Source: CMS Provider Data Catalog, Dialysis Facility Compare and ICH-CAHPS (2026-09-29). Dialysis Scorecard is not affiliated with RAI - Fletcher Parkway - El Cajon or Fresenius Medical Care. Data may lag real-world changes; verify with the center. Is this your center? Report a correction.