Gateway St Louis Dialysis, LLC
✓ In-center✓ PD✓ Home HD
90/ 100
FMC - Saint Louis Grand
Dialysis center · 3691 Rutger St. #222, Drummond Hall, Saint Louis, MO 63110
CMS star rating · Patient survey: 1★
5/ 100
Poor
Better than 5% 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
- Yes, a shift starts after 5 pm
- Stations
- 29 dialysis chairs
- Medicare-certified
- Since 1996-10-25 · CCN 262549
- Rank in Saint Louis, MO
- #23 of 25 dialysis centers
- Rank in Missouri
- #136 of 145 scored centers
- County
- Saint Louis
- ESRD Network
- Network 12 (for grievances and help changing centers)
Patient outcomes and quality of care
CMS quality measures: better than the national average on 4 of 15 reported measures, worse on 6.
| Measure | This center | State | National | vs. national |
|---|---|---|---|---|
| Patient deaths (risk-adjusted rate) (lower is better) CMS: As Expected | 18.3 | 21.5 | 22.2 | Better |
| Hospital admissions (risk-adjusted rate) (lower is better) CMS: As Expected | 140.9 | 143.5 | 148 | About the same |
| Readmitted within 30 days of a hospital stay (lower is better) CMS: As Expected | 31.3% | 28.3% | 27.2% | Worse |
| Blood transfusions (risk-adjusted rate) (lower is better) CMS: As Expected | 45 | 32.5 | 32.5 | Worse |
| Bloodstream infections (ratio to expected) (lower is better) CMS: As Expected | 0.49 | 0.35 | 1 | Better |
| Emergency room visits (ratio to expected) (lower is better) CMS: As Expected | 0.97 | 0.92 | 0.99 | About the same |
| ER visits within 30 days of a hospital stay (ratio to expected) (lower is better) CMS: As Expected | 1.34 | 1.01 | 1.04 | Worse |
| Patients dialyzing through an AV fistula CMS: Worse than Expected | 32.6% | 52% | 57.1% | Worse |
| Patients with a long-term catheter (90+ days) (lower is better) | 39% | 20.2% | 19% | Worse |
| Hemodialysis patients getting adequate dialysis (Kt/V ≥ 1.2) | 98% | 96.1% | 97% | About the same |
| Peritoneal dialysis patients getting adequate dialysis (Kt/V ≥ 1.7) | 95% | 94.1% | 92% | Better |
| Patients with high blood calcium (over 10.2 mg/dL) (lower is better) | 1% | 1.3% | 1% | About the same |
| Patients with very high phosphorus (over 7.0 mg/dL) (lower is better) | 23% | 18.4% | 18% | Worse |
| New patients put on the transplant waitlist (ratio to expected) CMS: As Expected | 1.02 | 1.22 | 1 | About the same |
| Patients on the kidney transplant waitlist CMS: As Expected | 17.7% | 15.6% | 16.5% | Better |
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 0 of 6 reported measures, worse on 5.
| Measure | This center | State | National | vs. national |
|---|---|---|---|---|
| Kidney doctors' communication and caring | 69 | 82 | 81 | Worse |
| Quality of dialysis center care and operations | 74 | 82 | 81 | Worse |
| Providing information to patients | 77 | 80 | 80 | About the same |
| Rating of the kidney doctor | 71 | 84 | 84 | Worse |
| Rating of the dialysis center staff | 80 | 87 | 87 | Worse |
| Rating of the dialysis center | 78 | 89 | 88 | Worse |
Based on 41 completed interviews (21% response rate). CMS publishes survey results only for centers with at least 30 completed interviews.
Location
Other dialysis centers in Saint Louis
DaVita South County Dialysis
✓ In-center✓ PD✓ Home HD
88/ 100
DaVita St. Louis Dialysis Center
✓ In-center✓ PD
85/ 100
DaVita Crestwood Dialysis
✓ In-center✓ PD✓ Home HD✓ Evening shift
84/ 100
DaVita Lamplighter Dialysis
✓ In-center✓ PD✓ Home HD
82/ 100
Frequently asked questions
Is FMC - Saint Louis Grand Medicare-certified?
Yes. FMC - Saint Louis Grand (CMS Certification Number 262549) has been Medicare-certified since 1996-10-25, which means it meets federal ESRD Conditions for Coverage and Medicare pays for covered dialysis there.
What dialysis options does FMC - Saint Louis Grand offer?
FMC - Saint Louis Grand reports offering in-center hemodialysis, peritoneal dialysis (pd), home hemodialysis training with 29 dialysis stations. It runs a shift that starts after 5 pm.
How does FMC - Saint Louis Grand compare to other dialysis centers?
FMC - Saint Louis Grand scores 5/100 on Dialysis Scorecard (poor), better than 5% of US dialysis centers, and ranks #136 of 145 scored centers in Missouri. CMS gives it 1 out of 5 stars.
Who owns FMC - Saint Louis Grand?
FMC - Saint Louis Grand 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 FMC - Saint Louis Grand or Fresenius Medical Care. Data may lag real-world changes; verify with the center. Is this your center? Report a correction.