USRC Gateway Dialysis
✓ In-center✓ PD
71/ 100
USRC Tri-County Dialysis
Dialysis center · 19910 Interstate 35 S, Lytle, TX 78052
CMS star rating · Patient survey: 3★
65/ 100
Above average
Better than 65% of US centers
At a glance
- Operator
- US Renal Care, Inc. · For-profit
- Dialysis options
- ✓ In-center hemodialysis✗ Peritoneal dialysis (PD)✗ Home hemodialysis training
- Evening shift
- No shift starting after 5 pm reported
- Stations
- 25 dialysis chairs
- Medicare-certified
- Since 2005-02-18 · CCN 672507
- Rank in Texas
- #219 of 721 scored centers
- County
- Atascosa
- ESRD Network
- Network 14 (for grievances and help changing centers)
Patient outcomes and quality of care
CMS quality measures: better than the national average on 8 of 14 reported measures, worse on 2.
| Measure | This center | State | National | vs. national |
|---|---|---|---|---|
| Patient deaths (risk-adjusted rate) (lower is better) CMS: As Expected | 22.8 | 22.8 | 22.2 | About the same |
| Hospital admissions (risk-adjusted rate) (lower is better) CMS: As Expected | 177.1 | 155.3 | 148 | Worse |
| Readmitted within 30 days of a hospital stay (lower is better) CMS: As Expected | 30.7% | 27.2% | 27.2% | Worse |
| Blood transfusions (risk-adjusted rate) (lower is better) CMS: As Expected | 27.8 | 33.1 | 32.5 | Better |
| Bloodstream infections (ratio to expected) (lower is better) CMS: Better than Expected | 0 | 0.33 | 1 | Better |
| Emergency room visits (ratio to expected) (lower is better) CMS: As Expected | 0.97 | 1 | 0.99 | About the same |
| ER visits within 30 days of a hospital stay (ratio to expected) (lower is better) CMS: As Expected | 0.51 | 1.04 | 1.04 | Better |
| Patients dialyzing through an AV fistula CMS: As Expected | 60.2% | 59.2% | 57.1% | Better |
| Patients with a long-term catheter (90+ days) (lower is better) | 8% | 16.1% | 19% | Better |
| Hemodialysis patients getting adequate dialysis (Kt/V ≥ 1.2) | 98% | 96.1% | 97% | About the same |
| Patients with high blood calcium (over 10.2 mg/dL) (lower is better) | 1% | 1.5% | 1% | About the same |
| Patients with very high phosphorus (over 7.0 mg/dL) (lower is better) | 13% | 18.5% | 18% | Better |
| New patients put on the transplant waitlist (ratio to expected) CMS: As Expected | 1.83 | 0.89 | 1 | Better |
| Patients on the kidney transplant waitlist CMS: As Expected | 20.3% | 15.3% | 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 0.
| Measure | This center | State | National | vs. national |
|---|---|---|---|---|
| Kidney doctors' communication and caring | 85 | 81 | 81 | About the same |
| Quality of dialysis center care and operations | 81 | 81 | 81 | About the same |
| Providing information to patients | 76 | 80 | 80 | About the same |
| Rating of the kidney doctor | 86 | 85 | 84 | About the same |
| Rating of the dialysis center staff | 85 | 87 | 87 | About the same |
| Rating of the dialysis center | 87 | 88 | 88 | About the same |
Based on 40 completed interviews (34% response rate). CMS publishes survey results only for centers with at least 30 completed interviews.
Location
Approximate location (ZIP code center). Open in Google Maps
Dialysis centers nearby
USRC South San Antonio Dialysis
✓ In-center
98/ 100
60/ 100
DaVita Southwest San Antonio Dialysis Center
✓ In-center✓ PD
56/ 100
Frequently asked questions
Is USRC Tri-County Dialysis Medicare-certified?
Yes. USRC Tri-County Dialysis (CMS Certification Number 672507) has been Medicare-certified since 2005-02-18, which means it meets federal ESRD Conditions for Coverage and Medicare pays for covered dialysis there.
What dialysis options does USRC Tri-County Dialysis offer?
USRC Tri-County Dialysis reports offering in-center hemodialysis with 25 dialysis stations. It does not report a shift starting after 5 pm.
How does USRC Tri-County Dialysis compare to other dialysis centers?
USRC Tri-County Dialysis scores 65/100 on Dialysis Scorecard (above average), better than 65% of US dialysis centers, and ranks #219 of 721 scored centers in Texas. CMS gives it 4 out of 5 stars.
Who owns USRC Tri-County Dialysis?
USRC Tri-County Dialysis is operated by US Renal Care, Inc. 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 USRC Tri-County Dialysis or US Renal Care, Inc.. Data may lag real-world changes; verify with the center. Is this your center? Report a correction.