FMC - Friendship Manor
✓ In-center✓ Evening shift
37/ 100
BMA - Crystal Spring
Dialysis center · 404 McClanahan Street, Roanoke, VA 24014
CMS star rating · Patient survey: 3★
21/ 100
Below average
Better than 21% 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
- 31 dialysis chairs
- Medicare-certified
- Since 1993-09-01 · CCN 492570
- Rank in Roanoke, VA
- #4 of 4 dialysis centers
- Rank in Virginia
- #137 of 202 scored centers
- County
- Roanoke City
- ESRD Network
- Network 5 (for grievances and help changing centers)
Patient outcomes and quality of care
CMS quality measures: better than the national average on 5 of 15 reported measures, worse on 5.
| Measure | This center | State | National | vs. national |
|---|---|---|---|---|
| Patient deaths (risk-adjusted rate) (lower is better) CMS: As Expected | 22.2 | 23.2 | 22.2 | About the same |
| Hospital admissions (risk-adjusted rate) (lower is better) CMS: As Expected | 155.6 | 134.1 | 148 | Worse |
| Readmitted within 30 days of a hospital stay (lower is better) CMS: As Expected | 25.1% | 26.2% | 27.2% | Better |
| Blood transfusions (risk-adjusted rate) (lower is better) CMS: As Expected | 23.5 | 32.3 | 32.5 | Better |
| Bloodstream infections (ratio to expected) (lower is better) CMS: As Expected | 0.55 | 0.3 | 1 | Better |
| Emergency room visits (ratio to expected) (lower is better) CMS: As Expected | 1.01 | 1.17 | 0.99 | About the same |
| ER visits within 30 days of a hospital stay (ratio to expected) (lower is better) CMS: As Expected | 1.17 | 1.23 | 1.04 | Worse |
| Patients dialyzing through an AV fistula CMS: As Expected | 52.6% | 55.8% | 57.1% | Worse |
| Patients with a long-term catheter (90+ days) (lower is better) | 23% | 20.5% | 19% | Worse |
| Hemodialysis patients getting adequate dialysis (Kt/V ≥ 1.2) | 97% | 96% | 97% | About the same |
| Peritoneal dialysis patients getting adequate dialysis (Kt/V ≥ 1.7) | 95% | 87.3% | 92% | Better |
| Patients with high blood calcium (over 10.2 mg/dL) (lower is better) | 1% | 3.6% | 1% | About the same |
| Patients with very high phosphorus (over 7.0 mg/dL) (lower is better) | 20% | 17.4% | 18% | Worse |
| New patients put on the transplant waitlist (ratio to expected) CMS: As Expected | 0.98 | 1.24 | 1 | About the same |
| Patients on the kidney transplant waitlist CMS: As Expected | 21.3% | 18.2% | 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 2.
| Measure | This center | State | National | vs. national |
|---|---|---|---|---|
| Kidney doctors' communication and caring | 72 | 79 | 81 | Worse |
| Quality of dialysis center care and operations | 78 | 80 | 81 | About the same |
| Providing information to patients | 84 | 79 | 80 | About the same |
| Rating of the kidney doctor | 76 | 82 | 84 | Worse |
| Rating of the dialysis center staff | 86 | 86 | 87 | About the same |
| Rating of the dialysis center | 87 | 87 | 88 | About the same |
Based on 46 completed interviews (28% response rate). CMS publishes survey results only for centers with at least 30 completed interviews.
Location
Other dialysis centers in Roanoke
Fresenius Kidney Care South Roanoke
✓ In-center✓ PD
36/ 100
BMA - North Roanoke
✓ In-center✓ PD✓ Home HD
29/ 100
Dialysis centers nearby
BMA - Roanoke-Salem Dialysis
✓ In-center
37/ 100
DaVita Glenvar Dialysis
✓ In-center✓ PD✓ Home HD
76/ 100
Frequently asked questions
Is BMA - Crystal Spring Medicare-certified?
Yes. BMA - Crystal Spring (CMS Certification Number 492570) has been Medicare-certified since 1993-09-01, which means it meets federal ESRD Conditions for Coverage and Medicare pays for covered dialysis there.
What dialysis options does BMA - Crystal Spring offer?
BMA - Crystal Spring reports offering in-center hemodialysis, peritoneal dialysis (pd) with 31 dialysis stations. It runs a shift that starts after 5 pm.
How does BMA - Crystal Spring compare to other dialysis centers?
BMA - Crystal Spring scores 21/100 on Dialysis Scorecard (below average), better than 21% of US dialysis centers, and ranks #137 of 202 scored centers in Virginia. CMS gives it 3 out of 5 stars.
Who owns BMA - Crystal Spring?
BMA - Crystal Spring 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 BMA - Crystal Spring or Fresenius Medical Care. Data may lag real-world changes; verify with the center. Is this your center? Report a correction.