cms end-stage renal disease facility definition

A freestanding dialysis center is a facility that provides chronic maintenance dialysis to end-stage renal disease (ESRD) patients on an outpatient basis, including dialysis services in the patient's place of residence. A certified ESRD facility provides outpatient maintenance dialysis services, home dialysis training and support services, or both. A dialysis center may be independent or hospital-based.


accrediting organization(s)


part 494 — conditions for coverage for end-stage renal disease facilities, page: 184 (64042)

§ 494.60 [Amended]

  • 39. Amend § 494.60 by removing paragraph (d) and redesigning paragraph (e) as paragraph (d).
  • 40. Add § 494.62 to subpart B to read as follows:

§ 494.62 Conditions of Participation: Emergency Preparedness

The dialysis or End-Stage Renal Disease (ESRD) facility must comply with all applicable Federal, State, and local emergency preparedness requirements. These emergencies include, but are not limited to, fire, equipment or power failures, care-related emergencies, water supply interruption, and natural disasters likely to occur in the facility's geographic area. The ESRD facility must establish and maintain an emergency preparedness program that meets the requirements of this section. The emergency preparedness program must include, but not be limited to, the following elements: