Fmc - Chouteau
A dialysis facility in Saint Louis, Missouri 63110
4030 Chouteau Ave, 1st Floor, Saint Louis, Missouri 63110. (314) 535-2915.
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The short answer
Record last released by CMS on Oct 14, 2026.
- 1of 5 CMS’s star rating
- Not rated patient survey rating
- 2 deficiencies cited in the last three years
- 20 dialysis stations
Each figure’s source sits beside it, in its section below.
What these words mean3
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
What did inspectors find?
The last inspection on record was on Dec 17, 2025: a complaint inspection.
2 deficiencies cited in the last three years.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 14, 2026. Updated monthly.
When those deficiencies happened
2 deficiencies in 2 months of the last 36. Last cited Dec 2025. Most serious: Standard-level. The last 3 years, to Oct 19, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Nov | Dec | ||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
Each deficiency, as cited
Rule titles as CMS’s inspectors cite them, set in sentence case.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 14, 2026. Updated monthly.
Dec 17, 2025: complaint inspection1 deficiency
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Pe - Building - Constructed/Maintained To Ensure Safety
The inspectors’ words, 350 words
“PE-BUILDING-CONSTRUCT/MAINTAIN FOR SAFETY CFR(s): 494.60(a) The building in which dialysis services are furnished must be constructed and maintained to ensure the safety of the patients, the staff and the public. This Standard is not met as evidenced by: 17026 Based on observations and staff interview, the facility staff failed to maintain the facility environment in the storage room, biomedical technician’s office, and ceiling tiles to ensure the safety of patients and staff. This had the potential to effect all patients on dialysis and cause an increase in complications. The facility census was 53. Findings included: 1. Observation on 12/17/25 at 11:41 AM of the storage room showed a door used for deliveries that had an approximately five inch by one inch gap at the bottom of the door to the outside. Further observation showed the drywall adjacent to the door had an approximately three feet by one foot area and an approximately two feet by one foot area of drywall missing from the wall. 2 During an interview on 12/17/25 at 11:43 AM, the biomedical technician said the drywall had been in that condition for about one year after they had an issue with a water pipe. The biomedical technician said staff need to check with the facility landlord to ensure the areas get repaired. 3. Observation on 12/17/25 at 11:25 AM of the facility’s ceiling showed two ceiling tiles near the employee break room and four ceiling tiles in the storage room with brown and yellow stains. 4. During an interview on 12/17/25 at 1:02 PM, the director of operations said staff need to replace the stained ceiling tiles. 5. Observation on 12/17/25 at 11:32 AM of the biomedical technician’s office showed an approximately two feet by one foot area at the door entrance with brown and yellow areas on the floor and another approximately two feet by one foot area under the desk that had brown and yellow areas on the floor. 6. During an interview on 12/17/25 at 11:33 AM, the clinic manager said staff need to repair or replace the floor in the biomedical technician’s office.”
Sep 30, 2024: complaint inspection1 deficiency
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Appropriateness Of Dialysis Rx
The inspectors’ words, 260 words
“PA-APPROPRIATENESS OF DIALYSIS RX CFR(s): 494.80(a)(2) The patient’s comprehensive assessment must include, but is not limited to, the following: (2) Evaluation of the appropriateness of the dialysis prescription, This Standard is not met as evidenced by: 17026 Based on record review and staff interview, the facility staff failed to follow the physician order for the blood flow rate during dialysis treatment for three (Patient # 1, # 2, and # 3) patients out of three clinical records reviewed. This had the potential to effect all patients on dialysis treatment and cause an increase in complications. The facility census was 64. Findings included: 1. Review of the treatment flow sheet dated 9/28/24 for Patient # 1 showed the patient’s physician directed staff to set the blood flow rate at 450 but staff set the blood flow rate at 400 for the patient’s dialysis treatment. 2. Review of the treatment flow sheet dated 8/20/24 for Patient # 2 showed the patient’s physician directed staff to set the blood flow rate at 400 but staff set the blood flow rate at 300 for the patient’s dialysis treatment. 3. Review of the treatment flow sheet dated 8/20/24 for Patient # 3 showed the patient’s physician directed staff to set the blood flow rate at 450 but staff set the blood flow rate at 400 for the patient’s dialysis treatment. 4. During an interview on 9/30/24 at 12:40 PM, the interim clinical manager said staff should follow the physician order for the blood flow rate or document the reason for not following the physician order.”
All 4 inspections in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Dec 17, 2025 | Complaint inspection | 1 deficiency cited |
| Nov 4, 2024 | Complaint inspection | No deficiencies cited |
| Sep 30, 2024 | Complaint inspection | 1 deficiency cited |
| Jun 17, 2024 | Complaint inspection | No deficiencies cited |
Is it certified?
- Medicare-certified dialysis facility, certified or last recertified on Nov 1, 1999.
- Run for profit.
- No For hospices, home health agencies, hospitals and dialysis facilities, CMS writes deficiencies at two levels. Standard is the usual one; condition-level is the more serious, when a problem is serious enough that the provider doesn’t meet a whole condition of taking part in Medicare. Source: CMS, State Operations Manual. deficiency on record in the last three years.
- Chain: Fresenius Medical Care.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 14, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for dialysis facilities.
- 2 deficiencies cited in the last three years came from inspections that included a complaint investigation.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 14, 2026. Updated monthly.
What does it offer?
- Offers in-center hemodialysis.
- Doesn’t offer peritoneal dialysis, home hemodialysis training and a shift starting at 5 p.m. or later.
- 20 dialysis stations.
- CMS doesn’t publish staffing levels for dialysis facilities.
CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.
Who owns it?
- Part of the Fresenius Medical Care chain, as CMS lists it.
- CMS publishes no owners file for dialysis facilities, so no other owner is named.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
How do patients fare?
- CMS rates it 1 of 5 stars (Jan 1, 2021 to Dec 31, 2024).
- Compared by CMS with what it expects for the facility’s patients: patient survival, as expected; hospital admissions, as expected; readmissions to hospital, as expected; emergency department visits, as expected; emergency department visits within 30 days of a hospital stay, as expected; bloodstream infections, as expected; patients dialysing through a fistula, as expected; patients put on a kidney transplant waitlist in their first year of dialysis, worse than expected; patients on a kidney transplant waitlist, as expected.
- CMS gives no CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.: “Too few completed survey responses to report.”
CMS, Dialysis Facility - Listing by Facility and Patient survey (ICH CAHPS) - Facility. Released Jul 15, 2026. Updated quarterly.
| Measure | Rating |
|---|---|
| Star ratingCMS’s star rating for dialysis facilities, 1 to 5 | 1 of 5 |
| Patient survey ratingCMS star rating from its survey of the facility’s in-center hemodialysis patients (ICH CAHPS), 1 to 5 | Not rated |
How does it compare nearby?
- Of the 10 dialysis facilities CMS lists in Saint Louis City, 8 have a star rating from CMS: 5 rated 3 of 5, 2 rated 2 of 5, 1 rated 1 of 5.
- CMS rates this one 1 of 5.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
What the record doesn’t say
- CMS doesn’t publish fines or other penalties for dialysis facilities, so none are shown.
- Only complaints that led to a citation appear; complaints that didn’t aren’t published.
- QCOR says it has no dialysis inspection reports after February 19, 2026, while it moves to a new system: a later inspection is not shown yet.
- CMS doesn’t publish staffing levels for dialysis facilities.
- CMS publishes no owners file for dialysis facilities: the chain it lists is the only owner named.
Sources
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Centers for Medicare & Medicaid Services, Dialysis Facility - Listing by Facility (23ew-n7w9).
Released Jul 15, 2026 and checked Oct 19, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Patient survey (ICH CAHPS) - Facility (59mq-zhts).
Released Jul 15, 2026 and checked Oct 19, 2026. Updated quarterly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies (ESRD_2567s_2018_to_2026YTD.xlsx).
Released Oct 14, 2026 and checked Oct 19, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Oct 19, 2026.
From the facility
The public record above comes first. Anything the facility adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the facility will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
None. Paid listings aren’t open yet. When they open, anything paid for will say “Paid by the facility”, and paying will never change a finding, a rating or the order of results.