Fresenius Medical Care of West Seguin
A dialysis facility in Seguin, Texas 78155
757 West Court, Seguin, Texas 78155. (830) 379-1801.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 3of 5 CMS’s star rating
- Not rated patient survey rating
- 1 deficiency cited in the last three years
- 24 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 May 15, 2025: a standard inspection.
1 deficiency cited in the last three years.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
When those deficiencies happened
1 deficiency in 1 month of the last 36. Last cited May 2025. Most serious: Standard-level. The last 3 years, to Oct 30, 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 28, 2026. Updated monthly.
May 15, 2025: standard inspection1 deficiency
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Pe - Safe, Functional, Comfortable Environment
The inspectors’ words, 514 words
“PE-SAFE/FUNCTIONAL/COMFORTABLE ENVIRONMENT CFR(s): 494.60 The dialysis facility must be designed, constructed, equipped, and maintained to provide dialysis patients, staff, and the public a safe, functional, and comfortable treatment environment. This Standard is not met as evidenced by: 39425 Based on observation and interview, dialysis facility failed to be designed, constructed, equipped, and maintained to provide dialysis patients, staff, and the public a safe, functional, and comfortable treatment environment. This deficient practice has the likelihood of causing harm to dialysis patients receiving treatment at the facility due possible exposure to infectious material. Findings Include: Observations performed on 5/14/25: Treatment Area 9:11AM until 9:51AM and 3:30PM until 3:45PM Small black debris in under sink cabinet at medication sink next to boxes of Jumbo Unwrapped Straws. Clinical Manager removed boxes of straws. Brown material smeared on white PVC sink pipe. A large opaque bucket of blue hemostats and 4 closed clamps which doesn’t allow for proper disinfection and drying. In front of station #22 there was a IV pool housing clean gloves was touching the biohazard bin. Machine # 5 station #5 IV connected to the dirty dialysis machine was touching the clean gloves mounted on the wall. Hoyer lift stored at the nurse’s station had rust on the levers which doesn’t allow for proper disinfection. Facility staff face shield was placed on the countertop behind machine number 14 and station #14. Inteview with Staff #2 on 5/14/25 at 9:29AM stated “It looks like it’s leaking.” Clean handwashing sink near Pod 4 with machine prime bucket on counter. Facility staff member removed another dialysis machine prime bucket while patient dialyzing, rinsed with water and placed at the clean handwashing sink counter. Interview with Staff #4 on 5/14/25 at 3:36PM stated “That’s a clean sink and a dirty bucket.” Water Room/Supply Room 9:55AM until 10:20AM In Biomedical work area insulation from ceiling on water distribution pipes, on equipment in lockout safety procedures bin and on ethernet and electrical boxes with small black particles on top of Biomedical work area dialysis chase boxes. Interview with Biomedical technician on 5/14/25 at 10:16AM stated “I did notice that.” Spray bottle labeled Reverse Osmosis water next to bicarbonate mixing container with no date. Staff #1 removed bottle from the area. Clear fluid dripping from ceiling onto floor. Clear fluid and white crystals on acid return tank in the ceiling. Interview with Staff #1 on 5/14/25 at 1006 stated “That one, I see it. The acid right now. It’s coming right here from the top. They’ve been working on it. they’ve repaired it.” Interview with Biomedical technician regarding findings, on 5/14/24 at 10:11AM stated “I took over on Monday. I have a lot of work to do.” Access and cannulation at 10:22 AM At station 21 machine 21 Surveyor observed PCT cannulate patient, she then taped directly over the cannulation site. Review of the policy “Access Assessment and Cannulation” Published 05/05/25 Version 5 page 9 #1 reads in part “ After fistula needle insertion, place tape directly over butterfly wings to anchor fistula needle. Do NOT place tape directly over the cannulation site.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| May 15, 2025 | Standard inspection | 1 deficiency cited |
Is it certified?
- Medicare-certified dialysis facility, certified or last recertified on Sep 3, 2009.
- 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 28, 2026. Updated monthly.
Has it been penalized?
- CMS doesn’t publish fines or other penalties for dialysis facilities.
- None of the deficiencies cited in the last three years came from an inspection that included a complaint investigation.
CMS, QCOR Dialysis Facility (ESRD) 2567 statements of deficiencies. Released Oct 28, 2026. Updated monthly.
What does it offer?
- Offers in-center hemodialysis and peritoneal dialysis.
- Doesn’t offer home hemodialysis training and a shift starting at 5 p.m. or later.
- 24 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 3 of 5 stars (Jan 1, 2021 to Dec 31, 2024).
- Compared by CMS with what it expects for the facility’s patients: patient survival, worse than expected; hospital admissions, as expected; readmissions to hospital, as expected; blood transfusions, as expected; emergency department visits, as expected; emergency department visits within 30 days of a hospital stay, as expected; bloodstream infections, better than expected; patients dialysing through a fistula, as expected; patients put on a kidney transplant waitlist in their first year of dialysis, as 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 | 3 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 5 dialysis facilities CMS lists in Guadalupe County, 5 have a star rating from CMS: 2 rated 4 of 5, 2 rated 3 of 5, 1 rated 1 of 5.
- CMS rates this one 3 of 5.
CMS, Dialysis Facility - Listing by Facility. Released Jul 15, 2026. Updated quarterly.
| Place | Star rating |
|---|---|
| Davita Seguin Dialysis | 4 |
| Davita Guadalupe Dialysis | 3 |
| Usrc Schertz | 1 |
| Fkc Schertz | 4 |
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
-
Centers for Medicare & Medicaid Services, Dialysis Facility - Listing by Facility (23ew-n7w9).
Released Jul 15, 2026 and checked Oct 30, 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 30, 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 28, 2026 and checked Oct 30, 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 30, 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.