Fresenius Medical Care Harker Heights
A dialysis facility in Harker Heights, Texas 76548
625 W Central Texas Expressway, Harker Heights, Texas 76548. (254) 690-0613.
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The short answer
Record last released by CMS on Oct 14, 2026.
- 2of 5 CMS’s star rating
- 2of 5 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 Jun 4, 2024: 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 1 month of the last 36. Last cited Jun 2024. 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.
Jun 4, 2024: complaint inspection2 deficiencies
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Compliance With Fed/State/Local Laws
The inspectors’ words, 267 words
“COMPLIANCE WITH FED/STATE/LOCAL LAWS CFR(s): 494.20 The facility and its staff must operate and furnish services in compliance with applicable Federal, State, and local laws and regulations pertaining to licensure and any other relevant health and safety requirements. This Standard is not met as evidenced by: 43999 Based on observation, interviews and documentation reviewed, the facility is not in compliance with applicable State regulatory licensing requirements. The Charge Nurse(CN) provided direct patient care duties contrary to Texas ESRD Rules and Regulations:staff/patient ratio is appropriate to the level of dialysis care provided to meet the patient needs during treatment of eight but not more than twelve patients, The RN functioning as CN shall not be assigned as direct care. Findings include: During observation on the patient treatment floor on 06/04/2411/20/23, it was observed the two RNs both provided patient care to a maximum of 10 patients each. Patient care include assessments , medication administration and catheter care as required with all Charge responsibility. Review of the staff/patient assignments for May 2024 reveled only two nurses are scheduled daily to provide direct patient care, the Monday,Wednesday Friday shifts have 9 Patients with central venous catheters (CVC) and Tuesday. Thursday, Saturday (TTS) shifts have 14 patients with CVC as primary access. In an interview with staff #1, 2 and 5 it was acknowledged that the two scheduled RNs are both CN (charge nurses) and provide direct patient care to all patients with CVC , medication administration, and other charge nurse responsibilities. The staff/assignment and staff schedule do not provide additional Chargé nurse when eight or more patients are on treatment.”
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Ic - Sanitary Environment
The inspectors’ words, 202 words
“IC-SANITARY ENVIRONMENT CFR(s): 494.30 The dialysis facility must provide and monitor a sanitary environment to minimize the transmission of infectious agents within and between the unit and any adjacent hospital or other public areas. This Standard is not met as evidenced by: 43999 Based on observation and staff interview, it was determined that the facility failed to provide and monitor a sanitary environment to minimize the transmission of infectious agents within the unit. Findings: Observation in the treatment area on 06/04/24 revealed the following: Bleach solution 1:100 containers have bundle of machine wipes sitting in the solution , Other clean machine wipes sitting unpackaged on the counter. A different bleach 1:100 container had 8 blue clamps ( used for patient treatments) sitting on top of the bundled machine wipes in the solution. Staff # 7 observed setting up a patient machine wham another patients machine alarmed. The staff did not change gloves and sanitize hands prior to resetting the alarm on the different patient’s machine. Staff # 8 observed performing patient care with face shield not properly placed for protection when terminating a patient’s treatment. In an interview with staff # 1 confirmed the above findings did not follow infection control policy.”
The one inspection in the last three years
| Date | Visit | What the record says |
|---|---|---|
| Jun 4, 2024 | Complaint inspection | 2 deficiencies cited |
Is it certified?
- Medicare-certified dialysis facility, certified or last recertified on Nov 30, 2015.
- 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, peritoneal dialysis and home hemodialysis training.
- Doesn’t offer a shift starting at 5 p.m. or later.
- 20 dialysis stations.
- CMS doesn’t publish staffing levels for dialysis facilities.
- In CMS’s survey, patients rate its staff 2 of 5.
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 2 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, worse than expected; readmissions to hospital, as expected; blood transfusions, as expected; emergency department visits, worse than 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.
- Patients rate it 2 of 5 in CMS’s survey of in-center hemodialysis patients (35 interviews, Oct 18, 2024 to Jul 11, 2025): 62% rated the facility 9 or 10 out of 10.
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 | 2 of 5 |
| Patient survey ratingCMS star rating from its survey of the facility’s in-center hemodialysis patients (ICH CAHPS), 1 to 5 | 2 of 5 |
How does it compare nearby?
- Of the 6 dialysis facilities CMS lists in Bell County, 6 have a star rating from CMS: 2 rated 3 of 5, 2 rated 2 of 5, 2 rated 1 of 5.
- CMS rates this one 2 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.