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Texas Dialysis Center Rankings & Safety Report

zReports Research Institute · Updated October 2026

Bythe zReports Healthcare Research Team · zReports Research Institute Data sourcezReports Consumer Intelligence Database™ v2026.10 Facilities analyzed746 Government sourcesthe Centers for Medicare & Medicaid Services (CMS) Last updatedOctober 2026 MethodologyConsumer Z Score™ · Database v2026.10

Texas has 746 active licensed dialysis centers on the state's public file. zReports analyzed CMS Dialysis Facility Compare data to produce a records layer grade for every one, the government's own verdicts, mapped through one fixed rule. No facility can pay to change a score, and the grade is free.

Key findings

746active licensed dialysis centers across 225 Texas cities appear on the state's public file.
69.4%hold an A or B records layer grade, while 65 carry a D or F.
75.1is the statewide average records layer score across all graded dialysis centers.
San Antoniois the highest-scoring larger city (53 facilities, average score 85.1).
Houstonhas the most licensed dialysis centers in the state (98).
14,248is the combined licensed capacity across 739 facilities reporting a capacity figure.

Key statistics

StatisticValue
Active licensed dialysis centers746
Cities covered225
Statewide average records layer score75.1
Grade A facilities205 (27.5%)
Grade B facilities313 (42%)
Grade C facilities163 (21.8%)
Grade D facilities65 (8.7%)
Facilities with a clean record (no deficiencies on file)746 (100%)
Serious (high severity) findings on the record0
Moderate findings on the record0
Combined licensed capacity14,248

How cities compare

Average records layer score by city (cities with 10+ facilities), against the statewide average of 75.1.

CityFacilitiesAvg scorevs state
San Antonio5385.1+10
Austin1684.6+9.5
Corpus Christi1278.8+3.7
El Paso2677.8+2.7
Sugar Land1276.5+1.4
Plano1073.6-1.5
Houston9871.9-3.2
Dallas3071.7-3.4
Fort Worth2968.7-6.4

By city

Houston (98)San Antonio (53)Dallas (30)Fort Worth (29)El Paso (26)Austin (16)Corpus Christi (12)Sugar Land (12)Plano (10)Lubbock (9)Laredo (9)Arlington (8)Missouri City (7)Humble (7)Brownsville (6)Tyler (6)Mission (6)Katy (6)Mckinney (6)Pearland (6)Cypress (5)Mcallen (5)Amarillo (5)Rosenberg (5)Irving (5)Baytown (5)Weslaco (5)Garland (5)Conroe (5)Pasadena (5)Edinburg (5)Grand Prairie (5)Abilene (4)Beaumont (4)Waco (4)Victoria (4)Round Rock (4)Stafford (4)Harlingen (4)Odessa (4)San Angelo (4)Richardson (4)Bryan (3)Live Oak (3)Bedford (3)Webster (3)Killeen (3)Mesquite (3)Greenville (3)Weatherford (3)Tomball (3)Texas City (3)Kyle (3)Sherman (3)Nacogdoches (3)Carrollton (3)Mansfield (3)Lancaster (3)Desoto (3)Cedar Park (3)Seguin (3)Frisco (3)Balch Springs (3)Spring (3)Cedar Hill (3)Vernon (2)Wichita Falls (2)Midland (2)Denton (2)Alice (2)The Woodlands (2)Eagle Pass (2)Del Rio (2)Mount Pleasant (2)Palestine (2)Marshall (2)New Braunfels (2)Robstown (2)La Marque (2)Brenham (2)Cleburne (2)New Caney (2)Lewisville (2)Livingston (2)Huntsville (2)Rio Grande City (2)Floresville (2)Beeville (2)Longview (2)Paris (2)Port Arthur (2)Alvin (2)Orange (2)Temple (2)Bastrop (2)Waxahachie (2)Jasper (2)Grapevine (2)Dickinson (2)Gilmer (2)Lake Jackson (2)College Station (2)League City (2)North Richland Hills (2)Boerne (2)Wharton (2)Rowlett (2)Schertz (2)Hurst (2)Shenandoah (2)Gainesville (2)Kingwood (2)Rockwall (2)Magnolia (2)Allen (2)Georgetown (2)Socorro (2)Wylie (2)Lockhart (2)Pflugerville (2)Pecos (1)Decatur (1)Childress (1)Galveston (1)San Marcos (1)Uvalde (1)Kerrville (1)Texarkana (1)Corsicana (1)Carthage (1)Brownwood (1)Ennis (1)Big Spring (1)Bellmead (1)Kingsville (1)Sinton (1)Lufkin (1)Aransas Pass (1)Channelview (1)Hereford (1)Denison (1)Dayton (1)Jourdanton (1)Farmers Branch (1)Atlanta (1)Cleveland (1)Gonzales (1)Pearsall (1)Haltom City (1)Marlin (1)Pampa (1)Hondo (1)Crockett (1)Carrizo Springs (1)Terrell (1)Kaufman (1)Henderson (1)Granbury (1)Athens (1)Kirby (1)Marble Falls (1)Deer Park (1)Center (1)Plainview (1)Mineola (1)Jacksonville (1)Kilgore (1)Cuero (1)Mc Allen (1)Eastland (1)Andrews (1)Lytle (1)Crosby (1)San Benito (1)Angleton (1)Hillsboro (1)Alamo (1)Sulphur Springs (1)Elsa (1)Lampasas (1)Falfurrias (1)Denver City (1)Port Lavaca (1)Brownfield (1)Duncanville (1)Rockport (1)Sealy (1)Canton (1)Taylor (1)Friendswood (1)Pleasanton (1)White Settlement (1)Fort Stockton (1)El Campo (1)Bay City (1)Jersey Village (1)Raymondville (1)Dumas (1)Graham (1)San Augustine (1)Corinth (1)Richmond (1)Harker Heights (1)Pharr (1)Gatesville (1)Flower Mound (1)Hempstead (1)Bellaire (1)Sweetwater (1)Burleson (1)Donna (1)Zapata (1)Leander (1)Crystal City (1)Sweeny (1)Sunnyvale (1)Mercedes (1)Prosper (1)Stephenville (1)Keller (1)Cotulla (1)Spring Branch (1)Lakeway (1)Saginaw (1)Midlothian (1)

Statewide top 25

#1 Fresenius Medical Care Westover Hills San Antonio · A

#2 Fresenius Medical Care Permian Basin Midland · A

#3 Davita Kerrville Dialysis Kerrville · A

#4 Rosedale Kidney Disease Center San Antonio · A

#5 Bma Northwest Bexar County San Antonio · A

#6 Davita Denison Dialysis Center Denison · A

#7 Fresenius Kidney Care Dayton Dayton · A

#8 Fresenius Medical Care Tri City Jourdanton · A

#9 Davita Brookriver Dialysis Dallas · A

#10 Davita South San Antonio Dialysis Center San Antonio · A

#11 Usrc Medina Dialysis Hondo · A

#12 Shc Kyle Kyle · A

#13 Lockehill Kidney Disease Clinic San Antonio · A

#14 Fresenius Medical Care Tyler Home Dialysis Tyler · A

#15 Usrc San Benito Dialysis San Benito · A

#16 Davita Grapevine Dialysis Grapevine · A

#17 Davita First Colony Dialysis Center Sugar Land · A

#18 Fresenius Kidney Care Ft. Stockton Fort Stockton · A

#19 Shc Wb Austin Austin · A

#20 Fmc Greenway Kidney Center Waco · A

#21 Davita Sugar Land Home Training-Pd Sugar Land · A

#22 Davita Wylie Dialysis Wylie · A

#23 Davita Westover Dialysis San Antonio · A

#24 Davita Texas City Pd La Marque · A

#25 Shc South Austin Austin · A

Don't see a name? Search it. Every dialysis center has an answer.

Methodology

The free grade on this page contains zero zReports judgment: it maps the state's own published licensing and enforcement verdicts through one fixed rule, applied identically to every dialysis center in America. Where the record and public reputation diverge, a highly reviewed facility with serious findings on file, the paid Consumer Intelligence Report™ surfaces it through the composite Consumer Z Score™ and our published ten point methodology. Facilities are never contacted and cannot pay to change a score. Read the full methodology →

About dialysis center licensing in Texas

Dialysis Centers in Texas are overseen by the Centers for Medicare & Medicaid Services (CMS), whose certification, inspection, and quality-reporting data is published on the public record. This page is computed from CMS Dialysis Facility Compare data, the government’s own filings, not reviews or advertising.

Frequently asked questions

How many dialysis centers are there in Texas?

Texas has 746 active licensed dialysis centers on the state's public file, across 225 cities, with a combined licensed capacity of 14,248. Every one has a free records layer grade on zReports.

Which Texas city has the most dialysis centers?

Houston, with 98 licensed dialysis centers, followed by San Antonio (53) and Dallas (30).

How are Texas dialysis center grades calculated?

The free records layer grade contains zero zReports judgment. It maps the government's own published verdicts, CMS Dialysis Facility Compare data, through one fixed rule, applied identically to every dialysis center in the country. The paid Consumer Intelligence Report™ adds the composite Consumer Z Score™, which audits the record against public reputation through our published ten point methodology.

Why can a facility with 5-star reviews have a low grade?

Reviews and records are different surfaces. Reviews reflect what visitors chose to write, and can be managed by the business. Inspection and enforcement records are filed by the state, are mandatory, and cannot be edited by the facility. When the two diverge, the record is the surface worth checking. That divergence is exactly what zReports was built to surface.

How often are these rankings updated?

Rankings refresh whenever Texas republishes its licensing data; facility pages carry the records-verified date for each provider. This page was generated from the current file as of October 2026.

Can a facility pay to change its score?

No. Facilities are never contacted, never notified, and cannot pay to be listed, delisted, or re-scored. zReports has no business relationship with any facility it grades, independence is the product.

Data Provenance

This report was generated from the zReports Consumer Records Database™, a continuously updated database that normalizes official government licensing, inspection, enforcement, ownership, and safety records across multiple federal and state agencies. Every statistic in this report is traceable to its originating public record. Facilities cannot pay to alter scores, rankings, or findings.

Data source: zReports Consumer Intelligence Database™ v2026.10 · Built from: CMS Provider Data Catalog · HHS OIG Exclusions List (LEIE) · Public consumer review signals (audited, never trusted, in the composite Consumer Z Score™) · Proprietary Consumer Z Score™ methodology · Updated: October 2026

Cite this report

APA, zReports Research Institute. (2026). Texas Dialysis Center Rankings & Safety Report (v2026.10). zReports.org. https://zreports.org/rankings/dialysis/tx

MLA, zReports Research Institute. “Texas Dialysis Center Rankings & Safety Report.” zReports.org, v2026.10, October 2026, zreports.org/rankings/dialysis/tx.

Plain, Texas Dialysis Center Rankings & Safety Report, zReports Research Institute, v2026.10, updated October 2026, zreports.org/rankings/dialysis/tx

Related research

Dialysis Centers in all states → Houston rankings →San Antonio rankings →Dallas rankings → zReports Data Blog → How the Consumer Z Score™ works →