Official facility record · CCN 392707
USRC Pottstown
5 South Sunnybrook Road, Suite 500, Pottstown, PA 19464
Hours: Not published · call to confirmFacility contact actions
Call (610) 718-1127Care and services
Official CMS facility facts
CMS quality and patients
Separate official measures with full context
Quality measures
Every value is shown with its CMS wording, reason when absent, unit, denominator, confidence bounds when present, measurement period, and provenance. KidneyPass adds no clinical interpretation.
CMS published 22 of 26 measures · verdicts: 0 better than expected · 11 as expected · 0 worse than expected.
All measure values: CMS source · fetched- Mortality Rate (Facility)
20.6 per 100 patient-years
CMS category: As Expected
National average: 22.2 per 100 patient-years
Measurement period: Jan 1, 2021–Dec 31, 2024
Denominator: 262
CMS confidence interval: 13.9–31.6
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Hospitalization Rate (Facility)
179.6 per 100 patient-years
CMS category: As Expected
National average: 148 per 100 patient-years
Measurement period: Jan 1, 2024–Dec 31, 2024
Denominator: 62
CMS confidence interval: 118.4–287.6
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Readmission Rate (Facility)
30.1 % of hospital discharges
CMS category: As Expected
National average: 27.2 % of hospital discharges
Measurement period: Jan 1, 2024–Dec 31, 2024
Denominator: 63
CMS confidence interval: 18.2–44.3
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Transfusion Rate (Facility)
34.7 per 100 patient-years
CMS category: As Expected
National average: 32.5 per 100 patient-years
Measurement period: Jan 1, 2024–Dec 31, 2024
Denominator: 31
CMS confidence interval: 14–114.7
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- First Year Standardized Kidney Transplant Waitlist Ratio
1.51 standardized ratio
CMS category: As Expected
National average: 1 standardized ratio
Measurement period: Jan 1, 2021–Dec 31, 2023
Denominator: 40
CMS confidence interval: 0.56–3.29
CMS-published direction: Higher values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Percentage of Prevalent Patients Waitlisted for Kidney Transplant
17.8 % of prevalent patients
CMS category: As Expected
National average: 16.5 % of prevalent patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 66
CMS confidence interval: 6.4–40.6
CMS-published direction: Higher values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Standardized ED visits ratio (Facility)
0.92 standardized ratio
CMS category: As Expected
National average: 0.99 standardized ratio
Measurement period: Jan 1, 2024–Dec 31, 2024
Denominator: 34
CMS confidence interval: 0.45–1.99
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Standardized ED visits within 30 days of hospital discharge ratio (Facility)
0.77 standardized ratio
CMS category: As Expected
National average: 1.04 standardized ratio
Measurement period: Jan 1, 2023–Dec 31, 2024
Denominator: 65
CMS confidence interval: 0.32–1.45
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- SMoSR: Standardized Modality Switch Ratio (FACILITY)
1.33 standardized ratio
CMS category: As Expected
National average: 1 standardized ratio
Measurement period: Jan 1, 2021–Dec 31, 2023
Denominator: 52
CMS confidence interval: 0.49–2.89
CMS-published direction: Higher values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Standard Infection Ratio
0.37 standardized infection ratio
CMS category: As Expected
Measurement period: Jan 1, 2024–Dec 31, 2024
CMS confidence interval: 0.06–1.22
CMS-published direction: Lower values are better
CMS ↗ ·- Fistula Rate (Facility)
58.2 % of patient-months
CMS category: As Expected
National average: 57.1 % of patient-months
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 66
CMS confidence interval: 35.5–79.6
CMS-published direction: Higher values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Healthcare worker COVID-19 vaccination adherence percentage
Facility0 % of healthcare personnel
National average4 % of healthcare personnel
Facility0 % of healthcare personnel
PA average2 % of healthcare personnel
Measurement period: Jul 1, 2025–Sep 30, 2025
CMS ↗ ·- Percent of Adult HD patients with Kt/V >= 1.2
Facility94 % of adult HD patients
National average97 % of adult HD patients
Facility94 % of adult HD patients
PA average97 % of adult HD patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 60
CMS ↗ ·- Percentage of Adult PD PTS with Kt/V >= 1.7
— not published
Why is this empty?
Not enough patients to report on this measure. Call the dialysis center to discuss this measure.
CMS reason code 199 · code dictionary · fetched
Unit: % of adult PD patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 10
CMS ↗ ·- Percentage of Medicare patients with Hgb<10 g/dL
Facility14 % of Medicare patients
National average21 % of Medicare patients
Facility14 % of Medicare patients
PA average21 % of Medicare patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 14
CMS ↗ ·- Percentage of Medicare patients with Hgb>12 g/dL
Facility0 % of Medicare patients
National average1 % of Medicare patients
Facility0 % of Medicare patients
PA average1 % of Medicare patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 14
CMS ↗ ·- Percentage of Adult patients with hypercalcemia (serum calcium greater than 10.2 mg/dL)
Facility0 % of adult patients
National average1 % of adult patients
Facility0 % of adult patients
PA average1 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 70
CMS ↗ ·- Percentage of Adult patients with serum phosphorus less than 3.5 mg/dL
Facility5 % of adult patients
National average7 % of adult patients
Facility5 % of adult patients
PA average7 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 73
CMS ↗ ·- Percentage of Adult patients with serum phosphorus between 3.5-4.5 mg/dL
Facility24 % of adult patients
National average22 % of adult patients
Facility24 % of adult patients
PA average22 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 73
CMS ↗ ·- Percentage of Adult patients with serum phosphorus between 4.6-5.5 mg/dL
Facility26 % of adult patients
National average27 % of adult patients
Facility26 % of adult patients
PA average28 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 73
CMS ↗ ·- Percentage of Adult patients with serum phosphorus between 5.6-7.0 mg/dL
Facility26 % of adult patients
National average26 % of adult patients
Facility26 % of adult patients
PA average26 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 73
CMS ↗ ·- Percentage of Adult patients with serum phosphorus greater than 7.0 mg/dL
Facility19 % of adult patients
National average18 % of adult patients
Facility19 % of adult patients
PA average17 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 73
CMS ↗ ·- Percentage of Adult patients with long term catheter in use
Facility17 % of adult patients
National average19 % of adult patients
Facility17 % of adult patients
PA average21 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 66
CMS ↗ ·
Patient experience
ICH CAHPS patient-survey scores are shown with the number of completed surveys behind every score. Survey period: 18Oct2024-11Jul2025.
CMS ICH CAHPS source · fetched- Nephrologists’ communication and caring
Top-box score: 60% · 31 completed surveys
Linearized score: 76 · 31 completed surveys
- Dialysis center care and operations
Top-box score: 58% · 31 completed surveys
Linearized score: 78 · 31 completed surveys
- Providing information to patients
Top-box score: 81% · 31 completed surveys
Linearized score: 81 · 31 completed surveys
- Rating of nephrologist
Top-box score: 51% · 31 completed surveys
Linearized score: 76 · 31 completed surveys
- Rating of dialysis center staff
Top-box score: 45% · 31 completed surveys
Linearized score: 79 · 31 completed surveys
- Rating of dialysis facility
Top-box score: 51% · 31 completed surveys
Linearized score: 79 · 31 completed surveys
Medicare payment program
ESRD QIP payment record
Medicare reduced this facility's 2026 payments by 0.5% based on 2024 performance.
This payment-program record is not a patient price and not a KidneyPass quality verdict.
CMS ESRD QIP source · fetchedContact and confirmation
Call before making a decision
Facility complaints
Verified ESRD Network path
Complaints about this facility are handled by Quality Insights, phone 844-238-1190.
CMS source · fetched CMS ESRD Network directory · fetched Network phone source · fetchedCosts and coverage context
General sourced Medicare information
What these Medicare figures mean
Medicare's base payment rate for one dialysis session.
$281.71 per session — 2026 Medicare base rateView sourceCheckedThe coinsurance patients with Original Medicare pay for dialysis services after the Part B deductible.
20% of the Medicare-approved amount after the Part B deductibleView sourceCheckedThis information is for reference only and is not a substitute for professional medical or insurance advice.
See the full published dialysis cost and coverage breakdownArranging guest dialysis while traveling