End Stage Renal Disease Facilities

The End Stage Renal Disease (ESRD) Facility Licensing Act was first enacted in 1995 by the 74th Legislature.  The ESRD Facility rules became effective on September 6, 1996.  The Medical Review Board appointed by the ESRD Network of Texas Inc., works with the Texas Department of State Health Services (DSHS) in reviewing information relating to the quality of care provided by ESRD facilities and in determining an appropriate corrective action plan to be followed by an ESRD facility, when applicable.

The staff of the Facility Licensing Group is responsible for licensing and certifying End Stage Renal Disease (ESRD) facilities.

The Facility Licensing Group develops rules that establish minimum standards for ESRD licensing procedures; for granting, denying, suspending, and revoking a license; for license fees; for operation; and for requirements concerning design and space. The Architectural Program is responsible for conducting plan reviews and construction inspections of new and existing ESRDs.

To become licensed, please see How to Become a Licensed End Stage Renal Disease Facility and License Application.

ESRD Stakeholder Meeting 12/05/2008(click here for details)

Directories of ESRD Facilities - Click to link.

Medicare Information

ESRD facilities may choose to be certified to participate in the federal Medicare Program. For more information on the certification process, refer to Rules/Regulation link on right-hand side menu box or contact your zone office. Click here to find information to locate the appropriate zone office.

Survey Components

During the initial licensing period, department zone office staff will conduct an on-site survey to ascertain compliance with the provision on the Health and Safety Code and associated rules. Entrance conference with key facility personnel and department zone office staff. During the survey, zone office staff will explain the survey process and answer questions.

• Review clinical records
• Review facility policies and procedures
• Review quality assurance activities
• Review personnel records
• Interview staff
• Conduct site visits as applicable
• Exit conference with key facility personnel. Discuss survey findings.

Audit Tool

Audit tools are provided for use by your facility in preparation for a state licensure and/or Medicare certification survey. We suggest you conduct an audit of your facility’s compliance to standards of licensure and/or certification prior to the scheduled or unannounced survey.

• End Stage Renal Disease Facility State Audit Tool. Word File 1,526KB, 109 pgs.
• End Stage Renal Disease Facility Federal Audit Tool. Word File 484KB, 52 pgs.

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Texas Department of State Health Services, Health Facillity Licensing Program
1100 West 49th Street - Austin, Texas 78756 - (512) 834-6646

Last Updated November 14, 2008