Riverbend

End Stage Renal Disease

End Stage Renal Disease (ESRD) occurs from the destruction of normal kidney tissues over a long period of time. Often there are no symptoms until the kidney has lost more than half its function. The loss of kidney function in ESRD is usually irreversible and permanent.

An ESRD facility is a facility which is approved to furnish at least one specific ESRD service. Such facilities are:

1. Renal Transplantation Center- A hospital unit, which is approved to furnish transplantation, and other medical and surgical specialty services required for the care of the ESRD transplant patients, including inpatient dialysis furnished directly or under arrangement. A renal transplantation center may also be a renal dialysis center. 
2. Renal Dialysis Center- A hospital unit, which is approved to furnish the full spectrum of diagnostic, therapeutic, and rehabilitative services required for the care of ESRD dialysis patients (including inpatient dialysis furnished directly or under arrangement). A hospital need not provide renal transplantation to qualify as a renal dialysis center.
3. Renal Dialysis Facility - An independent unit that is approved to furnish dialysis service(s) directly to ESRD patients. 
4. Self-Dialysis Unit - A unit that is part of an approved renal transplantation center, renal dialysis center, or renal dialysis facility, and furnishes self-dialysis services.
5. Special Purpose Renal Dialysis Facility - A renal dialysis facility that is approved to furnish dialysis at special locations on a short-term basis to a group of dialysis patients otherwise unable to obtain treatment in the geographical area. The special locations must be either special rehabilitative (including vacation) locations serving ESRD patients temporarily residing there, or locations in need of ESRD facilities under emergency circumstances.