This letter from the Centers for Medicare & Medicaid Services addresses the requirements for dialysis care in nursing homes. It outlines the responsibilities of the nursing home and the dialysis facility for providing dialysis services, as well as the need for ongoing communication and collaboration between the two. The letter also outlines the need for coordination of physician services between the nursing home and dialysis facility, and the importance of monitoring the resident’s condition before, during, and after dialysis treatments. Nursing homes must ensure that residents who require dialysis receive services consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents’ goals and preferences. They must also provide the same services to residents receiving dialysis as those who are not. This letter requires nursing homes to have an arrangement with a dialysis facility to provide dialysis services, inform residents of these services, and coordinate with the dialysis facility to ensure that dialysis care and services are provided. Nursing homes must also designate a staff person to coordinate activities and communications with the dialysis facility and ensure that communication between the two is established 24 hours a day.

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