> For the complete documentation index, see [llms.txt](https://docs.dataplex-consulting.com/llms.txt). Markdown versions of documentation pages are available by appending `.md` to page URLs; this page is available as [Markdown](https://docs.dataplex-consulting.com/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/dialysis-facility-state-averages.md).

# Dialysis Facility - State Averages

Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md) › Dialysis facilities

Dataplex delivers this CMS feed as the analysis-ready table `DWV.DIALYSIS_FACILITY_STATE_AVERAGES` on Snowflake and Databricks — two snapshot releases spanning 2026–2026, aligned to a single schema, refreshed automatically whenever CMS publishes a new file. Every row carries lineage back to the exact CMS source file that produced it.

## Key facts

|                    |                                                      |
| ------------------ | ---------------------------------------------------- |
| **Snowflake**      | `DWV.DIALYSIS_FACILITY_STATE_AVERAGES`               |
| **Databricks**     | `cms_dwv.dialysis_facility_state_averages`           |
| **Cadence**        | Quarterly                                            |
| **Update pattern** | Full-refresh — each file replaces the prior snapshot |
| **CMS published**  | 2026-06-01                                           |
| **Loaded**         | 2026-07-15                                           |
| **Columns**        | 50 data + 6 lineage                                  |
| **File versions**  | 2                                                    |
| **License**        | CMS public data — U.S. Government work               |
| **Platforms**      | Snowflake Marketplace · Databricks Delta Sharing     |

Included in the CMS Data Feeds Dataset — [start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset).

{% hint style="success" %}
**Current** — CMS last published this feed on 2026-06-01. Coverage runs through 2026-06-01. Next CMS release expected \~Sep 2026.
{% endhint %}

{% hint style="info" %}
**Full-refresh feed** — each file version is a complete snapshot and newer files supersede older ones. Filter to the latest file (see the sample query) to avoid double-counting across versions.
{% endhint %}

## Sample queries

{% tabs %}
{% tab title="Snowflake" %}

```sql
-- Latest snapshot only (avoids double-counting across file versions)
SELECT *
FROM DWV.DIALYSIS_FACILITY_STATE_AVERAGES
WHERE FILE_ID IN (
  SELECT ID FROM DWV.FEEDS_FILES WHERE IS_LATEST = 1
)
LIMIT 100;
```

{% endtab %}

{% tab title="Databricks" %}

```sql
-- Latest snapshot only (avoids double-counting across file versions)
SELECT *
FROM cms_dwv.dialysis_facility_state_averages
WHERE file_id IN (
  SELECT id FROM cms_dwv.feeds_files WHERE is_latest = 1
)
LIMIT 100;
```

{% endtab %}
{% endtabs %}

## About this feed

> State and territory averages for dialysis quality measures and performance categories. One row per state or territory.
>
> — *Source: CMS feed metadata*

**Keywords:** dialysis, state averages, quality measures, facility performance **Theme:** Dialysis facilities

## Coverage timeline

2026 🟩

1 of 1 years with snapshot releases — no gaps.

## Release history

| Reporting period          | CMS published | Loaded     | Latest file |
| ------------------------- | ------------- | ---------- | ----------- |
| Snapshot as of 2026-06-01 | 2026-06-01    | 2026-07-15 | ✓           |
| Snapshot as of 2026-03-01 | 2026-03-01    | 2026-06-16 |             |

## Data dictionary

<details>

<summary>📋 <strong>50 data columns + 6 lineage columns</strong></summary>

**Data columns**

| Column                                                                                  | Type   | Description                                                                                                                            |
| --------------------------------------------------------------------------------------- | ------ | -------------------------------------------------------------------------------------------------------------------------------------- |
| `DATA_PERIOD`                                                                           | TEXT   | The time frame during which the quality measures and performance categories were assessed, represented as a date in YYYY-MM-DD format. |
| `STATE`                                                                                 | TEXT   | State or territory abbreviation for the aggregate row                                                                                  |
| `SURVIVAL_BETTER_THAN_EXPECTED_STATE`                                                   | NUMBER | Count or share of facilities in the state with survival performance better than expected                                               |
| `SURVIVAL_AS_EXPECTED_STATE`                                                            | NUMBER | Count or share of facilities in the state with survival performance as expected                                                        |
| `SURVIVAL_WORSE_THAN_EXPECTED_STATE`                                                    | NUMBER | Count or share of facilities in the state with survival performance worse than expected                                                |
| `HOSPITALIZATIONS_BETTER_THAN_EXPECTED_STATE`                                           | NUMBER | Count or share of facilities with hospitalization performance better than expected                                                     |
| `HOSPITALIZATIONS_AS_EXPECTED_STATE`                                                    | NUMBER | Count or share of facilities with hospitalization performance as expected                                                              |
| `HOSPITALIZATIONS_WORSE_THAN_EXPECTED_STATE`                                            | NUMBER | Count or share of facilities with hospitalization performance worse than expected                                                      |
| `HOSPITAL_READMISSION_BETTER_THAN_EXPECTED_STATE`                                       | NUMBER | Count or share of facilities with readmission performance better than expected                                                         |
| `HOSPITAL_READMISSION_AS_EXPECTED_STATE`                                                | NUMBER | Count or share of facilities with readmission performance as expected                                                                  |
| `HOSPITAL_READMISSION_WORSE_THAN_EXPECTED_STATE`                                        | NUMBER | Count or share of facilities with readmission performance worse than expected                                                          |
| `TRANSFUSIONS_BETTER_THAN_EXPECTED_STATE`                                               | NUMBER | Count or share of facilities with transfusion performance better than expected                                                         |
| `TRANSFUSIONS_AS_EXPECTED_STATE`                                                        | NUMBER | Count or share of facilities with transfusion performance as expected                                                                  |
| `TRANSFUSIONS_WORSE_THAN_EXPECTED_STATE`                                                | NUMBER | Count or share of facilities with transfusion performance worse than expected                                                          |
| `INFECTION_BETTER_THAN_EXPECTED_STATE`                                                  | NUMBER | Count or share of facilities with bloodstream infection performance better than expected                                               |
| `INFECTION_AS_EXPECTED_STATE`                                                           | NUMBER | Count or share of facilities with bloodstream infection performance as expected                                                        |
| `INFECTION_WORSE_THAN_EXPECTED_STATE`                                                   | NUMBER | Count or share of facilities with bloodstream infection performance worse than expected                                                |
| `PERCENTAGE_OF_ADULT_HD_PATIENTS_WITH_KT_V_1_2`                                         | NUMBER | Average percentage of adult hemodialysis patients with Kt/V greater than or equal to 1.2                                               |
| `PERCENTAGE_OF_ADULT_PD_PATIENTS_WITH_KT_V_1_7`                                         | NUMBER | Average percentage of adult peritoneal dialysis patients with Kt/V greater than or equal to 1.7                                        |
| `PERCENTAGE_OF_PEDIATRIC_HD_PATIENTS_WITH_KT_V_1_2`                                     | NUMBER | Average percentage of pediatric hemodialysis patients with Kt/V greater than or equal to 1.2                                           |
| `PERCENTAGE_OF_PEDIATRIC_PD_PATIENTS_WITH_KT_V_1_8`                                     | NUMBER | Average percentage of pediatric peritoneal dialysis patients with Kt/V greater than or equal to 1.8                                    |
| `PERCENTAGE_OF_PEDIATRIC_HD_PATIENTS_WITH_NPCR_IN_USE`                                  | NUMBER | Average percentage of pediatric hemodialysis patients with nPCR in use                                                                 |
| `FISTULA_RATE_BETTER_THAN_EXPECTED_STATE`                                               | NUMBER | Count or share of facilities with fistula rate performance better than expected                                                        |
| `FISTULA_RATE_AS_EXPECTED_STATE`                                                        | NUMBER | Count or share of facilities with fistula rate performance as expected                                                                 |
| `FISTULA_RATE_WORSE_THAN_EXPECTED_STATE`                                                | NUMBER | Count or share of facilities with fistula rate performance worse than expected                                                         |
| `PERCENTAGE_OF_ADULT_PATIENTS_WITH_LONG_TERM_CATHETER_IN_USE`                           | NUMBER | Average percentage of adult patients with a long-term catheter in use                                                                  |
| `PERCENTAGE_OF_ADULT_PATIENTS_WITH_HYPERCALCEMIA_SERUM_CALCIUM_GREATER_THAN_10_2_MG_DL` | NUMBER | Average percentage of adult patients with hypercalcemia, defined as serum calcium greater than 10.2 mg/dL                              |
| `PERCENTAGE_OF_ADULT_PATIENTS_WITH_SERUM_PHOSPHORUS_LESS_THAN_3_5_MG_DL`                | NUMBER | Average percentage of adult patients with serum phosphorus less than 3.5 mg/dL                                                         |
| `PERCENTAGE_OF_ADULT_PATIENTS_WITH_SERUM_PHOSPHORUS_BETWEEN_3_5_4_5_MG_DL`              | NUMBER | Average percentage of adult patients with serum phosphorus between 3.5 and 4.5 mg/dL                                                   |
| `PERCENTAGE_OF_ADULT_PATIENTS_WITH_SERUM_PHOSPHORUS_BETWEEN_4_6_5_5_MG_DL`              | NUMBER | Average percentage of adult patients with serum phosphorus between 4.6 and 5.5 mg/dL                                                   |
| `PERCENTAGE_OF_ADULT_PATIENTS_WITH_SERUM_PHOSPHORUS_BETWEEN_5_6_7_0_MG_DL`              | NUMBER | Average percentage of adult patients with serum phosphorus between 5.6 and 7.0 mg/dL                                                   |
| `PERCENTAGE_OF_ADULT_PATIENTS_WITH_SERUM_PHOSPHORUS_GREATER_THAN_7_0_MG_DL`             | NUMBER | Average percentage of adult patients with serum phosphorus greater than 7.0 mg/dL                                                      |
| `INCIDENT_PATIENTS_TRANSPLANT_WAITLISTING_BETTER_THAN_EXPECTED_STATE`                   | NUMBER | Count or share of facilities with incident-patient transplant waitlisting better than expected                                         |
| `INCIDENT_PATIENTS_TRANSPLANT_WAITLISTING_AS_EXPECTED_STATE`                            | NUMBER | Count or share of facilities with incident-patient transplant waitlisting as expected                                                  |
| `INCIDENT_PATIENTS_TRANSPLANT_WAITLISTING_WORSE_THAN_EXPECTED_STATE`                    | NUMBER | Count or share of facilities with incident-patient transplant waitlisting worse than expected                                          |
| `PREVALENT_PATIENTS_TRANSPLANT_WAITLISTING_BETTER_THAN_EXPECTED_STATE`                  | NUMBER | Count or share of facilities with prevalent-patient transplant waitlisting better than expected                                        |
| `PREVALENT_PATIENTS_TRANSPLANT_WAITLISTING_AS_EXPECTED_STATE`                           | NUMBER | Count or share of facilities with prevalent-patient transplant waitlisting as expected                                                 |
| `PREVALENT_PATIENTS_TRANSPLANT_WAITLISTING_WORSE_THAN_EXPECTED_STATE`                   | NUMBER | Count or share of facilities with prevalent-patient transplant waitlisting worse than expected                                         |
| `HEALTHCARE_WORKER_COVID_19_VACCINATION_ADHERENCE_PERCENTAGE_STATE`                     | NUMBER | Average healthcare worker COVID-19 vaccination adherence percentage                                                                    |
| `PERCENTAGE_OF_PATIENTS_WITH_HGB_10_G_DL_STATE`                                         | NUMBER | Average percentage of patients with hemoglobin below 10 g/dL                                                                           |
| `PERCENTAGE_OF_PATIENTS_WITH_HGB_12_G_DL_STATE`                                         | NUMBER | Average percentage of patients with hemoglobin above 12 g/dL                                                                           |
| `SEDR_BETTER_THAN_EXPECTED_STATE`                                                       | NUMBER | Count or share of facilities with standardized emergency department visit ratio better than expected                                   |
| `SEDR_AS_EXPECTED_STATE`                                                                | NUMBER | Count or share of facilities with standardized emergency department visit ratio as expected                                            |
| `SEDR_WORSE_THAN_EXPECTED_STATE`                                                        | NUMBER | Count or share of facilities with standardized emergency department visit ratio worse than expected                                    |
| `ED30_BETTER_THAN_EXPECTED_STATE`                                                       | NUMBER | Count or share of facilities with emergency department visits within 30 days of discharge better than expected                         |
| `ED30_AS_EXPECTED_STATE`                                                                | NUMBER | Count or share of facilities with emergency department visits within 30 days of discharge as expected                                  |
| `ED30_WORSE_THAN_EXPECTED_STATE`                                                        | NUMBER | Count or share of facilities with emergency department visits within 30 days of discharge worse than expected                          |
| `N_FOR_SMSR_CATEGORY_1_SMSR_BETTER_THAN_EXPECTED_STATE`                                 | NUMBER | Category 1 count for standardized modality switch ratio, representing better-than-expected performance                                 |
| `N_FOR_SMSR_CATEGORY_2_SMSR_AS_EXPECTED_STATE`                                          | NUMBER | Category 2 count for standardized modality switch ratio, representing as-expected performance                                          |
| `N_FOR_SMSR_CATEGORY_3_SMSR_WORSE_THAN_EXPECTED_STATE`                                  | NUMBER | Category 3 count for standardized modality switch ratio, representing worse-than-expected performance                                  |

**Lineage columns** (present on every feed table)

| Column         | Type           | Description                                  |
| -------------- | -------------- | -------------------------------------------- |
| `ROW_ID`       | TEXT           | Unique row ID for this table (PK)            |
| `FILE_ID`      | TEXT           | Source file — joins to `FEEDS_FILES.ID` (FK) |
| `FILE_FEED_ID` | TEXT           | Parent feed — joins to `FEEDS.ID` (FK)       |
| `FILE_NAME`    | TEXT           | Source file name as published by CMS         |
| `ROWNUM`       | NUMBER         | Row number within the source file            |
| `CREATED_AT`   | TIMESTAMP\_NTZ | Timestamp when the record was loaded         |

</details>

## Row-level lineage

Every row in this table traces to the exact CMS source file that produced it. The `FILE_ID` column joins to the `FEEDS_FILES` catalog table, and `FILE_FEED_ID` joins to the `FEEDS` master table:

```mermaid
erDiagram
    FEEDS ||--o{ FEEDS_FILES : "ID = FEED_ID"
    FEEDS ||--o{ DIALYSIS_FACILITY_STATE_AVERAGES : "ID = FILE_FEED_ID"
    FEEDS_FILES ||--o{ DIALYSIS_FACILITY_STATE_AVERAGES : "ID = FILE_ID"

    FEEDS {
        text ID PK
        text TITLE
        text VIEW_NAME
        text ACCURAL_PERIODICITY
    }
    FEEDS_FILES {
        text ID PK
        text FEED_ID FK
        date TEMPORAL_START
        date TEMPORAL_END
        date CMS_FEED_MODIFIED
        number IS_LATEST
    }
    DIALYSIS_FACILITY_STATE_AVERAGES {
        text ROW_ID PK
        text FILE_ID FK
        text FILE_FEED_ID FK
        text DATA_PERIOD
        text STATE
        number SURVIVAL_BETTER_THAN_EXPECTED_STATE
        number SURVIVAL_AS_EXPECTED_STATE
        number remaining_46_data_columns
    }
```

Trace any row back to its source file and reporting period:

```sql
SELECT d.DATA_PERIOD, d.STATE, d.SURVIVAL_BETTER_THAN_EXPECTED_STATE,
       ff.TEMPORAL_START, ff.TEMPORAL_END, ff.CMS_FEED_MODIFIED
FROM DWV.DIALYSIS_FACILITY_STATE_AVERAGES d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID;
```

## Source & provenance

Published by the **Centers for Medicare & Medicaid Services** (bureau 009:38).

* [Official CMS documentation](https://data.cms.gov/provider-data/topics/dialysis-facilities)
* [2fpu Cgbb](https://data.cms.gov/provider-data/dataset/2fpu-cgbb)

## Frequently asked questions

### How often is Dialysis Facility - State Averages updated?

Quarterly. CMS last published this feed on 2026-06-01, and Dataplex loaded it to the warehouse on 2026-07-15. New releases are added automatically when CMS publishes them.

### What years does Dialysis Facility - State Averages cover?

2026 through 2026.

### How many records are in Dialysis Facility - State Averages?

Count the current snapshot yourself once the share is mounted:

```sql
SELECT COUNT(*)
FROM DWV.DIALYSIS_FACILITY_STATE_AVERAGES d
JOIN DWV.FEEDS_FILES ff ON d.FILE_ID = ff.ID
WHERE ff.IS_LATEST = 1;
```

### How do I get Dialysis Facility - State Averages data?

It's included in the CMS Data Feeds Dataset on the [Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) (free trial available) and via [Databricks Delta Sharing](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00). Once mounted, query `DWV.DIALYSIS_FACILITY_STATE_AVERAGES` directly — no pipeline setup required.

## Related feeds

{% content-ref url="/pages/sytj3OOCuhFGz4UrJOE3" %}
[Nursing Homes Including Rehab Services - State US Averages](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/nursing-homes-including-rehab-services-state-us-averages.md)
{% endcontent-ref %}

{% content-ref url="/pages/Us8yZ6eObmluo1jkm7gQ" %}
[Dialysis Facility - Listing by Facility](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/dialysis-facility-listing-by-facility.md)
{% endcontent-ref %}

{% content-ref url="/pages/x3Nb1BlWbzlBdjcH6onF" %}
[Dialysis Facility - National Averages](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/dialysis-facility-national-averages.md)
{% endcontent-ref %}

{% content-ref url="/pages/BtdNnQ9byiR5U9QiXGwQ" %}
[Long-Term Care Hospital - Provider Data](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/long-term-care-hospital-provider-data.md)
{% endcontent-ref %}

{% content-ref url="/pages/IXRAP6J70JCqSdb0dH9b" %}
[Inpatient Rehabilitation Facility - Provider Data](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog/inpatient-rehabilitation-facility-provider-data.md)
{% endcontent-ref %}

## Get this feed

1. [Start a free trial on Snowflake Marketplace](https://app.snowflake.com/marketplace/listing/GZT1Z125KDH/dataplex-consulting-data-products-cms-data-feeds-dataset) or purchase via [Databricks](https://checkout.dataplex-consulting.com/b/3cIdR2e1J59Sh2w7pWbQY00)
2. Mount the share — the database and `DWV` schema appear in your account immediately
3. Run the [sample query](#sample-queries) above — no ETL, no pipeline maintenance

Questions about this feed? Contact us at <notifications@dataplex-consulting.com>.

***

Part of the [CMS Data Feeds Dataset](/data-catalog/cms-data-feeds-dataset.md) — 280+ feeds · 245B+ records · updated daily. [Back to the full catalog →](/data-catalog/cms-data-feeds-dataset/cms-data-feeds-catalog.md#dialysis-facility-state-averages)


---

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