Official facility record · CCN 492533
BMA - Mountain Empire
340 Anderson Hollow Rd, Ste 100, Norton, VA 24273
Hours: Not published · call to confirmFacility contact actions
Call (276) 679-7805Care 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: 1 better than expected · 9 as expected · 1 worse than expected.
All measure values: CMS source · fetched- Mortality Rate (Facility)
26 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: 360
CMS confidence interval: 17.4–40.3
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Hospitalization Rate (Facility)
146 per 100 patient-years
CMS category: As Expected
National average: 148 per 100 patient-years
Measurement period: Jan 1, 2024–Dec 31, 2024
Denominator: 101
CMS confidence interval: 101.3–225
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Readmission Rate (Facility)
19.6 % of hospital discharges
CMS category: As Expected
National average: 27.2 % of hospital discharges
Measurement period: Jan 1, 2024–Dec 31, 2024
Denominator: 110
CMS confidence interval: 12.1–29.7
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Transfusion Rate (Facility)
34.8 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: 24
CMS confidence interval: 12.9–129.1
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- First Year Standardized Kidney Transplant Waitlist Ratio
0 standardized ratio
CMS category: Worse than Expected
National average: 1 standardized ratio
Measurement period: Jan 1, 2021–Dec 31, 2023
Denominator: 56
CMS confidence interval: 0–0.83
CMS-published direction: Higher values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Percentage of Prevalent Patients Waitlisted for Kidney Transplant
11.3 % of prevalent patients
CMS category: As Expected
National average: 16.5 % of prevalent patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 86
CMS confidence interval: 3.6–30.2
CMS-published direction: Higher values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Standardized ED visits ratio (Facility)
1.21 standardized ratio
CMS category: As Expected
National average: 0.99 standardized ratio
Measurement period: Jan 1, 2024–Dec 31, 2024
Denominator: 33
CMS confidence interval: 0.65–2.4
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)
1.23 standardized ratio
CMS category: As Expected
National average: 1.04 standardized ratio
Measurement period: Jan 1, 2023–Dec 31, 2024
Denominator: 42
CMS confidence interval: 0.44–2.49
CMS-published direction: Lower values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- SMoSR: Standardized Modality Switch Ratio (FACILITY)
3.97 standardized ratio
CMS category: Better than Expected
National average: 1 standardized ratio
Measurement period: Jan 1, 2021–Dec 31, 2023
Denominator: 69
CMS confidence interval: 2.46–6.08
CMS-published direction: Higher values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Standard Infection Ratio
0.67 standardized infection ratio
CMS category: As Expected
Measurement period: Jan 1, 2024–Dec 31, 2024
CMS confidence interval: 0.25–1.49
CMS-published direction: Lower values are better
CMS ↗ ·- Fistula Rate (Facility)
54.3 % of patient-months
CMS category: As Expected
National average: 57.1 % of patient-months
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 94
CMS confidence interval: 33.9–74.9
CMS-published direction: Higher values are better
CMS ↗ ·Benchmark sources
CMS national benchmark source · fetched- Healthcare worker COVID-19 vaccination adherence percentage
— not published
Why is this empty?
Data not reported. Call the dialysis center to discuss this quality measure.
CMS reason code 201 · code dictionary · fetched
Unit: % of healthcare personnel
Measurement period: Jul 1, 2025–Sep 30, 2025
CMS ↗ ·- Percent of Adult HD patients with Kt/V >= 1.2
Facility96 % of adult HD patients
National average97 % of adult HD patients
Facility96 % of adult HD patients
VA average97 % of adult HD patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 63
CMS ↗ ·- Percentage of Adult PD PTS with Kt/V >= 1.7
Facility99 % of adult PD patients
National average92 % of adult PD patients
Facility99 % of adult PD patients
VA average92 % of adult PD patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 13
CMS ↗ ·- Percentage of Medicare patients with Hgb<10 g/dL
Facility23 % of Medicare patients
National average21 % of Medicare patients
Facility23 % of Medicare patients
VA average22 % of Medicare patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 22
CMS ↗ ·- Percentage of Medicare patients with Hgb>12 g/dL
Facility0 % of Medicare patients
National average1 % of Medicare patients
Facility0 % of Medicare patients
VA average1 % of Medicare patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 22
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
VA average1 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 103
CMS ↗ ·- Percentage of Adult patients with serum phosphorus less than 3.5 mg/dL
Facility8 % of adult patients
National average7 % of adult patients
Facility8 % of adult patients
VA average6 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 107
CMS ↗ ·- Percentage of Adult patients with serum phosphorus between 3.5-4.5 mg/dL
Facility22 % of adult patients
National average22 % of adult patients
Facility22 % of adult patients
VA average21 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 107
CMS ↗ ·- Percentage of Adult patients with serum phosphorus between 4.6-5.5 mg/dL
Facility29 % of adult patients
National average27 % of adult patients
Facility29 % of adult patients
VA average26 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 107
CMS ↗ ·- Percentage of Adult patients with serum phosphorus between 5.6-7.0 mg/dL
Facility24 % of adult patients
National average26 % of adult patients
Facility24 % of adult patients
VA average27 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 107
CMS ↗ ·- Percentage of Adult patients with serum phosphorus greater than 7.0 mg/dL
Facility18 % of adult patients
National average18 % of adult patients
Facility18 % of adult patients
VA average19 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 107
CMS ↗ ·- Percentage of Adult patients with long term catheter in use
Facility27 % of adult patients
National average19 % of adult patients
Facility27 % of adult patients
VA average21 % of adult patients
Measurement period: Oct 1, 2024–Sep 30, 2025
Denominator: 94
CMS ↗ ·
Patient experience
No survey results are available for this facility.
CMS ICH CAHPS source · fetchedMedicare payment program
ESRD QIP payment record
Medicare reduced this facility's 2026 payments by 1% 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