Grievances & Concerns

As a dialysis patient, if you are not satisfied with the care you receive, you have several options for filing a grievance.

Filing a Grievance

Option I: Filing at Your Dialysis Facility

Following federal regulations, all dialysis facilities are required to have a grievance process meant to address patient concerns. You may wish to speak with your dialysis Social Worker or your Facility Administrator if you would like to file a grievance.

It is NOT mandatory that a patient follows the facility grievance process before contacting the Network; however, this can be a fast easy way to fix a problem at your dialysis facility and we encourage that you consider it first.

Option II: Filing with the ESRD Network

The Network processes grievances from patients, their representatives, family members, care partners, professionals, advocates, and state survey agencies, related to the quality and safety of care in ESRD certified facilities. Concerns can be filed with the Network by phone, fax, or postal mail.

When the Network is contacted regarding a concern, staff will attempt to resolve the issue in one of the following ways:

  • Assist the patient to organize his or her thoughts about a situation and provide feedback so that he or she can address the issue on his or her own if desired;
  • With permission from the patient, the Network may contact the facility directly to gather information and attempt to resolve the matter;
  • The facility may be required to complete an Improvement Plan to correct problems;
  • More serious issues may be referred to the Network’s Medical Review Board (MRB) for review;
  • Life-threatening situations will be referred to the State Survey Agency: The Department of Public Health

Grievances are generally resolved within a few days. More complicated cases may take longer (up to 60 days in some cases). In those situations, all parties will be notified of the expected date for the conclusion of the investigation.

Some concerns do not fall under the jurisdiction of the Network or would be more appropriately handled by another agency, such as the Department of Public Health. The Network can refer patients to those identified agencies. In more serious circumstances, the Network will contact the agency directly.

Option III: Filing with Your State's Department of Health

The State Department of Health also investigates patient grievances/complaints.

Network 1 (CT, MA, ME, NH, RI, VT)
  • Connecticut State Department of Public Health: Link
  • Massachusetts State Department of Health: Link
  • Maine Department of Health and Human Services: Link
  • New Hampshire Department of Health and Human Services: Link
  • Rhode Island Department of Health: Link
  • Vermont Department of Health: Link
Network 2 (NY)
  • New York Department of Health: Link
Network 6 (GA, NC, SC)
  • Georgia Department of Community Health: Link
  • North Carolina Department of Health and Human Services: Link
  • South Carolina Department of Health and Environmental Control: Link
Network 9 (IN, KY, OH)
  • Indiana State Department of Health: Link
  • Kentucky Cabinet for Health and Family Services: Link
  • Ohio Department of Health: Link
Patient Experience of Care
If you have questions or need assistance, please contact us:

Call us for any grievance or access to care problem using our toll-free patient lines:

IPRO ESRD Network of New England
Network 1 (CT, MA, ME, NH, RI, VT)


IPRO ESRD Network of New York
Network 2 (NY)


IPRO ESRD Network of the South Atlantic
Network 6 (GA, NC, SC)


IPRO ESRD Network of the Ohio River Valley
Network 9 (IN, KY, OH)


Tools & Resources