Dialysis Inside a Nursing Home or Assisted Living Facility
Residents of assisted living and skilled nursing facilities can receive complete hemodialysis treatments without leaving the building. A licensed Elik Home Dialysis nurse performs every step in the resident's own room, across the Houston and Dallas metros, and the three weekly medical-transport round trips end permanently.
The transport treadmill
For a facility resident on in-center dialysis, every treatment is three events: the pre-dawn pickup, the treatment itself, and the ride back, often through missed meals, missed therapy, and a disrupted day. Three times a week, every week. The treatment is four hours; the day it consumes is the whole day.
What in-facility treatment looks like
The Elik nurse arrives at the facility, sets up in the resident's room, places the needles, runs the treatment to the nephrologist's prescription, monitors the resident one-on-one throughout, breaks everything down, and documents the visit to the nephrologist and in coordination with the facility's nursing team. The treatment fits into the resident's day instead of erasing it.
What the facility and family each handle
The facility provides the resident's room and a reasonable supply-storage arrangement; Elik brings, maintains, and operates everything else, and facility staff never touch the equipment. The family's former jobs, training, transport, coordination, simply end. Home hemodialysis in assisted living and skilled nursing facilities
Frequently asked questions
- Yes. Every treatment runs under the nephrologist's orders with documentation returned after each visit.
- Both, in both metros. The model is identical: complete treatment, inside the building.
- No. Original Medicare does not pay for staff-assisted home hemodialysis, by law. Medicare Advantage plans follow Medicare's reimbursement rules, so they do not pay for it either. Elik provides staff-assisted home hemodialysis for eligible patients with BCBS, Cigna, or UnitedHealthcare/UHC commercial coverage, including when Medicare is the primary insurance. Medicare-only, Medicare Advantage (including BCBS, Cigna, or UHC Medicare Advantage plans), Medicare supplement (Medigap) plans, and Medicaid do not pay for this service through Elik. If you have Blue Cross Blue Shield, Cigna, or UnitedHealthcare commercial insurance, on its own or as a secondary plan alongside Medicare, you qualify. Elik confirms your exact plan in one phone call.
- Call Elik: Houston (713) 861-7500, Dallas (972) 238-7788. We confirm your plan in one call, coordinate orders directly with your kidney doctor's office, and schedule your first home treatment.
Last reviewed: September 2026