EXHIBIT 23.1
 
                            CONSENT OF INDEPENDENT
                         CERTIFIED PUBLIC ACCOUNTANTS
 
The Board of Directors
Total Renal Care Holdings, Inc.:
 
  We consent to the use of our reports on the consolidated financial
statements and related financial statement schedule of Total Renal Care
Holdings, Inc. and subsidiaries included herein and the combined financial
statements and related financial statement schedule of Lake County Dialysis
Services Inc., Dialysis Management Services, Inc., Logan Square Dialysis
Services, Inc., Home Dialysis Care, Ltd., and Lincoln Park Nephrology
Associates, S.C. incorporated herein by reference and to the reference to our
firm under the heading "Experts" in the prospectus.
 
  Our report on the consolidated financial statements of Total Renal Care
Holdings, Inc. refers to a change in the method of accounting for income taxes
to adopt Statement of Financial Accounting Standards No. 109, Accounting for
Income Taxes, effective June 1, 1993.
 
KPMG Peat Marwick LLP
 
Seattle, Washington
   
October 22, 1996