Dialysis Facility

Bma Santa Rosa

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

1020 Second Street

Santa Rosa, CA 95404

Contact

(707) 527-5350

Certification Date

08/18/1977

Details

CMS Certification Number

052524

Ownership Type

Profit

Number of Dialysis Stations

16

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis Yes
Home hemodialysis training No
Shifts starting after 5 p.m. No

Quality Measures

Survival Category

Better than Expected

Hospitalization Category

As Expected

Readmission Category

As Expected

Transfusion Category

As Expected

Waitlist Ratio Category

Not Available

ED Encounters within 30 Days Category

As Expected

Additional Measures

Percentage of Adult HD Patients with Kt/V ≥ 1.2

100%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

36%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

13.1

Mortality Rate Upper Confidence Limit

21.6

Mortality Rate Lower Confidence Limit

7.5

Hospitalization Measures

Hospitalization Rate

101.4

Hospitalization Rate Upper Confidence Limit

187.9

Hospitalization Rate Lower Confidence Limit

59.7

Readmission Measures

Readmission Rate

31.5

Readmission Rate Upper Confidence Limit

51.4

Readmission Rate Lower Confidence Limit

15.9

Transfusion Measures

Transfusion Rate

28.7

Transfusion Rate Upper Confidence Limit

102

Transfusion Rate Lower Confidence Limit

10.6

Waitlist Measures

Waitlist Ratio

Waitlist Ratio Upper Confidence Limit

Waitlist Ratio Lower Confidence Limit

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

30.4

PPPW Upper Confidence Limit

64.2

PPPW Lower Confidence Limit

9.7

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.21

SEDR Upper Confidence Limit

2.08

SEDR Lower Confidence Limit

0.74

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.07

ED30 Upper Confidence Limit

2.32

ED30 Lower Confidence Limit

0.33

Standardized Infection Ratio (SIR)

SIR

0.27

SIR Upper Confidence Limit

1.34

SIR Lower Confidence Limit

0.01

Fistula Measures

Fistula Rate

56.2

Fistula Rate Upper Confidence Limit

79.9

Fistula Rate Lower Confidence Limit

31

Long-Term Catheter Measures

Long-Term Catheter Percentage

14

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

13

Percentage of Patients with Serum Phosphorus 3.5-4.5 mg/dL

31

Percentage of Patients with Serum Phosphorus 4.6-5.5 mg/dL

35

Percentage of Patients with Serum Phosphorus 5.6-7.0 mg/dL

16

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

6