Dialysis Facility

West Houston Dialysis Center

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

9623 Long Point Rd

Houston, TX 77055

Contact

(713) 932-6324

Certification Date

09/01/1977

Details

CMS Certification Number

452519

Ownership Type

Profit

Number of Dialysis Stations

20

Services Offered

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

Quality Measures

Survival Category

As Expected

Hospitalization Category

As Expected

Readmission Category

As Expected

Transfusion Category

As Expected

Waitlist Ratio Category

As Expected

ED Encounters within 30 Days Category

Worse than 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

%

Percentage of Patients with Hemoglobin > 12 g/dL

%

Mortality Measures

Mortality Rate

21.1

Mortality Rate Upper Confidence Limit

36.8

Mortality Rate Lower Confidence Limit

11.3

Hospitalization Measures

Hospitalization Rate

156.7

Hospitalization Rate Upper Confidence Limit

300

Hospitalization Rate Lower Confidence Limit

88.1

Readmission Measures

Readmission Rate

28.3

Readmission Rate Upper Confidence Limit

46.3

Readmission Rate Lower Confidence Limit

13.7

Transfusion Measures

Transfusion Rate

63.6

Transfusion Rate Upper Confidence Limit

225.9

Transfusion Rate Lower Confidence Limit

23.6

Waitlist Measures

Waitlist Ratio

0

Waitlist Ratio Upper Confidence Limit

1.71

Waitlist Ratio Lower Confidence Limit

0

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

0

PPPW Upper Confidence Limit

0

PPPW Lower Confidence Limit

0

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.15

SEDR Upper Confidence Limit

2.72

SEDR Lower Confidence Limit

0.5

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

3.02

ED30 Upper Confidence Limit

5.55

ED30 Lower Confidence Limit

1.18

Standardized Infection Ratio (SIR)

SIR

0

SIR Upper Confidence Limit

1.12

SIR Lower Confidence Limit

Fistula Measures

Fistula Rate

84.7

Fistula Rate Upper Confidence Limit

100

Fistula Rate Lower Confidence Limit

68.1

Long-Term Catheter Measures

Long-Term Catheter Percentage

1

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

5

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

16

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

26

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

31

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

22