Dialysis Facility

Fresenius Medical Care Fondren

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

7011 Regency Square Blvd

Houston, TX 77036

Contact

(713) 782-1810

Certification Date

05/21/1985

Details

CMS Certification Number

452560

Ownership Type

Profit

Number of Dialysis Stations

20

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis No
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

98%

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

25

Mortality Rate Upper Confidence Limit

39.5

Mortality Rate Lower Confidence Limit

15.9

Hospitalization Measures

Hospitalization Rate

137.8

Hospitalization Rate Upper Confidence Limit

232.3

Hospitalization Rate Lower Confidence Limit

88

Readmission Measures

Readmission Rate

24.8

Readmission Rate Upper Confidence Limit

36.3

Readmission Rate Lower Confidence Limit

15.1

Transfusion Measures

Transfusion Rate

36.1

Transfusion Rate Upper Confidence Limit

128.3

Transfusion Rate Lower Confidence Limit

13.4

Waitlist Measures

Waitlist Ratio

0

Waitlist Ratio Upper Confidence Limit

1.28

Waitlist Ratio Lower Confidence Limit

0

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

4.8

PPPW Upper Confidence Limit

30

PPPW Lower Confidence Limit

0.6

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.16

SEDR Upper Confidence Limit

2.17

SEDR Lower Confidence Limit

0.64

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.76

ED30 Upper Confidence Limit

2.63

ED30 Lower Confidence Limit

1

Standardized Infection Ratio (SIR)

SIR

0

SIR Upper Confidence Limit

0.46

SIR Lower Confidence Limit

Fistula Measures

Fistula Rate

68.6

Fistula Rate Upper Confidence Limit

87

Fistula Rate Lower Confidence Limit

49

Long-Term Catheter Measures

Long-Term Catheter Percentage

15

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

10

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

20

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

27

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

18