Dialysis Facility

Westminster Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

12121 Westheimer Rd Ste 245

Houston, TX 77077

Contact

(281) 493-9046

Certification Date

05/10/1995

Details

CMS Certification Number

452709

Ownership Type

Profit

Number of Dialysis Stations

24

Services Offered

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

Quality Measures

Survival Category

As Expected

Hospitalization Category

Worse than Expected

Readmission Category

As Expected

Transfusion Category

Worse than Expected

Waitlist Ratio Category

As Expected

ED Encounters within 30 Days Category

As 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

38%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

21.4

Mortality Rate Upper Confidence Limit

31.2

Mortality Rate Lower Confidence Limit

14.8

Hospitalization Measures

Hospitalization Rate

195.1

Hospitalization Rate Upper Confidence Limit

272.7

Hospitalization Rate Lower Confidence Limit

143.5

Readmission Measures

Readmission Rate

31.7

Readmission Rate Upper Confidence Limit

41.5

Readmission Rate Lower Confidence Limit

23.2

Transfusion Measures

Transfusion Rate

94.4

Transfusion Rate Upper Confidence Limit

216.4

Transfusion Rate Lower Confidence Limit

49.3

Waitlist Measures

Waitlist Ratio

0

Waitlist Ratio Upper Confidence Limit

1.26

Waitlist Ratio Lower Confidence Limit

0

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

7.8

PPPW Upper Confidence Limit

27.3

PPPW Lower Confidence Limit

1.8

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.49

SEDR Upper Confidence Limit

2.7

SEDR Lower Confidence Limit

0.84

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.25

ED30 Upper Confidence Limit

2.19

ED30 Lower Confidence Limit

0.56

Standardized Infection Ratio (SIR)

SIR

0.42

SIR Upper Confidence Limit

1.01

SIR Lower Confidence Limit

0.13

Fistula Measures

Fistula Rate

69.6

Fistula Rate Upper Confidence Limit

84

Fistula Rate Lower Confidence Limit

54.2

Long-Term Catheter Measures

Long-Term Catheter Percentage

19

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

26

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

28

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

18

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

15