Dialysis Facility

Davita Memorial Dialysis Center

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

11621 Katy Freeway

Houston, TX 77079

Contact

(281) 558-5702

Certification Date

04/24/1997

Details

CMS Certification Number

452755

Ownership Type

Profit

Number of Dialysis Stations

26

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis Yes
Home hemodialysis training Yes
Shifts starting after 5 p.m. Yes

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

As Expected

Additional Measures

Percentage of Adult HD Patients with Kt/V ≥ 1.2

96%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

82%

Percentage of Patients with Hemoglobin < 10 g/dL

19%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

21.5

Mortality Rate Upper Confidence Limit

35.5

Mortality Rate Lower Confidence Limit

13.4

Hospitalization Measures

Hospitalization Rate

120.1

Hospitalization Rate Upper Confidence Limit

206.4

Hospitalization Rate Lower Confidence Limit

76.2

Readmission Measures

Readmission Rate

21.6

Readmission Rate Upper Confidence Limit

36.4

Readmission Rate Lower Confidence Limit

10.2

Transfusion Measures

Transfusion Rate

28.6

Transfusion Rate Upper Confidence Limit

85.6

Transfusion Rate Lower Confidence Limit

12.1

Waitlist Measures

Waitlist Ratio

0.77

Waitlist Ratio Upper Confidence Limit

2.77

Waitlist Ratio Lower Confidence Limit

0.09

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

22.2

PPPW Upper Confidence Limit

42.1

PPPW Lower Confidence Limit

10.1

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1

SEDR Upper Confidence Limit

2.19

SEDR Lower Confidence Limit

0.56

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.31

ED30 Upper Confidence Limit

2.21

ED30 Lower Confidence Limit

0.58

Standardized Infection Ratio (SIR)

SIR

0.43

SIR Upper Confidence Limit

1.17

SIR Lower Confidence Limit

0.11

Fistula Measures

Fistula Rate

59.9

Fistula Rate Upper Confidence Limit

79.1

Fistula Rate Lower Confidence Limit

39.5

Long-Term Catheter Measures

Long-Term Catheter Percentage

20

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

21

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

29

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

16