Dialysis Facility

Davita Cyfair Dialysis Center

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

9110 Jones Rd

Ste 104

Houston, TX 77065

Contact

(346) 277-0335

Certification Date

07/03/1997

Details

CMS Certification Number

452762

Ownership Type

Profit

Number of Dialysis Stations

16

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

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

97%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

20%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

17.6

Mortality Rate Upper Confidence Limit

29

Mortality Rate Lower Confidence Limit

10.2

Hospitalization Measures

Hospitalization Rate

113.1

Hospitalization Rate Upper Confidence Limit

200.5

Hospitalization Rate Lower Confidence Limit

69.1

Readmission Measures

Readmission Rate

20.5

Readmission Rate Upper Confidence Limit

36.8

Readmission Rate Lower Confidence Limit

8.8

Transfusion Measures

Transfusion Rate

14.1

Transfusion Rate Upper Confidence Limit

84.4

Transfusion Rate Lower Confidence Limit

3.5

Waitlist Measures

Waitlist Ratio

Waitlist Ratio Upper Confidence Limit

Waitlist Ratio Lower Confidence Limit

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

16.4

PPPW Upper Confidence Limit

47.9

PPPW Lower Confidence Limit

4

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.88

SEDR Upper Confidence Limit

1.83

SEDR Lower Confidence Limit

0.45

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.37

ED30 Upper Confidence Limit

2.39

ED30 Lower Confidence Limit

0.67

Standardized Infection Ratio (SIR)

SIR

0.24

SIR Upper Confidence Limit

1.19

SIR Lower Confidence Limit

0.01

Fistula Measures

Fistula Rate

64.2

Fistula Rate Upper Confidence Limit

89.1

Fistula Rate Lower Confidence Limit

37.8

Long-Term Catheter Measures

Long-Term Catheter Percentage

25

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

17

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

21

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

24

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

33