Dialysis Facility

Davita Gracias Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

12430 State Highway 249 Ste H

Houston, TX 77086

Contact

(281) 999-0348

Certification Date

11/22/2005

Details

CMS Certification Number

672529

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. No

Quality Measures

Survival Category

As Expected

Hospitalization Category

Worse than 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

97%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

8%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

26.8

Mortality Rate Upper Confidence Limit

41.2

Mortality Rate Lower Confidence Limit

16.8

Hospitalization Measures

Hospitalization Rate

209.3

Hospitalization Rate Upper Confidence Limit

313

Hospitalization Rate Lower Confidence Limit

144.7

Readmission Measures

Readmission Rate

31.6

Readmission Rate Upper Confidence Limit

42.4

Readmission Rate Lower Confidence Limit

21.7

Transfusion Measures

Transfusion Rate

16

Transfusion Rate Upper Confidence Limit

143.8

Transfusion Rate Lower Confidence Limit

2.9

Waitlist Measures

Waitlist Ratio

0.43

Waitlist Ratio Upper Confidence Limit

1.55

Waitlist Ratio Lower Confidence Limit

0.05

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

8.9

PPPW Upper Confidence Limit

29.4

PPPW Lower Confidence Limit

2.2

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.68

SEDR Upper Confidence Limit

1.71

SEDR Lower Confidence Limit

0.29

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.5

ED30 Upper Confidence Limit

1.34

ED30 Lower Confidence Limit

0.11

Standardized Infection Ratio (SIR)

SIR

0

SIR Upper Confidence Limit

0.55

SIR Lower Confidence Limit

Fistula Measures

Fistula Rate

61.7

Fistula Rate Upper Confidence Limit

78.9

Fistula Rate Lower Confidence Limit

43.4

Long-Term Catheter Measures

Long-Term Catheter Percentage

17

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

7

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

19

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

32

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

18

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

24