Dialysis Facility

Davita Willowbrook Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

12120 Jones Road, Suite G

Houston, TX 77070

Contact

(281) 890-7288

Certification Date

03/10/2006

Details

CMS Certification Number

672538

Ownership Type

Profit

Number of Dialysis Stations

12

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis Yes
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

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

93%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

92%

Percentage of Patients with Hemoglobin < 10 g/dL

23%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

25.2

Mortality Rate Upper Confidence Limit

37.5

Mortality Rate Lower Confidence Limit

17.1

Hospitalization Measures

Hospitalization Rate

209.4

Hospitalization Rate Upper Confidence Limit

297.5

Hospitalization Rate Lower Confidence Limit

151.7

Readmission Measures

Readmission Rate

32

Readmission Rate Upper Confidence Limit

43.8

Readmission Rate Lower Confidence Limit

22.1

Transfusion Measures

Transfusion Rate

70.6

Transfusion Rate Upper Confidence Limit

143.9

Transfusion Rate Lower Confidence Limit

40.4

Waitlist Measures

Waitlist Ratio

0.86

Waitlist Ratio Upper Confidence Limit

2.2

Waitlist Ratio Lower Confidence Limit

0.23

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

11.9

PPPW Upper Confidence Limit

31.9

PPPW Lower Confidence Limit

3.8

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.03

SEDR Upper Confidence Limit

1.98

SEDR Lower Confidence Limit

0.57

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.92

ED30 Upper Confidence Limit

1.75

ED30 Lower Confidence Limit

0.36

Standardized Infection Ratio (SIR)

SIR

0

SIR Upper Confidence Limit

0.54

SIR Lower Confidence Limit

Fistula Measures

Fistula Rate

51.3

Fistula Rate Upper Confidence Limit

75

Fistula Rate Lower Confidence Limit

26

Long-Term Catheter Measures

Long-Term Catheter Percentage

31

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

6

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

16

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

23

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

25

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

30