Dialysis Facility

Davita Bear Creek Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

4978 Highway 6 N

Ste I

Houston, TX 77084

Contact

(281) 859-5020

Certification Date

10/09/2006

Details

CMS Certification Number

672549

Ownership Type

Profit

Number of Dialysis Stations

12

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

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

99%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

0%

Percentage of Patients with Hemoglobin > 12 g/dL

5%

Mortality Measures

Mortality Rate

24.1

Mortality Rate Upper Confidence Limit

39

Mortality Rate Lower Confidence Limit

14.8

Hospitalization Measures

Hospitalization Rate

88.3

Hospitalization Rate Upper Confidence Limit

167.6

Hospitalization Rate Lower Confidence Limit

49

Readmission Measures

Readmission Rate

13.8

Readmission Rate Upper Confidence Limit

29.6

Readmission Rate Lower Confidence Limit

4.8

Transfusion Measures

Transfusion Rate

0

Transfusion Rate Upper Confidence Limit

46.7

Transfusion Rate Lower Confidence Limit

0

Waitlist Measures

Waitlist Ratio

Waitlist Ratio Upper Confidence Limit

Waitlist Ratio Lower Confidence Limit

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

16.8

PPPW Upper Confidence Limit

43.1

PPPW Lower Confidence Limit

5.1

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.9

SEDR Upper Confidence Limit

2.15

SEDR Lower Confidence Limit

0.4

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.9

ED30 Upper Confidence Limit

4.11

ED30 Lower Confidence Limit

0.63

Standardized Infection Ratio (SIR)

SIR

0.2

SIR Upper Confidence Limit

0.97

SIR Lower Confidence Limit

0.01

Fistula Measures

Fistula Rate

65.7

Fistula Rate Upper Confidence Limit

84.5

Fistula Rate Lower Confidence Limit

45.7

Long-Term Catheter Measures

Long-Term Catheter Percentage

14

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

27

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

31

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

20

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

15