Dialysis Facility

Davita Romano Woods Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

16910 Mathis Church Road

Houston, TX 77090

Contact

(281) 893-6300

Certification Date

09/21/2010

Details

CMS Certification Number

672655

Ownership Type

Profit

Number of Dialysis Stations

30

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

Not Available

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

94%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

35%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

25.3

Mortality Rate Upper Confidence Limit

40

Mortality Rate Lower Confidence Limit

15.4

Hospitalization Measures

Hospitalization Rate

205.3

Hospitalization Rate Upper Confidence Limit

327.7

Hospitalization Rate Lower Confidence Limit

137.3

Readmission Measures

Readmission Rate

25.4

Readmission Rate Upper Confidence Limit

35.8

Readmission Rate Lower Confidence Limit

16.4

Transfusion Measures

Transfusion Rate

Transfusion Rate Upper Confidence Limit

Transfusion Rate Lower Confidence Limit

Waitlist Measures

Waitlist Ratio

Waitlist Ratio Upper Confidence Limit

Waitlist Ratio Lower Confidence Limit

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

8.6

PPPW Upper Confidence Limit

32.8

PPPW Lower Confidence Limit

1.8

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.88

SEDR Upper Confidence Limit

2.21

SEDR Lower Confidence Limit

0.36

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.89

ED30 Upper Confidence Limit

1.79

ED30 Lower Confidence Limit

0.35

Standardized Infection Ratio (SIR)

SIR

0

SIR Upper Confidence Limit

0.86

SIR Lower Confidence Limit

Fistula Measures

Fistula Rate

58.5

Fistula Rate Upper Confidence Limit

77.4

Fistula Rate Lower Confidence Limit

38.3

Long-Term Catheter Measures

Long-Term Catheter Percentage

20

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

8

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

24

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

23

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

28