Dialysis Facility

Davita Sagemeadow Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

10923 Scarsdale Blvd

Houston, TX 77089

Contact

(281) 922-6130

Certification Date

06/29/2011

Details

CMS Certification Number

672670

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

Not Available

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

35%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

24.1

Mortality Rate Upper Confidence Limit

37.2

Mortality Rate Lower Confidence Limit

15.7

Hospitalization Measures

Hospitalization Rate

125.6

Hospitalization Rate Upper Confidence Limit

205.9

Hospitalization Rate Lower Confidence Limit

82.1

Readmission Measures

Readmission Rate

31.9

Readmission Rate Upper Confidence Limit

46.8

Readmission Rate Lower Confidence Limit

19.3

Transfusion Measures

Transfusion Rate

Transfusion Rate Upper Confidence Limit

Transfusion Rate Lower Confidence Limit

Waitlist Measures

Waitlist Ratio

0

Waitlist Ratio Upper Confidence Limit

1.63

Waitlist Ratio Lower Confidence Limit

0

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

12.4

PPPW Upper Confidence Limit

40.3

PPPW Lower Confidence Limit

2.9

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.3

SEDR Upper Confidence Limit

2.51

SEDR Lower Confidence Limit

0.7

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.38

ED30 Upper Confidence Limit

2.66

ED30 Lower Confidence Limit

0.53

Standardized Infection Ratio (SIR)

SIR

0.24

SIR Upper Confidence Limit

1.2

SIR Lower Confidence Limit

0.01

Fistula Measures

Fistula Rate

65.3

Fistula Rate Upper Confidence Limit

85.9

Fistula Rate Lower Confidence Limit

43.3

Long-Term Catheter Measures

Long-Term Catheter Percentage

12

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

15

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

28

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

35

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

13

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

10