Dialysis Facility

Fresenius Medical Care Pamela Heights

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

15917 South Post Oak Rd

Suite B

Houston, TX 77053

Contact

(281) 438-0354

Certification Date

10/06/2011

Details

CMS Certification Number

672677

Ownership Type

Profit

Number of Dialysis Stations

11

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

99%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

%

Percentage of Patients with Hemoglobin > 12 g/dL

%

Mortality Measures

Mortality Rate

19.6

Mortality Rate Upper Confidence Limit

33.9

Mortality Rate Lower Confidence Limit

10.7

Hospitalization Measures

Hospitalization Rate

158.7

Hospitalization Rate Upper Confidence Limit

279.6

Hospitalization Rate Lower Confidence Limit

97.6

Readmission Measures

Readmission Rate

29.7

Readmission Rate Upper Confidence Limit

45.1

Readmission Rate Lower Confidence Limit

17.1

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

11.4

PPPW Upper Confidence Limit

49

PPPW Lower Confidence Limit

1.7

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.41

SEDR Upper Confidence Limit

1.84

SEDR Lower Confidence Limit

0.1

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.37

ED30 Upper Confidence Limit

3.39

ED30 Lower Confidence Limit

0.27

Standardized Infection Ratio (SIR)

SIR

0.66

SIR Upper Confidence Limit

2.19

SIR Lower Confidence Limit

0.11

Fistula Measures

Fistula Rate

68.2

Fistula Rate Upper Confidence Limit

92

Fistula Rate Lower Confidence Limit

42.8

Long-Term Catheter Measures

Long-Term Catheter Percentage

13

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

13

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

26

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

28

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

19

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

13