Dialysis Facility

Davita West Oaks Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

14800 Westheimer Road

Suite A

Houston, TX 77082

Contact

(281) 752-5469

Certification Date

10/03/2012

Details

CMS Certification Number

672686

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

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

97%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

6%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

21.9

Mortality Rate Upper Confidence Limit

35.2

Mortality Rate Lower Confidence Limit

13.1

Hospitalization Measures

Hospitalization Rate

123.4

Hospitalization Rate Upper Confidence Limit

225

Hospitalization Rate Lower Confidence Limit

73.7

Readmission Measures

Readmission Rate

36.2

Readmission Rate Upper Confidence Limit

59.8

Readmission Rate Lower Confidence Limit

17.6

Transfusion Measures

Transfusion Rate

46.7

Transfusion Rate Upper Confidence Limit

139.8

Transfusion Rate Lower Confidence Limit

19.7

Waitlist Measures

Waitlist Ratio

Waitlist Ratio Upper Confidence Limit

Waitlist Ratio Lower Confidence Limit

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

12.4

PPPW Upper Confidence Limit

38.7

PPPW Lower Confidence Limit

3.1

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.61

SEDR Upper Confidence Limit

1.58

SEDR Lower Confidence Limit

0.25

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.19

ED30 Upper Confidence Limit

2.84

ED30 Lower Confidence Limit

0.27

Standardized Infection Ratio (SIR)

SIR

0.23

SIR Upper Confidence Limit

1.15

SIR Lower Confidence Limit

0.01

Fistula Measures

Fistula Rate

71.1

Fistula Rate Upper Confidence Limit

91.5

Fistula Rate Lower Confidence Limit

49.3

Long-Term Catheter Measures

Long-Term Catheter Percentage

14

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

18

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

30

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

29

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

14