Dialysis Facility

Davita West Point Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

12051 Westpark Drive

Suite 100

Houston, TX 77082

Contact

(281) 920-4892

Certification Date

01/10/2013

Details

CMS Certification Number

672693

Ownership Type

Profit

Number of Dialysis Stations

16

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

Worse than Expected

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

96%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

%

Percentage of Patients with Hemoglobin < 10 g/dL

33%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

20.3

Mortality Rate Upper Confidence Limit

31.6

Mortality Rate Lower Confidence Limit

13

Hospitalization Measures

Hospitalization Rate

150.5

Hospitalization Rate Upper Confidence Limit

227.9

Hospitalization Rate Lower Confidence Limit

102.8

Readmission Measures

Readmission Rate

32.8

Readmission Rate Upper Confidence Limit

47

Readmission Rate Lower Confidence Limit

20.5

Transfusion Measures

Transfusion Rate

69.6

Transfusion Rate Upper Confidence Limit

170.5

Transfusion Rate Lower Confidence Limit

34.5

Waitlist Measures

Waitlist Ratio

0.23

Waitlist Ratio Upper Confidence Limit

1.28

Waitlist Ratio Lower Confidence Limit

0.01

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

9.9

PPPW Upper Confidence Limit

30.9

PPPW Lower Confidence Limit

2.6

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.85

SEDR Upper Confidence Limit

1.76

SEDR Lower Confidence Limit

0.42

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.15

ED30 Upper Confidence Limit

2.04

ED30 Lower Confidence Limit

0.44

Standardized Infection Ratio (SIR)

SIR

0.29

SIR Upper Confidence Limit

0.95

SIR Lower Confidence Limit

0.05

Fistula Measures

Fistula Rate

56.7

Fistula Rate Upper Confidence Limit

75.8

Fistula Rate Lower Confidence Limit

36.4

Long-Term Catheter Measures

Long-Term Catheter Percentage

25

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

24

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

18

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

21