Dialysis Facility

Davita Houston Galleria Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

5923 Westheimer Rd

Houston, TX 77057

Contact

(713) 977-1278

Certification Date

07/29/2014

Details

CMS Certification Number

672730

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

Better than Expected

Hospitalization Category

As Expected

Readmission Category

As Expected

Transfusion Category

As 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

99%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

98%

Percentage of Patients with Hemoglobin < 10 g/dL

13%

Percentage of Patients with Hemoglobin > 12 g/dL

3%

Mortality Measures

Mortality Rate

12.4

Mortality Rate Upper Confidence Limit

20.6

Mortality Rate Lower Confidence Limit

7.3

Hospitalization Measures

Hospitalization Rate

114.2

Hospitalization Rate Upper Confidence Limit

189.8

Hospitalization Rate Lower Confidence Limit

71.6

Readmission Measures

Readmission Rate

28.5

Readmission Rate Upper Confidence Limit

43.7

Readmission Rate Lower Confidence Limit

16.1

Transfusion Measures

Transfusion Rate

11.8

Transfusion Rate Upper Confidence Limit

70.9

Transfusion Rate Lower Confidence Limit

2.9

Waitlist Measures

Waitlist Ratio

1.65

Waitlist Ratio Upper Confidence Limit

4.21

Waitlist Ratio Lower Confidence Limit

0.45

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

28.3

PPPW Upper Confidence Limit

53.3

PPPW Lower Confidence Limit

12

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.03

SEDR Upper Confidence Limit

1.91

SEDR Lower Confidence Limit

0.59

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.09

ED30 Upper Confidence Limit

2.08

ED30 Lower Confidence Limit

0.42

Standardized Infection Ratio (SIR)

SIR

0.47

SIR Upper Confidence Limit

1.57

SIR Lower Confidence Limit

0.08

Fistula Measures

Fistula Rate

63.4

Fistula Rate Upper Confidence Limit

83.4

Fistula Rate Lower Confidence Limit

42.2

Long-Term Catheter Measures

Long-Term Catheter Percentage

14

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

6

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

21

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

34

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

24

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

15