Dialysis Facility

Davita Cloverleaf Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

13525 East Freeway

Suite A

Houston, TX 77015

Contact

(713) 450-0874

Certification Date

03/10/2016

Details

CMS Certification Number

672773

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

95%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

94%

Percentage of Patients with Hemoglobin < 10 g/dL

%

Percentage of Patients with Hemoglobin > 12 g/dL

%

Mortality Measures

Mortality Rate

31.9

Mortality Rate Upper Confidence Limit

51.2

Mortality Rate Lower Confidence Limit

19

Hospitalization Measures

Hospitalization Rate

145.6

Hospitalization Rate Upper Confidence Limit

252

Hospitalization Rate Lower Confidence Limit

90.9

Readmission Measures

Readmission Rate

16.8

Readmission Rate Upper Confidence Limit

31.5

Readmission Rate Lower Confidence Limit

6.9

Transfusion Measures

Transfusion Rate

56.5

Transfusion Rate Upper Confidence Limit

226.3

Transfusion Rate Lower Confidence Limit

19

Waitlist Measures

Waitlist Ratio

Waitlist Ratio Upper Confidence Limit

Waitlist Ratio Lower Confidence Limit

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

8.2

PPPW Upper Confidence Limit

29.7

PPPW Lower Confidence Limit

1.9

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.69

SEDR Upper Confidence Limit

1.99

SEDR Lower Confidence Limit

0.25

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.09

ED30 Upper Confidence Limit

2.43

ED30 Lower Confidence Limit

0.34

Standardized Infection Ratio (SIR)

SIR

0.36

SIR Upper Confidence Limit

1.78

SIR Lower Confidence Limit

0.02

Fistula Measures

Fistula Rate

59.6

Fistula Rate Upper Confidence Limit

84.9

Fistula Rate Lower Confidence Limit

32.7

Long-Term Catheter Measures

Long-Term Catheter Percentage

20

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

23

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

27

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

24

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

20