Dialysis Facility

Davita Jersey Village Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

8787 Fallbrook Dr

Houston, TX 77064

Contact

(281) 477-7878

Certification Date

07/27/2016

Details

CMS Certification Number

672781

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

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

%

Percentage of Patients with Hemoglobin < 10 g/dL

0%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

14.7

Mortality Rate Upper Confidence Limit

25.6

Mortality Rate Lower Confidence Limit

7.8

Hospitalization Measures

Hospitalization Rate

83

Hospitalization Rate Upper Confidence Limit

168.1

Hospitalization Rate Lower Confidence Limit

45.3

Readmission Measures

Readmission Rate

17.2

Readmission Rate Upper Confidence Limit

38.1

Readmission Rate Lower Confidence Limit

5.5

Transfusion Measures

Transfusion Rate

6.1

Transfusion Rate Upper Confidence Limit

136.3

Transfusion Rate Lower Confidence Limit

0.5

Waitlist Measures

Waitlist Ratio

0

Waitlist Ratio Upper Confidence Limit

1.77

Waitlist Ratio Lower Confidence Limit

0

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

15.2

PPPW Upper Confidence Limit

41.5

PPPW Lower Confidence Limit

4.4

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.66

SEDR Upper Confidence Limit

1.71

SEDR Lower Confidence Limit

0.27

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.04

ED30 Upper Confidence Limit

2.58

ED30 Lower Confidence Limit

0.22

Standardized Infection Ratio (SIR)

SIR

0.36

SIR Upper Confidence Limit

1.2

SIR Lower Confidence Limit

0.06

Fistula Measures

Fistula Rate

63.8

Fistula Rate Upper Confidence Limit

84.7

Fistula Rate Lower Confidence Limit

41.5

Long-Term Catheter Measures

Long-Term Catheter Percentage

19

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

19

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

20

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

26