Dialysis Facility

Fresenius Medical Care West Pearland

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

2276 Business Center Drive

Pearland, TX 77584

Contact

(713) 436-0364

Certification Date

08/09/2016

Details

CMS Certification Number

672784

Ownership Type

Profit

Number of Dialysis Stations

13

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis Yes
Home hemodialysis training Yes
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

98%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

82%

Percentage of Patients with Hemoglobin < 10 g/dL

12%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

16.7

Mortality Rate Upper Confidence Limit

30

Mortality Rate Lower Confidence Limit

9.4

Hospitalization Measures

Hospitalization Rate

118

Hospitalization Rate Upper Confidence Limit

199.5

Hospitalization Rate Lower Confidence Limit

75.9

Readmission Measures

Readmission Rate

20

Readmission Rate Upper Confidence Limit

32.9

Readmission Rate Lower Confidence Limit

10.5

Transfusion Measures

Transfusion Rate

61.3

Transfusion Rate Upper Confidence Limit

150.2

Transfusion Rate Lower Confidence Limit

30.4

Waitlist Measures

Waitlist Ratio

1.48

Waitlist Ratio Upper Confidence Limit

3.8

Waitlist Ratio Lower Confidence Limit

0.4

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

29.4

PPPW Upper Confidence Limit

48

PPPW Lower Confidence Limit

15.8

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.42

SEDR Upper Confidence Limit

1.27

SEDR Lower Confidence Limit

0.16

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.06

ED30 Upper Confidence Limit

2.27

ED30 Lower Confidence Limit

0.38

Standardized Infection Ratio (SIR)

SIR

0.15

SIR Upper Confidence Limit

0.72

SIR Lower Confidence Limit

0.01

Fistula Measures

Fistula Rate

59.7

Fistula Rate Upper Confidence Limit

79.5

Fistula Rate Lower Confidence Limit

38.5

Long-Term Catheter Measures

Long-Term Catheter Percentage

21

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

22

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

25

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

25

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

20