Dialysis Facility

Davita Southfield Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

11600 Broadway Street

Pearland, TX 77584

Contact

(713) 436-0263

Certification Date

10/06/2017

Details

CMS Certification Number

672833

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

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

99%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

88%

Percentage of Patients with Hemoglobin < 10 g/dL

15%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

17.1

Mortality Rate Upper Confidence Limit

27.7

Mortality Rate Lower Confidence Limit

10.5

Hospitalization Measures

Hospitalization Rate

155

Hospitalization Rate Upper Confidence Limit

239.9

Hospitalization Rate Lower Confidence Limit

103.8

Readmission Measures

Readmission Rate

26.5

Readmission Rate Upper Confidence Limit

41.1

Readmission Rate Lower Confidence Limit

15

Transfusion Measures

Transfusion Rate

71.2

Transfusion Rate Upper Confidence Limit

168.5

Transfusion Rate Lower Confidence Limit

36.3

Waitlist Measures

Waitlist Ratio

0.64

Waitlist Ratio Upper Confidence Limit

1.63

Waitlist Ratio Lower Confidence Limit

0.17

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

18.6

PPPW Upper Confidence Limit

40.2

PPPW Lower Confidence Limit

7.2

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.06

SEDR Upper Confidence Limit

2.06

SEDR Lower Confidence Limit

0.58

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.87

ED30 Upper Confidence Limit

1.63

ED30 Lower Confidence Limit

0.37

Standardized Infection Ratio (SIR)

SIR

0.56

SIR Upper Confidence Limit

1.53

SIR Lower Confidence Limit

0.14

Fistula Measures

Fistula Rate

65.3

Fistula Rate Upper Confidence Limit

86.7

Fistula Rate Lower Confidence Limit

42.5

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

20

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

30

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

25

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

20