Dialysis Facility

Gulfgate Kidney Center

Quality Rating

Chain Owned Facility

Chain Organization: US Renal Care, Inc.

Address

2916 Woodridge Drive

Houston, TX 77087

Contact

(346) 772-0517

Certification Date

05/01/2018

Details

CMS Certification Number

672844

Ownership Type

Profit

Number of Dialysis Stations

28

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

95%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

85%

Percentage of Patients with Hemoglobin < 10 g/dL

4%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

25.2

Mortality Rate Upper Confidence Limit

41.1

Mortality Rate Lower Confidence Limit

15.3

Hospitalization Measures

Hospitalization Rate

155.5

Hospitalization Rate Upper Confidence Limit

236

Hospitalization Rate Lower Confidence Limit

106

Readmission Measures

Readmission Rate

31.3

Readmission Rate Upper Confidence Limit

45.6

Readmission Rate Lower Confidence Limit

20

Transfusion Measures

Transfusion Rate

84.6

Transfusion Rate Upper Confidence Limit

166.5

Transfusion Rate Lower Confidence Limit

49.7

Waitlist Measures

Waitlist Ratio

0.2

Waitlist Ratio Upper Confidence Limit

1.13

Waitlist Ratio Lower Confidence Limit

0.01

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

17.4

PPPW Upper Confidence Limit

34.5

PPPW Lower Confidence Limit

7.8

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.23

SEDR Upper Confidence Limit

2.29

SEDR Lower Confidence Limit

0.7

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.3

ED30 Upper Confidence Limit

2.28

ED30 Lower Confidence Limit

0.63

Standardized Infection Ratio (SIR)

SIR

0.14

SIR Upper Confidence Limit

0.7

SIR Lower Confidence Limit

0.01

Fistula Measures

Fistula Rate

64.8

Fistula Rate Upper Confidence Limit

82.1

Fistula Rate Lower Confidence Limit

46.5

Long-Term Catheter Measures

Long-Term Catheter Percentage

16

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

10

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

24

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

29

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

15