Dialysis Facility

Davita Dairy Ashford Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

12606 West Park Drive

Houston, TX 77082

Contact

(281) 679-1848

Certification Date

05/07/2018

Details

CMS Certification Number

672848

Ownership Type

Profit

Number of Dialysis Stations

20

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

97%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

82%

Percentage of Patients with Hemoglobin < 10 g/dL

16%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

19.2

Mortality Rate Upper Confidence Limit

33.2

Mortality Rate Lower Confidence Limit

10.5

Hospitalization Measures

Hospitalization Rate

172.8

Hospitalization Rate Upper Confidence Limit

268.8

Hospitalization Rate Lower Confidence Limit

118.3

Readmission Measures

Readmission Rate

35.3

Readmission Rate Upper Confidence Limit

46.7

Readmission Rate Lower Confidence Limit

25

Transfusion Measures

Transfusion Rate

60.6

Transfusion Rate Upper Confidence Limit

181.7

Transfusion Rate Lower Confidence Limit

25.7

Waitlist Measures

Waitlist Ratio

0.56

Waitlist Ratio Upper Confidence Limit

2.02

Waitlist Ratio Lower Confidence Limit

0.07

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

18.5

PPPW Upper Confidence Limit

41.5

PPPW Lower Confidence Limit

6.8

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.35

SEDR Upper Confidence Limit

2.76

SEDR Lower Confidence Limit

0.69

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

0.95

ED30 Upper Confidence Limit

2.15

ED30 Lower Confidence Limit

0.29

Standardized Infection Ratio (SIR)

SIR

0.49

SIR Upper Confidence Limit

1.61

SIR Lower Confidence Limit

0.08

Fistula Measures

Fistula Rate

66.3

Fistula Rate Upper Confidence Limit

87.3

Fistula Rate Lower Confidence Limit

44

Long-Term Catheter Measures

Long-Term Catheter Percentage

11

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

15

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

29

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

28

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

19