Dialysis Facility

Fkc Cypress Fairbanks

Quality Rating

Chain Owned Facility

Chain Organization: Fresenius Medical Care

Address

10505 Jones Rd

Houston, TX 77065

Contact

(281) 894-9687

Certification Date

11/30/2018

Details

CMS Certification Number

742507

Ownership Type

Profit

Number of Dialysis Stations

13

Services Offered

In-center hemodialysis Yes
Peritoneal dialysis No
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

Not Available

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

%

Percentage of Patients with Hemoglobin < 10 g/dL

%

Percentage of Patients with Hemoglobin > 12 g/dL

%

Mortality Measures

Mortality Rate

24.4

Mortality Rate Upper Confidence Limit

40.5

Mortality Rate Lower Confidence Limit

13.1

Hospitalization Measures

Hospitalization Rate

194.9

Hospitalization Rate Upper Confidence Limit

308.4

Hospitalization Rate Lower Confidence Limit

129.6

Readmission Measures

Readmission Rate

26.7

Readmission Rate Upper Confidence Limit

37.6

Readmission Rate Lower Confidence Limit

17.8

Transfusion Measures

Transfusion Rate

Transfusion Rate Upper Confidence Limit

Transfusion Rate Lower Confidence Limit

Waitlist Measures

Waitlist Ratio

0

Waitlist Ratio Upper Confidence Limit

1.84

Waitlist Ratio Lower Confidence Limit

0

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

8.1

PPPW Upper Confidence Limit

35.3

PPPW Lower Confidence Limit

1.4

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

0.34

SEDR Upper Confidence Limit

1.53

SEDR Lower Confidence Limit

0.08

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

1.2

ED30 Upper Confidence Limit

2.19

ED30 Lower Confidence Limit

0.51

Standardized Infection Ratio (SIR)

SIR

0.18

SIR Upper Confidence Limit

0.9

SIR Lower Confidence Limit

0.01

Fistula Measures

Fistula Rate

60.6

Fistula Rate Upper Confidence Limit

82.8

Fistula Rate Lower Confidence Limit

37.1

Long-Term Catheter Measures

Long-Term Catheter Percentage

20

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

9

Percentage of Patients with Serum Phosphorus 3.5-4.5 mg/dL

26

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

24

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

16