Dialysis Facility

Davita Garden Oaks Dialysis

Quality Rating

Chain Owned Facility

Chain Organization: DaVita

Address

2001 W 34th St

Houston, TX 77018

Contact

(713) 366-4567

Certification Date

06/10/2021

Details

CMS Certification Number

742585

Ownership Type

Profit

Number of Dialysis Stations

21

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

Not Available

Waitlist Ratio Category

Not Available

ED Encounters within 30 Days Category

Not Available

Additional Measures

Percentage of Adult HD Patients with Kt/V ≥ 1.2

96%

Percentage of Adult PD Patients with Kt/V ≥ 1.7

95%

Percentage of Patients with Hemoglobin < 10 g/dL

6%

Percentage of Patients with Hemoglobin > 12 g/dL

0%

Mortality Measures

Mortality Rate

29.4

Mortality Rate Upper Confidence Limit

71.5

Mortality Rate Lower Confidence Limit

8.5

Hospitalization Measures

Hospitalization Rate

144.5

Hospitalization Rate Upper Confidence Limit

305.7

Hospitalization Rate Lower Confidence Limit

74.2

Readmission Measures

Readmission Rate

27.3

Readmission Rate Upper Confidence Limit

49.3

Readmission Rate Lower Confidence Limit

11.4

Transfusion Measures

Transfusion Rate

Transfusion Rate Upper Confidence Limit

Transfusion Rate Lower Confidence Limit

Waitlist Measures

Waitlist Ratio

Waitlist Ratio Upper Confidence Limit

Waitlist Ratio Lower Confidence Limit

Percentage of Prevalent Patients Waitlisted (PPPW)

PPPW Percentage

5.7

PPPW Upper Confidence Limit

35.5

PPPW Lower Confidence Limit

0.7

Standardized Emergency Department Encounter Ratio (SEDR)

SEDR Ratio

1.34

SEDR Upper Confidence Limit

2.94

SEDR Lower Confidence Limit

0.63

ED Encounters within 30 Days of Hospital Discharge (ED30)

ED30 Ratio

ED30 Upper Confidence Limit

ED30 Lower Confidence Limit

Standardized Infection Ratio (SIR)

SIR

0.29

SIR Upper Confidence Limit

1.45

SIR Lower Confidence Limit

0.02

Fistula Measures

Fistula Rate

45.9

Fistula Rate Upper Confidence Limit

72.3

Fistula Rate Lower Confidence Limit

17.9

Long-Term Catheter Measures

Long-Term Catheter Percentage

32

Serum Phosphorus Measures

Percentage of Patients with Serum Phosphorus < 3.5 mg/dL

7

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

32

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

23

Percentage of Patients with Serum Phosphorus > 7.0 mg/dL

11