NPI Associated with this Dialysis Facility:
Dialysis Facilities may have multiple NPI numbers. We have found possible NPI number/s associated with Front Royal Dialysis
from NPPES records by matching pattern on the basis of name, address, phone number etc.
Please use this information accordingly.
| NPI Number | 1982644332 |
| Organization Name | Front Royal Dialysis |
| Doing Business As | Total Renal Care Inc |
| Address | 1360 N Shenandoah Ave Front Royal, Virginia, 22630 |
| Phone Number | (540) 622-2289 |
Survey of Patient's Experiences
Nephrologists Performance Ratings
| Experience Measure | Provider | National Avg. |
|---|
| Patients who reported that nephrologists always communicated and cared for them. | 71% | 67% |
| Patients who reported that nephrologists usually communicated and cared for them. | 10% | 15% |
| Patients who reported that nephrologists sometimes or never communicated and cared for them. | 19% | 18% |
| Patients who gave their nephrologists a rating of 9 or 10 on a scale of 0 (worst possible) to 10 (best possible). | 69% | 60% |
| Patients who gave their nephrologists a rating of 7 or 8 on a scale of 0 (worst possible) to 10 (best possible). | 16% | 26% |
| Patients who gave their nephrologists a rating of 6 or less than 6 on a scale of 0 (worst possible) to 10 (best possible). | 15% | 14% |
Dialysis Center Staff Performance Ratings
| Experience Measure | Provider | National Avg. |
|---|
| Patients who reported that dialysis center staff always communicated well, kept patients comfortable and pain-free as possible. | 71% | 62% |
| Patients who reported that dialysis center staff usually communicated, kept patients comfortable and pain-free as possible. | 14% | 20% |
| Patients who reported that dialysis center staff sometimes or never communicated, kept patients comfortable and pain-free. | 15% | 18% |
| Patients who gave their dialysis facility staff a rating of 9 or 10 on a scale of 0 (worst possible) to 10 (best possible). | 78% | 62% |
| Patients who gave their dialysis facility staff a rating of 7 or 8 on a scale of 0 (worst possible) to 10 (best possible). | 16% | 26% |
| Patients who gave their dialysis facility staff a rating of 6 or less than 6 on a scale of 0 (worst possible) to 10 (best possible). | 6% | 12% |
Overall Dialysis Center Performance Ratings
| Experience Measure | Provider | National Avg. |
|---|
| Patients who reported that 'YES', their nephrologists and dialysis center staff provided them the information they needed to take care of them. | 88% | 80% |
| Patients who reported that 'NO', their nephrologists and dialysis center staff does not provided them the information they needed to take care of them. | 12% | 20% |
| Patients who gave their dialysis center a rating of 9 or 10 on a scale of 0 (worst possible) to 10 (best possible). | 83% | 68% |
| Patients who gave their dialysis center a rating of 7 or 8 on a scale of 0 (worst possible) to 10 (best possible). | 10% | 20% |
| Patients who gave their dialysis center a rating of 6 or less than 6 on a scale of 0 (worst possible) to 10 (best possible). | 7% | 12% |
Patient Distribution
Anemia Management
| Dialysis patients with Hemoglobin data | 38 |
| Medicare patients who had average hemoglobin (hgb) less than 10 g/dL | 26 |
Dialysis Adequacy
Adult patinets who undergo hemodialysis, their Kt/V should be atleast 1.2 and for peritoneal dialysis the Kt/V should be atleast 1.7, that means they are receiving right amount of dialysis. Pediatric patients who undergo hemodialysis, their Kt/V should be atleast 1.2 and for peritoneal dialysis the Kt/V should be 1.8.
Higher percentages should be better.
- Hemodialysis
| Adult patients getting regular hemodialysis at the center | 69 |
| Adult patient months included in Kt/V greater than or equal to 1.2 | 541 |
| Percentage of adult patients getting regular hemodialysis at the center | 95 |
| Percentage of pediatric patients getting regular hemodialysis at the center | |
- Peritoneal Dialysis
| Adult patients getting regular peritoneal dialysis at the center | 22 |
| Adult patient months included in Kt/V greater than or equal to 1.7 | 162 |
| Percentage of adult patients getting regular peritoneal dialysis at the center | 83 |
| Pediatric patients getting regular peritoneal dialysis at the centre | 1 |
| Pediatric patient months included in Kt/V greater than or equal to 1.7 | 3 |
| Percentage of pediatric patients getting regular peritoneal dialysis at the center | |
Mineral and Bone Disorder
An important goal of dialysis is to maintain normal levels of various minerals
in the body, such as calcium. This shows the percentage of patients
treated at Front Royal Dialysis with elevated calcium levels.
| Patients with hypercalcemia | 91 |
| Hypercalcemia patient months | 815 |
| Hypercalcemia patients with serumcalcium greater than 10.2 mg | 1 |
| Patients with Serumphosphor | 90 |
| Patients with Serumphosphor less than 3.5 mg/dL | 11 |
| Patients with Serumphosphor from 3.5 to 4.5 mg/dL | 27 |
| Patients with Serumphosphor from 4.6 to 5.5 mg/dL | 31 |
| Patients with Serumphosphor from 5.6 to 7 mg/dL | 17 |
| Patients with Serumphosphor greater than 7 mg/dL | 14 |
Vascular Access
The arteriovenous (AV) fistulae is considered long term vascular access for hemodialysis because it
allows good blood flow, lasts a long time, and is less likely to get infected or cause blood clots than other types of access.
Patients who don't have time to get a permanent vascular access before they start hemodialysis treatments may need to use a venous catheter as a temporary access.
| Patients included in arterial venous fistula and catheter summaries | 58 |
| Patient months included in arterial venous fistula and catheter summaries | 436 |
| Percentage of patients getting regular hemodialysis at the center that used an arteriovenous (AV) fistulae for their treatment | 66 |
| Percentage of patients receiving treatment through Vascular Catheter for 90 days/longer | 12 |
Hospitalization Rate
The rate of hospitalization show you whether patients who were being treated regularly at a certain dialysis center were admitted to the
hospital more often (worse than expected), less often (better than expected), or about the same (as expected),
compared to similar patients treated at other centers.
| Standard Hospitalization Summary Ratio(SHR) Year | January, 2016 - December, 2016 |
| Patients in facility's Hospitalization Summary | 62 |
| Hospitalization Rate in facility | 178.3 (As Expected) |
| Hospitalization Rate: Upper Confidence Limit | 306.4 |
| Hospitalization Rate: Lower Confidence Limit | 106.8 |
Readmission Rate
The rate of readmission show you whether patients who were being treated regularly at Front Royal Dialysis
were readmitted more often (worse than expected), less often (better than expected), or
about the same (as expected), compared to similar patients treated at other dialysis centers.
| Standard Readmission Summary Ratio(SRR) Year | January, 2016 - December, 2016 |
| Readmission Rate in facility | 35.7 (As Expected) |
| Readmission Rate: Upper Confidence Limit | 50.3 |
| Readmission Rate: Lower Confidence Limit | 22.8 |
Infection Rate
Hemodialysis treatment requires direct access to the bloodstream, which can be an opportunity for germs to
enter the body and cause infection. This information shows how often patients at Front Royal Dialysis get infections in their blood each year
compared to the number of infections expected for the center based on the national average.
| Standard Infection Summary Ratio(SIR) Year | January, 2016 - December, 2016 |
| Infection Rate in facility | .24 (As Expected) |
| SIR: Upper Confidence Limit | 1.17 |
| SIR: Lower Confidence Limit | .01 |
Transfusion Summary
Patients with anemia require blood transfusions if their anemia is not managed well by their
dialysis center. This information shows whether Front Royal Dialysis's rate of transfusions is better than expected,
as expected, or worse than expected, compared to other centers that treat similar patients.
| Standard Transfusion Summary Ratio (STrR) Year | January, 2016 - December, 2016 |
| Patients in facility's Transfusion Summary | 52 |
| Transfusion Rate in facility | 24.7 (As Expected) |
| Transfusion Rate: Upper Confidence Limit | 80.1 |
| Transfusion Rate: Lower Confidence Limit | 8.8 |
Survival Summary
The rate of mortality show you whether patients who were being treated regularly at Front Royal Dialysis lived longer than
expected (better than expected), don’t live as long as expected (worse than expected), or lived as long as expected (as expected), compared
to similar patients treated at other facilities.
| Standard Survival Summary Ratio(SIR) Year | January, 2013 - December, 2016 |
| Patients in facility's Survival Summary | 329 |
| Mortality Rate in facility | 13 (As Expected) |
| Mortality Rate: Upper Confidence Limit | 17.6 |
| Mortality Rate: Lower Confidence Limit | 9.3 |