Composite
87.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| state reg risk | 87.2 | 42.0 | 0.30 | 0.2222 | 19.38 | in index |
| billing conduct | 87.1 | 27.7 | 0.30 | 0.2222 | 19.36 | in index |
| quality risk | 76.2 | 67.0 | 0.30 | 0.2222 | 16.93 | in index |
| financial risk | 12.8 | 32.6 | 0.30 | 0.2222 | 2.84 | in index |
| chow risk | 23.0 | 6.2 | 0.15 | 0.1111 | 2.56 | in index |
| ownership opacity | 89.3 | 55.0 | excluded |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 10 chains | PHILIP ZHOU | 10 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 27.7 | B | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 3.0 | A | v0.1-pecoshha | default · in composite | Home health change of ownership from PECOS owner association dates, the created-for-acquisition flag, owner cohort churn and investment or holding company layering. |
| chow risk | 9.4 | A | v0.1-pos | default · in composite | Change-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure. |
| financial risk | 35.9 | B | v0.1-cacdph | default · in composite | California home health operating scale, public payer visit concentration, service intensity and lack-of-funds discharges. |
| financial risk | 29.3 | B | v0.5 | default · in composite | R18. |
| ownership opacity | 55.0 | C | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 69.5 | D | v0.1 | default · in composite | |
| quality risk | 64.5 | C | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| state reg risk | 42.0 | B | v0.1-cacdph | default · in composite | CDPH licence tenure, expiry, branch role and failure to file the mandatory HCAI annual utilization report. |
| financial risk | 24.9 | A | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| financial risk | 26.6 | B | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity. |
| ownership opacity | 0.0 | A | v0.1-pecos | addressable | R21. Retained as a description of ownership structure. Deliberately NOT in any composite: inversely related to billing conduct. |
| Measure | Value | Stars | Period | Source |
|---|---|---|---|---|
| How often patients got better at bathing | 43.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at getting in and out of bed | 42.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at walking or moving around | 43.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 84.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 32.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often physician-recommended actions to address medication issues were completely timely | 20.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 87.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Percent of Residents Experiencing One or More Falls with Major Injury | 0.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 10.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Changes in skin integrity post-acute care: pressure ulcer/injury | 0.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How much Medicare spends on an episode of care at this agency, compared to Medicare spending across all agencies nationally | 1.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 1.5 | 1.5 | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often the home health team began their patients' care in a timely manner | 88.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Percent of patients who reported that their home health team communicated well with them | 77.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Percent of patients who gave their home health agency a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) | 72.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Percent of patients who reported that their home health team gave care in a professional way | 85.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Percent of patients who reported YES, they would definitely recommend the home health agency to friends and family | 67.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 13.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 22.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2020-07-16 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CHARLES APOSTOL | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2019-08-08 | current | pecos_ownership |
| HAZEL DIANA SILVA GALVEZ | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2019-08-08 | current | pecos_ownership |
| LEE GABRIEL PAYSON | W-2 MANAGING EMPLOYEE | 100% | 2019-08-08 | current | pecos_ownership |
| PHILIP ZHOU | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2019-08-08 | current | pecos_ownership |
| CALIFORNIA PROFESSIONAL CARE | — | — | 2020-07-16 | current | ca_cdph_elms |
| CALPRO CARE HOME HEALTH | — | — | 2020-07-16 | current | ca_cdph_elms |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06071 | acs median gross | 0 | $1,374 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 0 | $1,692 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 1 | $1,432 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 1 | $1,777 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 2 | $1,717 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 2 | $2,201 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 3 | $2,050 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 3 | $2,912 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 4 | $2,471 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 4 | $3,514 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 5 | $2,796 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | acs median gross | $1,801 | 2024-12-31 | CENSUS_ACS5 | |
| county 06071 | acs recent mover gross | $2,184 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 91763 | acs median gross | 0 | $1,200 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91763 | acs median gross | 1 | $1,679 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91763 | acs median gross | 2 | $1,758 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91763 | acs median gross | 3 | $2,103 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91763 | acs median gross | 4 | $2,296 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91763 | acs median gross | $1,899 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 91763 | acs recent mover gross | $2,544 | 2024-12-31 | CENSUS_ACS5 | |
| zip 91763 | payment standard 110 | 0 | $1,914 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | payment standard 90 | 0 | $1,566 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | safmr | 0 | $1,740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | payment standard 110 | 1 | $2,002 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | payment standard 90 | 1 | $1,638 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | safmr | 1 | $1,820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | payment standard 110 | 2 | $2,486 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | payment standard 90 | 2 | $2,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | safmr | 2 | $2,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | payment standard 110 | 3 | $3,289 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | payment standard 90 | 3 | $2,691 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | safmr | 3 | $2,990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | payment standard 110 | 4 | $3,971 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | payment standard 90 | 4 | $3,249 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91763 | safmr | 4 | $3,610 | 2025-10-01 | HUD_USER_SAFMR |