Composite
80.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 80.8 | 25.6 | 0.30 | 0.2222 | 17.96 | in index |
| regulatory risk | 64.2 | 75.0 | 0.30 | 0.2222 | 14.27 | in index |
| chow risk | 86.7 | 38.3 | 0.15 | 0.1111 | 9.63 | in index |
| financial risk | 35.4 | 40.2 | 0.30 | 0.2222 | 7.87 | in index |
| quality risk | 30.3 | 42.6 | 0.30 | 0.2222 | 6.73 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 25.6 | B | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 61.0 | C | 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 | 15.6 | 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 | 40.2 | B | v0.5 | default · in composite | R18. |
| quality risk | 42.6 | B | v0.1 | default · in composite | |
| regulatory risk | 75.0 | D | v0.6-pos | default · in composite | R31. Extends v0.5-pos to hospices (provider type 12): same fields, same weights, no expression change. Hospice regulatory coverage before this was 148 of 6,535 scored hospices, all from the TX HCSSA state model. SNF/NF (type 20) deliberately excluded: the deficiency-based v0.3 already covers 14,315 of 14,720 and is richer evidence than a POS compliance flag. |
| financial risk | 43.4 | B | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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| financial risk | 23.4 | A | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 33.3 | B | 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 | 35.6 | 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 | 40.0 | B | v0.1-pecos | addressable | R21. Retained as a description of ownership structure. Deliberately NOT in any composite: inversely related to billing conduct. |
| regulatory risk | 75.0 | D | v0.5-pos | superseded | R20. Corrects the acptbl_poc_sw error in v0.4-pos; covers provider types 3 and 8. Superseded by v0.6-pos, which extends the population to hospices with no expression change. |
| Measure | Value | Stars | Period | Source |
|---|---|---|---|---|
| How often patients got better at bathing | 93.0 | — | 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 | 87.7 | — | 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 | 86.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 87.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 73.7 | — | 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 | 98.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 89.1 | — | 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 | 1.4 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 9.0 | — | 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 | 1.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 4.0 | 4 | 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 | 99.6 | — | 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 | 74.0 | — | 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) | 74.0 | — | 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 | 86.0 | — | 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 | 65.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 18.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | 2.0 | 2 | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 60.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| DANIEL CUNDIFF | W-2 MANAGING EMPLOYEE | 100% | 2016-08-01 | current | pecos_ownership |
| DISCOVERY AT HOME LLC | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2016-08-01 | current | pecos_ownership |
| DISCOVERY SL INTERMEDIATE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-11-29 | current | pecos_ownership |
| DISCOVERY SL MANAGEMENT, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-11-29 | current | pecos_ownership |
| DSL HOLDINGS, LP | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-11-29 | current | pecos_ownership |
| DANIEL CUNDIFF | CORPORATE OFFICER | 50% | 2017-02-07 | current | pecos_ownership |
| RICHARD HUTCHINSON | OPERATIONAL/MANAGERIAL CONTROL | 50% | 2022-11-29 | current | pecos_ownership |
| LEE EQUITY PARTNERS FUND III (A) L.P. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 33% | 2022-11-29 | current | pecos_ownership |
| LEE EQUIY PARTNERS FUND III, L.P. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 22% | 2022-11-29 | current | pecos_ownership |
| COASTWOOD CO-INVEST I LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 15% | 2022-11-29 | current | pecos_ownership |
| WINSLOW ACQUISITION COMPANY LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 7% | 2022-11-29 | current | pecos_ownership |
| HOFFMAN DISCOVERY TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 5% | 2022-11-29 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12057 | acs median gross | 0 | $1,424 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | fmr | 0 | $1,593 | 2025-10-01 | HUD_USER_FMR |
| county 12057 | acs median gross | 1 | $1,408 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | fmr | 1 | $1,696 | 2025-10-01 | HUD_USER_FMR |
| county 12057 | acs median gross | 2 | $1,671 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | fmr | 2 | $1,977 | 2025-10-01 | HUD_USER_FMR |
| county 12057 | acs median gross | 3 | $1,895 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | fmr | 3 | $2,527 | 2025-10-01 | HUD_USER_FMR |
| county 12057 | acs median gross | 4 | $2,257 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | fmr | 4 | $3,077 | 2025-10-01 | HUD_USER_FMR |
| county 12057 | acs median gross | 5 | $2,604 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | acs median gross | $1,667 | 2024-12-31 | CENSUS_ACS5 | |
| county 12057 | acs recent mover gross | $1,939 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33618 | acs median gross | 0 | $1,283 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33618 | acs median gross | 1 | $1,406 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33618 | acs median gross | 2 | $1,728 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33618 | acs median gross | 3 | $2,585 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33618 | acs median gross | 4 | $1,797 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33618 | acs median gross | $1,574 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33618 | acs recent mover gross | $1,713 | 2024-12-31 | CENSUS_ACS5 | |
| zip 33618 | payment standard 110 | 0 | $1,639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | payment standard 90 | 0 | $1,341 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | safmr | 0 | $1,490 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | payment standard 110 | 1 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | payment standard 90 | 1 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | safmr | 1 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | payment standard 110 | 2 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | payment standard 90 | 2 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | safmr | 2 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | payment standard 110 | 3 | $2,607 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | payment standard 90 | 3 | $2,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | safmr | 3 | $2,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | payment standard 110 | 4 | $3,168 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | payment standard 90 | 4 | $2,592 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33618 | safmr | 4 | $2,880 | 2025-10-01 | HUD_USER_SAFMR |