Composite
28.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 75.0 | 80.0 | 0.30 | 0.1818 | 13.64 | in index |
| quality risk | 36.7 | 40.5 | 0.30 | 0.1818 | 6.67 | in index |
| chow risk | 50.2 | 17.0 | 0.15 | 0.0909 | 4.56 | in index |
| financial risk | 1.7 | 30.5 | 0.30 | 0.1818 | 0.31 | in index |
| billing conduct | 1.0 | 0.1 | 0.30 | 0.1818 | 0.18 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1818 | 0.00 | in index |
| ownership opacity | 98.3 | 79.8 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 0.1 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 24.0 | 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 | 9.9 | 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 | 30.5 | B | v0.1-cacdph | default · in composite | California home health operating scale, public payer visit concentration, service intensity and lack-of-funds discharges. |
| ownership opacity | 79.8 | D | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 54.5 | C | v0.1 | default · in composite | |
| quality risk | 26.5 | B | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| regulatory risk | 80.0 | F | 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. |
| state reg risk | 0.0 | A | v0.1-cacdph | default · in composite | CDPH licence tenure, expiry, branch role and failure to file the mandatory HCAI annual utilization report. |
| ownership opacity | 5.0 | A | v0.1-pecos | addressable | R21. Retained as a description of ownership structure. Deliberately NOT in any composite: inversely related to billing conduct. |
| regulatory risk | 80.0 | F | 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 | 86.4 | — | 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 | 84.8 | — | 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 | 84.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 91.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 73.0 | — | 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 | 94.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 77.3 | — | 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 | 0.4 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 8.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.3 | — | 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 | 0.4 | — | 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 | 0.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 3.0 | 3 | 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 | 85.7 | — | 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 | 81.0 | — | 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) | 84.0 | — | 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 | 75.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 21.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | 3.0 | 3 | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 834.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 1966-07-01 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ARNOLD WASHINGTON | CORPORATE DIRECTOR | 100% | 2016-01-04 | current | pecos_ownership |
| DAVID BARGER | CORPORATE DIRECTOR | 100% | 2017-05-01 | current | pecos_ownership |
| DAVID HOFFMEISTER | CORPORATE DIRECTOR | 100% | 2014-11-01 | current | pecos_ownership |
| GREGORY ADAMS | CORPORATE DIRECTOR | 100% | 2019-11-11 | current | pecos_ownership |
| JEFFREY EPSTEIN | CORPORATE DIRECTOR | 100% | 2013-04-01 | current | pecos_ownership |
| JUDITH JOHANSEN | CORPORATE DIRECTOR | 100% | 2006-04-01 | current | pecos_ownership |
| KAISER FOUNDATION HOSPITALS | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2015-01-19 | current | pecos_ownership |
| LESLIE HEISZ | CORPORATE DIRECTOR | 100% | 2015-01-01 | current | pecos_ownership |
| MARGARET PORFIDO | CORPORATE DIRECTOR | 100% | 2011-11-01 | current | pecos_ownership |
| MATTHEW RYAN | CORPORATE DIRECTOR | 100% | 2020-01-01 | current | pecos_ownership |
| RAMON BAEZ | CORPORATE DIRECTOR | 100% | 2016-06-04 | current | pecos_ownership |
| REGINA BENJAMIN | CORPORATE DIRECTOR | 100% | 2015-06-01 | current | pecos_ownership |
| RICHARD SHANNON | CORPORATE DIRECTOR | 100% | 2014-07-01 | current | pecos_ownership |
| ROBERT LUTERBACH | W-2 MANAGING EMPLOYEE | 100% | 2023-10-24 | current | pecos_ownership |
| INES GAETA | W-2 MANAGING EMPLOYEE | — | 2022-04-04 | current | pecos_ownership |
| JENNY MING | CORPORATE DIRECTOR | — | 2021-07-06 | current | pecos_ownership |
| Kaiser Foundation Hospital | — | — | 1966-07-01 | current | ca_cdph_elms |
| KAISER FOUNDATION HOSPITALS | — | — | 1966-07-01 | current | ca_cdph_elms |
| MICHELLE GASKILL-HAMES | CORPORATE OFFICER | — | 2023-04-24 | current | pecos_ownership |
| TERESA RAMIREZ | OTHER | — | 2016-09-29 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06037 | acs median gross | 0 | $1,523 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 0 | $1,863 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 1 | $1,724 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 1 | $2,085 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 2 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 2 | $2,601 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 3 | $2,484 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 3 | $3,298 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 4 | $2,866 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | fmr | 4 | $3,672 | 2025-10-01 | HUD_USER_FMR |
| county 06037 | acs median gross | 5 | $2,767 | 2024-12-31 | CENSUS_ACS5 |
| county 06037 | acs median gross | $1,954 | 2024-12-31 | CENSUS_ACS5 | |
| county 06037 | acs recent mover gross | $2,358 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 91103 | acs median gross | 0 | $1,388 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91103 | acs median gross | 1 | $1,669 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91103 | acs median gross | 2 | $2,172 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91103 | acs median gross | 3 | $2,591 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91103 | acs median gross | 4 | $3,384 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91103 | acs median gross | $2,085 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 91103 | acs recent mover gross | $2,537 | 2024-12-31 | CENSUS_ACS5 | |
| zip 91103 | payment standard 110 | 0 | $2,211 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | payment standard 90 | 0 | $1,809 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | safmr | 0 | $2,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | payment standard 110 | 1 | $2,475 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | payment standard 90 | 1 | $2,025 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | safmr | 1 | $2,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | payment standard 110 | 2 | $3,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | payment standard 90 | 2 | $2,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | safmr | 2 | $2,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | payment standard 110 | 3 | $3,905 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | payment standard 90 | 3 | $3,195 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | safmr | 3 | $3,550 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | payment standard 110 | 4 | $4,345 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | payment standard 90 | 4 | $3,555 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91103 | safmr | 4 | $3,950 | 2025-10-01 | HUD_USER_SAFMR |