Composite
95.5 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 64.2 | 75.0 | 0.30 | 0.6667 | 42.80 | in index |
| chow risk | 90.7 | 45.3 | 0.15 | 0.3333 | 30.23 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +33.2 vs natl | PEDIATRIC SERVICES OF AMERICA LLC | 27 facilities |
| connection | Owner fleet risk far above national | +32.6 vs natl | PEDIATRIC SERVICES HOLDING LLC | 27 facilities |
| connection | Owner fleet risk far above national | +32.6 vs natl | PSA HEALTHCARE INTERMEDIATE HOLDING LLC | 27 facilities |
| connection | Owner fleet risk far above national | +23.5 vs natl | AVEANNA HEALTHCARE LLC | 124 facilities |
| connection | Owner fleet risk far above national | +23.1 vs natl | PEA WASHINGTON HOLDINGS LP | 120 facilities |
| connection | Owner fleet risk far above national | +23.1 vs natl | BCPE EAGLE INVESTOR L P | 120 facilities |
| connection | Owner fleet risk far above national | +23.0 vs natl | JEFFREY SHANER | 124 facilities |
| connection | Owner fleet risk far above national | +22.9 vs natl | DEBORAH STEWART | 118 facilities |
| connection | Owner fleet risk far above national | +22.9 vs natl | MATTHEW BUCKHALTER | 118 facilities |
| connection | Owner fleet risk far above national | +22.7 vs natl | PSA HEALTHCARE INVESTMENT HOLDING LLC | 124 facilities |
| connection | Owner fleet risk far above national | +22.7 vs natl | AVEANNA HEALTHCARE HOLDINGS INC | 124 facilities |
| connection | Owner fleet risk far above national | +22.7 vs natl | AVEANNA HEALTHCARE INTERMEDIATE HOLDINGS LLC | 124 facilities |
| connection | Owner fleet risk far above national | +22.7 vs natl | BAIN CAPITAL FUND XI LP | 124 facilities |
| connection | Owner fleet risk far above national | +22.7 vs natl | BCIP ASSOCIATES IV US L P | 124 facilities |
| connection | Owner fleet risk far above national | +22.7 vs natl | HAMILTON LANE CO INVESTMENT FUND III HOLDINGS 2 LP | 124 facilities |
| connection | Owner fleet risk far above national | +22.7 vs natl | J H WHITNEY VII LP | 124 facilities |
| connection | Owner fleet risk far above national | +22.6 vs natl | NUT TREE MASTER FUND LP | 115 facilities |
| connection | Owner fleet risk far above national | +22.6 vs natl | JERROLD PERCHIK | 115 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 74.0 | D | 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 | 16.6 | 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. |
| 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. |
| ownership opacity | 30.0 | 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 | - | — | 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 | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | - | — | 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 | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | - | — | 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 | - | — | 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 | Not Available | — | 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) | Not Available | — | 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 | Not Available | — | 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 | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | Not Available | — | 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 | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AVEANNA HEALTHCARE HOLDINGS INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2017-03-16 | current | pecos_ownership |
| AVEANNA HEALTHCARE INTERMEDIATE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2017-03-16 | current | pecos_ownership |
| AVEANNA HEALTHCARE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2017-03-16 | current | pecos_ownership |
| PEDIATRIC SERVICES HOLDING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2016-02-01 | current | pecos_ownership |
| PEDIATRIC SERVICES OF AMERICA, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2016-02-01 | current | pecos_ownership |
| PSA HEALTHCARE INTERMEDIATE HOLDING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2016-02-01 | current | pecos_ownership |
| BCPE EAGLE INVESTOR, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 42% | 2021-04-29 | current | pecos_ownership |
| BAIN CAPITAL FUND XI LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 36% | 2017-03-16 | current | pecos_ownership |
| J.H. WHITNEY VII LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16% | 2017-03-16 | current | pecos_ownership |
| PSA HEALTHCARE INVESTMENT HOLDING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2017-03-16 | current | pecos_ownership |
| HAMILTON LANE CO-INVESTMENT FUND III HOLDINGS - 2 LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2017-03-16 | current | pecos_ownership |
| NUT TREE MASTER FUND LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2023-12-31 | current | pecos_ownership |
| PEA WASHINGTON HOLDINGS, LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2021-04-29 | current | pecos_ownership |
| BCIP ASSOCIATES IV US L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2017-03-16 | current | pecos_ownership |
| DAVID STORMER | W-2 MANAGING EMPLOYEE | 0% | 2023-12-07 | current | pecos_ownership |
| DEBORAH STEWART | CORPORATE DIRECTOR | 0% | 2023-07-07 | current | pecos_ownership |
| JEFFREY SHANER | CORPORATE DIRECTOR | 0% | 2023-01-01 | current | pecos_ownership |
| JEFFREY SHANER | CORPORATE OFFICER | 0% | 2016-02-01 | current | pecos_ownership |
| JERROLD PERCHIK | CORPORATE OFFICER | 0% | 2024-04-29 | current | pecos_ownership |
| MATTHEW BUCKHALTER | CORPORATE OFFICER | 0% | 2023-07-07 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 42033 | acs median gross | 0 | $525 | 2024-12-31 | CENSUS_ACS5 |
| county 42033 | fmr | 0 | $721 | 2025-10-01 | HUD_USER_FMR |
| county 42033 | acs median gross | 1 | $636 | 2024-12-31 | CENSUS_ACS5 |
| county 42033 | fmr | 1 | $779 | 2025-10-01 | HUD_USER_FMR |
| county 42033 | acs median gross | 2 | $808 | 2024-12-31 | CENSUS_ACS5 |
| county 42033 | fmr | 2 | $975 | 2025-10-01 | HUD_USER_FMR |
| county 42033 | acs median gross | 3 | $960 | 2024-12-31 | CENSUS_ACS5 |
| county 42033 | fmr | 3 | $1,289 | 2025-10-01 | HUD_USER_FMR |
| county 42033 | acs median gross | 4 | $897 | 2024-12-31 | CENSUS_ACS5 |
| county 42033 | fmr | 4 | $1,293 | 2025-10-01 | HUD_USER_FMR |
| county 42033 | acs median gross | 5 | $1,282 | 2024-12-31 | CENSUS_ACS5 |
| county 42033 | acs median gross | $791 | 2024-12-31 | CENSUS_ACS5 | |
| county 42033 | acs recent mover gross | $932 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 15801 | acs median gross | 0 | $436 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15801 | acs median gross | 1 | $727 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15801 | acs median gross | 2 | $929 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15801 | acs median gross | 3 | $1,074 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15801 | acs median gross | 4 | $1,387 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15801 | acs median gross | $891 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 15801 | acs recent mover gross | $988 | 2024-12-31 | CENSUS_ACS5 | |
| zip 15801 | payment standard 110 | 0 | $836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | payment standard 90 | 0 | $684 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | safmr | 0 | $760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | payment standard 110 | 1 | $902 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | payment standard 90 | 1 | $738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | safmr | 1 | $820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | payment standard 110 | 2 | $1,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | payment standard 90 | 2 | $927 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | safmr | 2 | $1,030 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | payment standard 110 | 3 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | payment standard 90 | 3 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | safmr | 3 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | payment standard 110 | 4 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | payment standard 90 | 4 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15801 | safmr | 4 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |