Composite
39.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| quality risk | 69.0 | 64.8 | 0.30 | 0.1818 | 12.55 | in index |
| billing conduct | 62.9 | 19.8 | 0.30 | 0.1818 | 11.44 | in index |
| regulatory risk | 28.0 | 35.0 | 0.30 | 0.1818 | 5.09 | in index |
| financial risk | 12.4 | 38.4 | 0.30 | 0.1818 | 2.25 | in index |
| chow risk | 23.4 | 9.4 | 0.15 | 0.0909 | 2.13 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1818 | 0.00 | in index |
| ownership opacity | 86.9 | 40.0 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 19.8 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| 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 | 38.4 | 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 | 40.0 | B | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 55.4 | C | v0.1 | default · in composite | |
| quality risk | 74.1 | D | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| regulatory risk | 35.0 | B | 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| regulatory risk | 35.0 | B | v0.5-pos | superseded | R20.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 | 85.2 | — | 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 | 89.8 | — | 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 | 90.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 74.2 | — | 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 | 91.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 87.4 | — | 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 | 1.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 11.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.6 | — | 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 | 0.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 2.5 | 2.5 | 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 | 78.3 | — | 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 | 87.0 | — | 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) | 96.0 | — | 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 | 93.0 | — | 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 | 87.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 30.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | 5.0 | 5 | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 80.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 1993-09-01 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SUTTER HEALTH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | current | pecos_ownership |
| CARROLL CHRISTIE | CORPORATE DIRECTOR | — | 2019-01-01 | current | pecos_ownership |
| CELIA PEREZ | CORPORATE DIRECTOR | — | 2021-09-01 | current | pecos_ownership |
| CLARKE MOORE | CORPORATE DIRECTOR | — | 2017-08-01 | current | pecos_ownership |
| JOHN PRITCHETT | CORPORATE DIRECTOR | — | 2023-11-01 | current | pecos_ownership |
| MICHAEL LANE | CORPORATE OFFICER | — | 2024-02-05 | current | pecos_ownership |
| MICHAEL LANE | CORPORATE DIRECTOR | — | 2024-03-01 | current | pecos_ownership |
| PATRICIA PIPER | CORPORATE DIRECTOR | — | 2018-12-01 | current | pecos_ownership |
| ROLAND HART | CORPORATE DIRECTOR | — | 2019-05-01 | current | pecos_ownership |
| RONALD SANDLER | CORPORATE DIRECTOR | — | 2018-02-01 | current | pecos_ownership |
| RONNIE YAMANAKA | W-2 MANAGING EMPLOYEE | — | 2024-01-04 | current | pecos_ownership |
| SUTTER COAST HOSPITAL | — | — | 1993-09-01 | current | ca_cdph_elms |
| Sutter Health | — | — | 1993-09-01 | current | ca_cdph_elms |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06015 | acs median gross | 0 | $723 | 2024-12-31 | CENSUS_ACS5 |
| county 06015 | fmr | 0 | $957 | 2025-10-01 | HUD_USER_FMR |
| county 06015 | acs median gross | 1 | $1,084 | 2024-12-31 | CENSUS_ACS5 |
| county 06015 | fmr | 1 | $1,222 | 2025-10-01 | HUD_USER_FMR |
| county 06015 | acs median gross | 2 | $1,127 | 2024-12-31 | CENSUS_ACS5 |
| county 06015 | fmr | 2 | $1,370 | 2025-10-01 | HUD_USER_FMR |
| county 06015 | acs median gross | 3 | $1,775 | 2024-12-31 | CENSUS_ACS5 |
| county 06015 | fmr | 3 | $1,905 | 2025-10-01 | HUD_USER_FMR |
| county 06015 | acs median gross | 4 | $1,708 | 2024-12-31 | CENSUS_ACS5 |
| county 06015 | fmr | 4 | $2,277 | 2025-10-01 | HUD_USER_FMR |
| county 06015 | acs median gross | $1,233 | 2024-12-31 | CENSUS_ACS5 | |
| county 06015 | acs recent mover gross | $1,225 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95531 | acs median gross | 1 | $1,088 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95531 | acs median gross | 2 | $1,137 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95531 | acs median gross | 3 | $1,776 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95531 | acs median gross | 4 | $1,220 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95531 | acs median gross | $1,237 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95531 | acs recent mover gross | $1,225 | 2024-12-31 | CENSUS_ACS5 | |
| zip 95531 | payment standard 110 | 0 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | payment standard 90 | 0 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | safmr | 0 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | payment standard 110 | 1 | $1,364 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | payment standard 90 | 1 | $1,116 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | safmr | 1 | $1,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | payment standard 110 | 2 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | payment standard 90 | 2 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | safmr | 2 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | payment standard 110 | 3 | $2,123 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | payment standard 90 | 3 | $1,737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | safmr | 3 | $1,930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | payment standard 110 | 4 | $2,541 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | payment standard 90 | 4 | $2,079 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95531 | safmr | 4 | $2,310 | 2025-10-01 | HUD_USER_SAFMR |