Composite
22.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.4000 | 15.32 | in index |
| chow risk | 18.9 | 5.2 | 0.15 | 0.2000 | 3.78 | in index |
| financial risk | 1.3 | 20.8 | 0.30 | 0.4000 | 0.52 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| 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 | 7.4 | 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 | 20.8 | A | v0.5 | default · in composite | R18. |
| regulatory risk | 45.0 | C | 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| financial risk | 20.6 | A | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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| financial risk | 20.7 | A | v0.4 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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. |
| regulatory risk | 45.0 | C | v0.5-pos | superseded | R20.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 |
|---|---|---|---|---|---|
| JONATHAN JOSEPH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-02-18 | current | pecos_ownership |
| SABU JOSEPH | W-2 MANAGING EMPLOYEE | 100% | 2021-08-01 | current | pecos_ownership |
| ANNAMMA JOHN | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-07-04 | current | pecos_ownership |
| LISSY SAMUEL | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-18 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48113 | acs median gross | 0 | $1,385 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | fmr | 0 | $1,582 | 2025-10-01 | HUD_USER_FMR |
| county 48113 | acs median gross | 1 | $1,400 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | fmr | 1 | $1,648 | 2025-10-01 | HUD_USER_FMR |
| county 48113 | acs median gross | 2 | $1,638 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | fmr | 2 | $1,931 | 2025-10-01 | HUD_USER_FMR |
| county 48113 | acs median gross | 3 | $1,823 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | fmr | 3 | $2,431 | 2025-10-01 | HUD_USER_FMR |
| county 48113 | acs median gross | 4 | $2,241 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | fmr | 4 | $3,091 | 2025-10-01 | HUD_USER_FMR |
| county 48113 | acs median gross | 5 | $2,432 | 2024-12-31 | CENSUS_ACS5 |
| county 48113 | acs median gross | $1,565 | 2024-12-31 | CENSUS_ACS5 | |
| county 48113 | acs recent mover gross | $1,745 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75043 | acs median gross | 0 | $1,478 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75043 | acs median gross | 1 | $1,307 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75043 | acs median gross | 2 | $1,670 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75043 | acs median gross | 3 | $1,849 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75043 | acs median gross | 4 | $2,244 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75043 | acs median gross | 5 | $2,821 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75043 | acs median gross | $1,609 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75043 | acs recent mover gross | $1,755 | 2024-12-31 | CENSUS_ACS5 | |
| zip 75043 | payment standard 110 | 0 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | payment standard 90 | 0 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | safmr | 0 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | payment standard 110 | 1 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | payment standard 90 | 1 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | safmr | 1 | $1,600 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | payment standard 110 | 2 | $2,068 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | payment standard 90 | 2 | $1,692 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | safmr | 2 | $1,880 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | payment standard 110 | 3 | $2,607 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | payment standard 90 | 3 | $2,133 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | safmr | 3 | $2,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | payment standard 110 | 4 | $3,311 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | payment standard 90 | 4 | $2,709 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75043 | safmr | 4 | $3,010 | 2025-10-01 | HUD_USER_SAFMR |