Composite
91.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 91.7 | 77.9 | 0.30 | 0.2222 | 20.38 | in index |
| quality risk | 85.0 | 75.3 | 0.30 | 0.2222 | 18.89 | in index |
| regulatory risk | 78.0 | 90.0 | 0.30 | 0.2222 | 17.33 | in index |
| state reg risk | 25.6 | 7.0 | 0.30 | 0.2222 | 5.69 | in index |
| chow risk | 39.0 | 11.7 | 0.15 | 0.1111 | 4.33 | in index |
| ownership opacity | 0.6 | 15.0 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 16.0 | 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 | 77.9 | D | v0.1-cacdph | default · in composite | California home health operating scale, public payer visit concentration, service intensity and lack-of-funds discharges. |
| ownership opacity | 15.0 | A | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 75.2 | D | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| regulatory risk | 90.0 | 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 | 17.0 | 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 | 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| regulatory risk | 90.0 | F | v0.5-pos | superseded | R20.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 | - | — | 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 |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2019-10-04 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ANTHONY SAHAKIAN | CORPORATE OFFICER | 100% | 2001-10-21 | current | pecos_ownership |
| ANTHONY SAHAKIAN | CORPORATE DIRECTOR | 100% | 2021-10-21 | current | pecos_ownership |
| MIKAEL AYRAPETYAN | CORPORATE DIRECTOR | 100% | 2018-05-08 | current | pecos_ownership |
| NIKA HOME HEALTH, INC. | — | — | 2019-10-04 | current | ca_cdph_elms |
| 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 91205 | acs median gross | 0 | $1,695 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91205 | acs median gross | 1 | $1,743 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91205 | acs median gross | 2 | $2,207 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91205 | acs median gross | 3 | $2,508 | 2024-12-31 | CENSUS_ACS5 |
| zcta 91205 | acs median gross | $1,938 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 91205 | acs recent mover gross | $1,977 | 2024-12-31 | CENSUS_ACS5 | |
| zip 91205 | payment standard 110 | 0 | $2,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | payment standard 90 | 0 | $1,989 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | safmr | 0 | $2,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | payment standard 110 | 1 | $2,728 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | payment standard 90 | 1 | $2,232 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | safmr | 1 | $2,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | payment standard 110 | 2 | $3,399 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | payment standard 90 | 2 | $2,781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | safmr | 2 | $3,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | payment standard 110 | 3 | $4,312 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | payment standard 90 | 3 | $3,528 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | safmr | 3 | $3,920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | payment standard 110 | 4 | $4,796 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | payment standard 90 | 4 | $3,924 | 2025-10-01 | HUD_USER_SAFMR |
| zip 91205 | safmr | 4 | $4,360 | 2025-10-01 | HUD_USER_SAFMR |