Composite
46.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 57.1 | 57.1 | 0.30 | 0.2222 | 12.69 | in index |
| quality risk | 44.6 | 42.9 | 0.30 | 0.2222 | 9.91 | in index |
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.2222 | 8.51 | in index |
| chow risk | 63.8 | 26.7 | 0.15 | 0.1111 | 7.09 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.2222 | 0.00 | in index |
| ownership opacity | 88.8 | 54.3 | excluded |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| 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 | BCPE EAGLE INVESTOR L P | 120 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 | +23.0 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 | J H WHITNEY VII LP | 124 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 | +22.6 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 | 42.0 | B | 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 | 11.4 | 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 | 57.1 | C | v0.1-cacdph | default · in composite | California home health operating scale, public payer visit concentration, service intensity and lack-of-funds discharges. |
| ownership opacity | 54.3 | C | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 42.9 | B | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| 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. |
| 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 | 20.0 | 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 |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2014-10-20 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AVEANNA HEALTHCARE HOLDINGS INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-07-01 | current | pecos_ownership |
| AVEANNA HEALTHCARE INTERMEDIATE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-07-01 | current | pecos_ownership |
| AVEANNA HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2018-07-01 | 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% | 2018-07-01 | current | pecos_ownership |
| J.H. WHITNEY VII LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16% | 2018-07-01 | current | pecos_ownership |
| PSA HEALTHCARE INVESTMENT HOLDING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2018-07-01 | current | pecos_ownership |
| HAMILTON LANE CO-INVESTMENT FUND III HOLDINGS - 2 LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2018-07-01 | 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 | 5% | 2021-04-29 | current | pecos_ownership |
| BCIP ASSOCIATES IV US L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2018-07-01 | current | pecos_ownership |
| DEBORAH STEWART | CORPORATE DIRECTOR | 0% | 2023-07-07 | current | pecos_ownership |
| JEFFREY SHANER | CORPORATE OFFICER | 0% | 2018-07-01 | current | pecos_ownership |
| JEFFREY SHANER | CORPORATE DIRECTOR | 0% | 2023-01-01 | 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 |
| MICHELLE DELANEY | W-2 MANAGING EMPLOYEE | 0% | 2024-09-01 | current | pecos_ownership |
| PREMIER HEALTHCARE SERVICES, LLC | — | — | 2014-10-20 | current | ca_cdph_elms |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06071 | acs median gross | 0 | $1,374 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 0 | $1,692 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 1 | $1,432 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 1 | $1,777 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 2 | $1,717 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 2 | $2,201 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 3 | $2,050 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 3 | $2,912 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 4 | $2,471 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 4 | $3,514 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 5 | $2,796 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | acs median gross | $1,801 | 2024-12-31 | CENSUS_ACS5 | |
| county 06071 | acs recent mover gross | $2,184 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92395 | acs median gross | 0 | $799 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92395 | acs median gross | 1 | $1,028 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92395 | acs median gross | 2 | $1,313 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92395 | acs median gross | 3 | $1,918 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92395 | acs median gross | 4 | $2,011 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92395 | acs median gross | 5 | $2,403 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92395 | acs median gross | $1,600 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92395 | acs recent mover gross | $2,126 | 2024-12-31 | CENSUS_ACS5 | |
| zip 92395 | payment standard 110 | 0 | $1,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | payment standard 90 | 0 | $1,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | safmr | 0 | $1,600 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | payment standard 110 | 1 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | payment standard 90 | 1 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | safmr | 1 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | payment standard 110 | 2 | $2,288 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | payment standard 90 | 2 | $1,872 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | safmr | 2 | $2,080 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | payment standard 110 | 3 | $3,058 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | payment standard 90 | 3 | $2,502 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | safmr | 3 | $2,780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | payment standard 110 | 4 | $3,718 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | payment standard 90 | 4 | $3,042 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92395 | safmr | 4 | $3,380 | 2025-10-01 | HUD_USER_SAFMR |