Composite
43.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 64.2 | 75.0 | 0.30 | 0.1818 | 11.67 | in index |
| quality risk | 40.5 | 48.1 | 0.30 | 0.1818 | 7.36 | in index |
| chow risk | 58.4 | 24.2 | 0.15 | 0.0909 | 5.31 | in index |
| billing conduct | 27.5 | 12.4 | 0.30 | 0.1818 | 5.00 | in index |
| financial risk | 20.1 | 31.4 | 0.30 | 0.1818 | 3.65 | in index |
| state reg risk | 15.9 | 35.0 | 0.30 | 0.1818 | 2.89 | in index |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 12.4 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 40.0 | B | v0.1-ohodh | default · in composite | Ohio DOH facility listing: owner portfolio size and recency of licence opening as an entry and control proxy. |
| 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 | 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. |
| financial risk | 31.4 | B | v0.5 | default · in composite | R18. |
| quality risk | 48.1 | C | v0.1 | default · in composite | |
| 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. |
| state reg risk | 35.0 | B | v0.1-ohodh | default · in composite | Ohio DOH facility listing: licence tenure, owner disclosure, owner domicile and owner address identity. |
| financial risk | 46.7 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 26.7 | B | v0.2 | 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 | 26.3 | B | 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 | 28.2 | B | 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 | 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 | 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 | 91.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at getting in and out of bed | 89.5 | — | 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 | 91.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 98.4 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 70.0 | — | 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 | 95.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 86.5 | — | 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 | 0.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 11.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.2 | — | 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 | 0.0 | — | 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 | 1.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 3.5 | 3.5 | 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 | 97.0 | — | 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 | 90.0 | — | 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) | 93.0 | — | 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 | 89.0 | — | 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 | 88.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 15.0 | — | 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 | 12.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| COMMONSPIRIT HEALTH AT HOME, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-08-18 | current | pecos_ownership |
| CONSOLIDATED HEALTH SERVICES LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-08-18 | current | pecos_ownership |
| HEALTH AT HOME BLOCKER, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 67% | 2022-12-01 | current | pecos_ownership |
| AMERICAN NURSING CARE, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2018-08-18 | current | pecos_ownership |
| REID HOSPITAL & HEALTH CARE SERVICES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2018-08-18 | current | pecos_ownership |
| HEALTH AT HOME HOLDCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 33% | 2022-12-01 | current | pecos_ownership |
| BILLIE KESTER | CORPORATE DIRECTOR | — | 2019-08-18 | current | pecos_ownership |
| JACK HAWKINS | CORPORATE DIRECTOR | — | 2022-02-01 | current | pecos_ownership |
| MELISSA MITCHELL | CORPORATE DIRECTOR | — | 2025-01-01 | current | pecos_ownership |
| PATRICIA HEDEGARD | CORPORATE OFFICER | — | 2025-01-01 | current | pecos_ownership |
| TERESA RESETAR | W-2 MANAGING EMPLOYEE | — | 2023-01-01 | current | pecos_ownership |
| WHITNEY UNKRAT | CORPORATE DIRECTOR | — | 2022-02-28 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39135 | acs median gross | 0 | $625 | 2024-12-31 | CENSUS_ACS5 |
| county 39135 | fmr | 0 | $736 | 2025-10-01 | HUD_USER_FMR |
| county 39135 | acs median gross | 1 | $578 | 2024-12-31 | CENSUS_ACS5 |
| county 39135 | fmr | 1 | $742 | 2025-10-01 | HUD_USER_FMR |
| county 39135 | acs median gross | 2 | $764 | 2024-12-31 | CENSUS_ACS5 |
| county 39135 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 39135 | acs median gross | 3 | $980 | 2024-12-31 | CENSUS_ACS5 |
| county 39135 | fmr | 3 | $1,298 | 2025-10-01 | HUD_USER_FMR |
| county 39135 | acs median gross | 4 | $963 | 2024-12-31 | CENSUS_ACS5 |
| county 39135 | fmr | 4 | $1,424 | 2025-10-01 | HUD_USER_FMR |
| county 39135 | acs median gross | 5 | $1,688 | 2024-12-31 | CENSUS_ACS5 |
| county 39135 | acs median gross | $794 | 2024-12-31 | CENSUS_ACS5 | |
| county 39135 | acs recent mover gross | $1,161 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45320 | acs median gross | 1 | $714 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45320 | acs median gross | 2 | $770 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45320 | acs median gross | 3 | $886 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45320 | acs median gross | 4 | $1,313 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45320 | acs median gross | 5 | $2,076 | 2024-12-31 | CENSUS_ACS5 |
| zcta 45320 | acs median gross | $783 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 45320 | acs recent mover gross | $1,318 | 2024-12-31 | CENSUS_ACS5 | |
| zip 45320 | payment standard 110 | 0 | $814 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | payment standard 90 | 0 | $666 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | safmr | 0 | $740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | payment standard 110 | 1 | $814 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | payment standard 90 | 1 | $666 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | safmr | 1 | $740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | payment standard 110 | 2 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | payment standard 90 | 2 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | safmr | 2 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | payment standard 110 | 3 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | payment standard 90 | 3 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | safmr | 3 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | payment standard 110 | 4 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | payment standard 90 | 4 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 45320 | safmr | 4 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |