Composite
24.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.1818 | 6.96 | in index |
| chow risk | 61.1 | 26.0 | 0.15 | 0.0909 | 5.55 | in index |
| billing conduct | 28.1 | 12.5 | 0.30 | 0.1818 | 5.11 | in index |
| quality risk | 14.4 | 26.8 | 0.30 | 0.1818 | 2.62 | in index |
| financial risk | 6.5 | 28.5 | 0.30 | 0.1818 | 1.18 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1818 | 0.00 | in index |
| ownership opacity | 89.3 | 55.0 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 12.5 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 41.0 | 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 | 11.0 | 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 | 31.8 | B | v0.1-cacdph | default · in composite | California home health operating scale, public payer visit concentration, service intensity and lack-of-funds discharges. |
| financial risk | 25.2 | B | v0.5 | default · in composite | R18. |
| ownership opacity | 55.0 | C | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 30.2 | B | v0.1 | default · in composite | |
| quality risk | 23.3 | A | 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. |
| financial risk | 41.8 | B | 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 | 21.8 | A | 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 | 22.6 | 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 | 23.6 | 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 | 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 | 94.3 | — | 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 | 95.5 | — | 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 | 95.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 95.4 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 74.4 | — | 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 | 89.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 89.8 | — | 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 | 0.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 8.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.4 | — | 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 | 0.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 4.5 | 4.5 | 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 | 99.3 | — | 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 | 86.0 | — | 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) | 80.0 | — | 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 | 85.0 | — | 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 | 74.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 23.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | 4.0 | 4 | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 302.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 1996-09-05 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CENTERWELL HEALTH SERVICES HOLDING CORP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2013-10-18 | current | pecos_ownership |
| CENTERWELL HEALTH SERVICES INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2013-10-18 | current | pecos_ownership |
| HARDEN HEALTHCARE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2013-10-18 | current | pecos_ownership |
| HARDEN HEALTHCARE, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2011-08-01 | current | pecos_ownership |
| HARDEN HOME HEALTH, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2011-08-01 | current | pecos_ownership |
| HUMANA INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-08-17 | current | pecos_ownership |
| KENTUCKY HOMECARE HOLDINGS, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-07-02 | current | pecos_ownership |
| KENTUCKY HOMECARE PARENT INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-07-02 | current | pecos_ownership |
| ASIAN AMERICAN HOME CARE, INC. | — | — | 1996-09-05 | current | ca_cdph_elms |
| Asian American Home Health | — | — | 1996-09-05 | current | ca_cdph_elms |
| DANIEL FELD | CORPORATE OFFICER | — | 2024-04-01 | current | pecos_ownership |
| HUI FANG | W-2 MANAGING EMPLOYEE | — | 2003-09-30 | current | pecos_ownership |
| JACLYN MURPHREE | CORPORATE OFFICER | — | 2025-01-11 | current | pecos_ownership |
| JOSEPH RUSCHELL | CORPORATE OFFICER | — | 2022-03-01 | current | pecos_ownership |
| LLOYD ALLEN | CORPORATE DIRECTOR | — | 2024-04-01 | current | pecos_ownership |
| ROBERT MARCOUX | CORPORATE OFFICER | — | 2024-04-01 | current | pecos_ownership |
| SEAN TURNER | CORPORATE OFFICER | — | 2025-04-17 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06001 | acs median gross | 0 | $1,746 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | fmr | 0 | $2,142 | 2025-10-01 | HUD_USER_FMR |
| county 06001 | acs median gross | 1 | $2,046 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | fmr | 1 | $2,385 | 2025-10-01 | HUD_USER_FMR |
| county 06001 | acs median gross | 2 | $2,552 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | fmr | 2 | $2,912 | 2025-10-01 | HUD_USER_FMR |
| county 06001 | acs median gross | 3 | $3,051 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | fmr | 3 | $3,724 | 2025-10-01 | HUD_USER_FMR |
| county 06001 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | fmr | 4 | $4,413 | 2025-10-01 | HUD_USER_FMR |
| county 06001 | acs median gross | 5 | $3,410 | 2024-12-31 | CENSUS_ACS5 |
| county 06001 | acs median gross | $2,357 | 2024-12-31 | CENSUS_ACS5 | |
| county 06001 | acs recent mover gross | $2,636 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 94501 | acs median gross | 0 | $1,895 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94501 | acs median gross | 1 | $2,178 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94501 | acs median gross | 2 | $2,696 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94501 | acs median gross | 3 | $2,971 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94501 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 94501 | acs median gross | $2,437 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 94501 | acs recent mover gross | $2,648 | 2024-12-31 | CENSUS_ACS5 | |
| zip 94501 | payment standard 110 | 0 | $2,497 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | payment standard 90 | 0 | $2,043 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | safmr | 0 | $2,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | payment standard 110 | 1 | $2,783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | payment standard 90 | 1 | $2,277 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | safmr | 1 | $2,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | payment standard 110 | 2 | $3,399 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | payment standard 90 | 2 | $2,781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | safmr | 2 | $3,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | payment standard 110 | 3 | $4,345 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | payment standard 90 | 3 | $3,555 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | safmr | 3 | $3,950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | payment standard 110 | 4 | $5,148 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | payment standard 90 | 4 | $4,212 | 2025-10-01 | HUD_USER_SAFMR |
| zip 94501 | safmr | 4 | $4,680 | 2025-10-01 | HUD_USER_SAFMR |