Reads as: riskier than 60.5% of the 24,351 facilities in the home health peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
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.
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.
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 Superseded by v0.6-pos, which extends the population to hospices with no expression change.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
0
No deficiencies on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
1
Date
Action
Agency
Detail
2002-05-24
new_license
—
—
Ownership
2
Owner
Role
Pct
From
Status
Source
Maxim Healthcare Services
—
—
2002-05-24
current
ca_cdph_elms
MAXIM HEALTHCARE SERVICES, INC.
—
—
2002-05-24
current
ca_cdph_elms
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Market rent context
35
Geo
Kind
BR
Amount
As of
Source
county 06059
acs median gross
0
$2,100
2024-12-31
CENSUS_ACS5
county 06059
fmr
0
$2,682
2025-10-01
HUD_USER_FMR
county 06059
acs median gross
1
$2,115
2024-12-31
CENSUS_ACS5
county 06059
fmr
1
$2,746
2025-10-01
HUD_USER_FMR
county 06059
acs median gross
2
$2,460
2024-12-31
CENSUS_ACS5
county 06059
fmr
2
$3,236
2025-10-01
HUD_USER_FMR
county 06059
acs median gross
3
$3,107
2024-12-31
CENSUS_ACS5
county 06059
fmr
3
$4,393
2025-10-01
HUD_USER_FMR
county 06059
acs median gross
4
$3,501
2024-12-31
CENSUS_ACS5
county 06059
fmr
4
$5,246
2025-10-01
HUD_USER_FMR
county 06059
acs median gross
5
$3,501
2024-12-31
CENSUS_ACS5
county 06059
acs median gross
$2,434
2024-12-31
CENSUS_ACS5
county 06059
acs recent mover gross
$2,814
2024-12-31
CENSUS_ACS5
zcta 92868
acs median gross
0
$2,379
2024-12-31
CENSUS_ACS5
zcta 92868
acs median gross
1
$2,148
2024-12-31
CENSUS_ACS5
zcta 92868
acs median gross
2
$2,565
2024-12-31
CENSUS_ACS5
zcta 92868
acs median gross
3
$2,934
2024-12-31
CENSUS_ACS5
zcta 92868
acs median gross
4
$3,500
2024-12-31
CENSUS_ACS5
zcta 92868
acs median gross
$2,458
2024-12-31
CENSUS_ACS5
zcta 92868
acs recent mover gross
$2,983
2024-12-31
CENSUS_ACS5
zip 92868
payment standard 110
0
$3,091
2025-10-01
HUD_USER_SAFMR
zip 92868
payment standard 90
0
$2,529
2025-10-01
HUD_USER_SAFMR
zip 92868
safmr
0
$2,810
2025-10-01
HUD_USER_SAFMR
zip 92868
payment standard 110
1
$3,168
2025-10-01
HUD_USER_SAFMR
zip 92868
payment standard 90
1
$2,592
2025-10-01
HUD_USER_SAFMR
zip 92868
safmr
1
$2,880
2025-10-01
HUD_USER_SAFMR
zip 92868
payment standard 110
2
$3,729
2025-10-01
HUD_USER_SAFMR
zip 92868
payment standard 90
2
$3,051
2025-10-01
HUD_USER_SAFMR
zip 92868
safmr
2
$3,390
2025-10-01
HUD_USER_SAFMR
zip 92868
payment standard 110
3
$5,060
2025-10-01
HUD_USER_SAFMR
zip 92868
payment standard 90
3
$4,140
2025-10-01
HUD_USER_SAFMR
zip 92868
safmr
3
$4,600
2025-10-01
HUD_USER_SAFMR
zip 92868
payment standard 110
4
$6,050
2025-10-01
HUD_USER_SAFMR
zip 92868
payment standard 90
4
$4,950
2025-10-01
HUD_USER_SAFMR
zip 92868
safmr
4
$5,500
2025-10-01
HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.