Composite
50.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 88.8 | 74.2 | 0.30 | 0.2222 | 19.73 | in index |
| quality risk | 42.0 | 41.5 | 0.30 | 0.2222 | 9.33 | in index |
| chow risk | 73.4 | 16.5 | 0.15 | 0.1111 | 8.16 | in index |
| regulatory risk | 14.9 | 30.0 | 0.30 | 0.2222 | 3.31 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.2222 | 0.00 | in index |
| ownership opacity | 0.6 | 15.0 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 17.0 | 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 | 15.9 | 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 | 73.2 | D | v0.1-cacdph | default · in composite | California home health operating scale, public payer visit concentration, service intensity and lack-of-funds discharges. |
| financial risk | 75.2 | D | v0.5 | default · in composite | R18. |
| ownership opacity | 15.0 | A | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 41.5 | B | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| regulatory risk | 30.0 | B | 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| financial risk | 76.5 | D | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 75.8 | D | 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 | 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 | 30.0 | B | 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 | 85.2 | — | 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 | 3.7 | — | 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 | 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 | - | — | 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 | 76.9 | — | 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 |
|---|---|---|---|
| 2009-09-01 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ARNEL TEJONES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2024-04-01 | current | pecos_ownership |
| BARTOLOME SANDRO MAILOM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50% | 2024-04-01 | current | pecos_ownership |
| ARNEL TEJONES | W-2 MANAGING EMPLOYEE | 30% | 2023-04-18 | current | pecos_ownership |
| BARTOLOME SANDRO MAILOM | CORPORATE DIRECTOR | 30% | 2023-04-18 | current | pecos_ownership |
| ATRIUM HOME HEALTH, INC. | — | — | 2009-09-01 | current | ca_cdph_elms |
| 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 90631 | acs median gross | 0 | $1,666 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90631 | acs median gross | 1 | $1,978 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90631 | acs median gross | 2 | $2,118 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90631 | acs median gross | 3 | $2,410 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90631 | acs median gross | 4 | $3,288 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90631 | acs median gross | 5 | $2,600 | 2024-12-31 | CENSUS_ACS5 |
| zcta 90631 | acs median gross | $2,121 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 90631 | acs recent mover gross | $2,382 | 2024-12-31 | CENSUS_ACS5 | |
| zip 90631 | payment standard 110 | 0 | $2,486 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | payment standard 90 | 0 | $2,034 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | safmr | 0 | $2,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | payment standard 110 | 1 | $2,563 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | payment standard 90 | 1 | $2,097 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | safmr | 1 | $2,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | payment standard 110 | 2 | $3,036 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | payment standard 90 | 2 | $2,484 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | safmr | 2 | $2,760 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | payment standard 110 | 3 | $4,103 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | payment standard 90 | 3 | $3,357 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | safmr | 3 | $3,730 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | payment standard 110 | 4 | $4,862 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | payment standard 90 | 4 | $3,978 | 2025-10-01 | HUD_USER_SAFMR |
| zip 90631 | safmr | 4 | $4,420 | 2025-10-01 | HUD_USER_SAFMR |