Composite
62.5 / 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 | 52.7 | 53.6 | 0.30 | 0.1818 | 9.58 | in index |
| chow risk | 87.3 | 32.8 | 0.15 | 0.0909 | 7.94 | in index |
| state reg risk | 42.3 | 10.0 | 0.30 | 0.1818 | 7.69 | in index |
| billing conduct | 25.7 | 12.0 | 0.30 | 0.1818 | 4.67 | in index |
| financial risk | 15.8 | 33.9 | 0.30 | 0.1818 | 2.87 | in index |
| ownership opacity | 89.3 | 55.0 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 12.0 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 49.0 | C | 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 | 16.5 | 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 | 32.3 | 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 | 35.4 | 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 | 42.5 | B | v0.1 | default · in composite | |
| quality risk | 64.7 | C | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| 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 | 10.0 | 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 | 45.6 | 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 | 25.6 | 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 | 29.1 | 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 | 31.3 | 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 | 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 | 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 | 90.4 | — | 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 | 88.2 | — | 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 | 88.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 89.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 64.5 | — | 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 | 98.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 86.0 | — | 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 | 0.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 8.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.9 | — | 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 | 1.0 | — | 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 | 97.6 | — | 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 | 83.0 | — | 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) | 84.0 | — | 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 | 87.0 | — | 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 | 78.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 25.0 | — | 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 | 309.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 1992-08-06 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| MISSION HEALTHCARE INTERMEDIATE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2020-11-25 | current | pecos_ownership |
| MISSION HEALTHCARE SERVICES, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-10-18 | current | pecos_ownership |
| TVG MH HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2020-11-25 | current | pecos_ownership |
| TVG MH INTERMEDIATE HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2020-11-25 | current | pecos_ownership |
| TVG BOLT BUYER, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 48% | 2020-11-25 | current | pecos_ownership |
| VISTRIA FUND III LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 32% | 2020-11-25 | current | pecos_ownership |
| MH HOLDINGS MANAGEMENT HOLDCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21% | 2021-11-25 | current | pecos_ownership |
| TVG MH HOLDINGS III (FT) LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16% | 2020-11-25 | current | pecos_ownership |
| TVG MH III (FT) BLOCKER LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 16% | 2020-11-25 | current | pecos_ownership |
| VISTRIA FUND III (FT) LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2020-11-25 | current | pecos_ownership |
| CAPRICORN HEALTHCARE & SPECIAL OPPORTUNITIES II, LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2024-06-25 | current | pecos_ownership |
| STEVE MURPHY | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2023-06-05 | current | pecos_ownership |
| MISSION HEALTHCARE, INC | — | — | 1992-08-06 | current | ca_cdph_elms |
| MISSION HOME HEALTH OF VENTURA, LLC | — | — | 1992-08-06 | current | ca_cdph_elms |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06111 | acs median gross | 0 | $1,772 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 0 | $1,998 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 1 | $1,946 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 1 | $2,250 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 2 | $2,249 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 2 | $2,693 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 3 | $2,754 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 3 | $3,652 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 4 | $3,220 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 4 | $4,240 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | acs median gross | $2,317 | 2024-12-31 | CENSUS_ACS5 | |
| county 06111 | acs recent mover gross | $2,592 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93036 | acs median gross | 0 | $1,696 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93036 | acs median gross | 1 | $2,030 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93036 | acs median gross | 2 | $2,322 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93036 | acs median gross | 3 | $2,393 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93036 | acs median gross | 4 | $2,865 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93036 | acs median gross | 5 | $1,878 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93036 | acs median gross | $2,310 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93036 | acs recent mover gross | $2,337 | 2024-12-31 | CENSUS_ACS5 | |
| zip 93036 | payment standard 110 | 0 | $2,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | payment standard 90 | 0 | $1,746 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | safmr | 0 | $1,940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | payment standard 110 | 1 | $2,398 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | payment standard 90 | 1 | $1,962 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | safmr | 1 | $2,180 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | payment standard 110 | 2 | $2,871 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | payment standard 90 | 2 | $2,349 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | safmr | 2 | $2,610 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | payment standard 110 | 3 | $3,894 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | payment standard 90 | 3 | $3,186 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | safmr | 3 | $3,540 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | payment standard 110 | 4 | $4,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | payment standard 90 | 4 | $3,699 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93036 | safmr | 4 | $4,110 | 2025-10-01 | HUD_USER_SAFMR |