Composite
64.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 91.3 | 73.6 | 0.30 | 0.2222 | 20.29 | in index |
| chow risk | 88.8 | 32.5 | 0.15 | 0.1111 | 9.87 | in index |
| billing conduct | 41.8 | 14.7 | 0.30 | 0.2222 | 9.29 | in index |
| regulatory risk | 14.9 | 30.0 | 0.30 | 0.2222 | 3.31 | in index |
| quality risk | 12.4 | 31.0 | 0.30 | 0.2222 | 2.76 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 5 chains | JOSHUA PROFFITT | 516 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 14.7 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 48.0 | 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 | 17.0 | 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 | 73.6 | D | v0.5 | default · in composite | R18. |
| quality risk | 31.0 | B | v0.1 | default · in composite | |
| 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. |
| financial risk | 74.9 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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| financial risk | 54.9 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 75.1 | 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 | 74.4 | 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 | 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 | 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 | 94.9 | — | 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 | 96.9 | — | 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 | 93.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 96.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 86.1 | — | 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 | 98.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 89.4 | — | 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 | 0.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 9.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.1 | — | 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 | 0.6 | — | 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 | 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 | 100.0 | — | 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 | 93.0 | — | 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) | 95.0 | — | 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 | 97.0 | — | 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 | 82.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 16.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | 5.0 | 5 | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 41.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AMEDISYS HOLDING LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-04-01 | current | pecos_ownership |
| AMEDISYS INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-04-01 | current | pecos_ownership |
| EVOLUTION HEALTH LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2012-12-21 | current | pecos_ownership |
| GUARDIAN HEALTHCARE GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2012-02-09 | current | pecos_ownership |
| GUARDIAN HEALTHCARE HOLDINGS INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2012-04-09 | current | pecos_ownership |
| UNITEDHEALTH GROUP INCORPORATED | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2025-08-14 | current | pecos_ownership |
| BRIDGET KAIGLER | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-15 | current | pecos_ownership |
| JEANNE SHINGLETON | CORPORATE OFFICER | — | 2026-01-01 | current | pecos_ownership |
| JOSHUA PROFFITT | CORPORATE DIRECTOR | — | 2026-01-01 | current | pecos_ownership |
| KATY SPEAR | W-2 MANAGING EMPLOYEE | — | 2022-04-01 | current | pecos_ownership |
| KIMBERLY SEYMOUR | CORPORATE OFFICER | — | 2026-01-01 | current | pecos_ownership |
| KRISTINA BRAUD | OPERATIONAL/MANAGERIAL CONTROL | — | 2022-04-15 | current | pecos_ownership |
| MARCUS MACIP | CORPORATE DIRECTOR | — | 2026-01-01 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 40013 | acs median gross | 0 | $658 | 2024-12-31 | CENSUS_ACS5 |
| county 40013 | fmr | 0 | $757 | 2025-10-01 | HUD_USER_FMR |
| county 40013 | acs median gross | 1 | $682 | 2024-12-31 | CENSUS_ACS5 |
| county 40013 | fmr | 1 | $762 | 2025-10-01 | HUD_USER_FMR |
| county 40013 | acs median gross | 2 | $920 | 2024-12-31 | CENSUS_ACS5 |
| county 40013 | fmr | 2 | $1,000 | 2025-10-01 | HUD_USER_FMR |
| county 40013 | acs median gross | 3 | $1,115 | 2024-12-31 | CENSUS_ACS5 |
| county 40013 | fmr | 3 | $1,322 | 2025-10-01 | HUD_USER_FMR |
| county 40013 | acs median gross | 4 | $1,524 | 2024-12-31 | CENSUS_ACS5 |
| county 40013 | fmr | 4 | $1,491 | 2025-10-01 | HUD_USER_FMR |
| county 40013 | acs median gross | $960 | 2024-12-31 | CENSUS_ACS5 | |
| county 40013 | acs recent mover gross | $984 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 74701 | acs median gross | 0 | $670 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74701 | acs median gross | 1 | $711 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74701 | acs median gross | 2 | $930 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74701 | acs median gross | 3 | $1,146 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74701 | acs median gross | 4 | $1,670 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74701 | acs median gross | $962 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 74701 | acs recent mover gross | $959 | 2024-12-31 | CENSUS_ACS5 | |
| zip 74701 | payment standard 110 | 0 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | payment standard 90 | 0 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | safmr | 0 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | payment standard 110 | 1 | $869 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | payment standard 90 | 1 | $711 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | safmr | 1 | $790 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | payment standard 110 | 2 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | payment standard 90 | 2 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | safmr | 2 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | payment standard 110 | 3 | $1,507 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | payment standard 90 | 3 | $1,233 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | safmr | 3 | $1,370 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | payment standard 110 | 4 | $1,705 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | payment standard 90 | 4 | $1,395 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74701 | safmr | 4 | $1,550 | 2025-10-01 | HUD_USER_SAFMR |