Composite
67.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 92.3 | 30.4 | 0.30 | 0.1818 | 16.78 | in index |
| quality risk | 87.0 | 78.0 | 0.30 | 0.1818 | 15.82 | in index |
| chow risk | 85.6 | 40.6 | 0.15 | 0.0909 | 7.78 | in index |
| regulatory risk | 32.1 | 40.0 | 0.30 | 0.1818 | 5.84 | in index |
| financial risk | 7.2 | 11.4 | 0.30 | 0.1818 | 1.31 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1818 | 0.00 | in index |
| ownership opacity | 95.6 | 55.0 | excluded |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +20.0 vs natl | COLLIN MCQUIDDY | 195 facilities |
| connection | Owner spans multiple chains | 8 chains | BLACKROCK INC | 303 facilities |
| connection | Owner spans multiple chains | 8 chains | VANGUARD GROUP INC | 324 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 30.4 | B | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 66.0 | D | 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 | 15.1 | 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 | 0.0 | A | v0.1-txclosures | default · in composite | Texas HHSC HCSSA closure footprint: own-licence closure, owner closure count, closure recency and branch churn, as a going-concern proxy. |
| financial risk | 3.0 | A | v0.1-txhcssa | default · in composite | Texas HCSSA current client census and service breadth. |
| financial risk | 31.1 | B | v0.5 | default · in composite | R18. |
| ownership opacity | 55.0 | C | v0.1-txhcssa | default · in composite | Texas HCSSA legal entity chain and domicile. |
| quality risk | 78.0 | D | v0.1 | default · in composite | |
| regulatory risk | 5.0 | A | v0.1-txhcssa | default · in composite | Texas HHSC HCSSA licence status. Flags active state enforcement; records status not severity. |
| 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 | 0.0 | A | v0.1-txhcssa | default · in composite | Texas HCSSA licence status, tenure and branch role. |
| financial risk | 43.8 | 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 | 23.8 | 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 | 26.1 | 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 | 28.0 | 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 | 89.4 | — | 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 | 88.5 | — | 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 | 87.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 93.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 51.7 | — | 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 | 94.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 61.7 | — | 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 | 0.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 15.0 | — | 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 | 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 | 3.0 | 3 | 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 | 97.7 | — | 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 | 89.0 | — | 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) | 88.0 | — | 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 | 91.0 | — | 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 | 76.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 21.0 | — | 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 | 148.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ADVANCED HOMECARE MANAGEMENT LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2007-03-16 | current | pecos_ownership |
| ENHABIT HOLDINGS, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-07-01 | current | pecos_ownership |
| ENHABIT INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2014-12-31 | current | pecos_ownership |
| WELLS FARGO BANK, N.A. | 5% OR GREATER SECURITY INTEREST | 100% | 2022-06-30 | current | pecos_ownership |
| DEERFIELD MANAGEMENT COMPANY LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2023-12-31 | current | pecos_ownership |
| 8 KNOTS MANAGEMENT, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2024-12-31 | current | pecos_ownership |
| BLACKROCK INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2023-12-31 | current | pecos_ownership |
| VANGUARD GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2023-12-31 | current | pecos_ownership |
| BARBARA JACOBSMEYER | CORPORATE OFFICER | 0% | 2021-06-21 | current | pecos_ownership |
| DYLAN BLACK | CORPORATE OFFICER | 0% | 2023-02-22 | current | pecos_ownership |
| JEANNE KALVAITIS | CORPORATE OFFICER | 0% | 2022-07-01 | current | pecos_ownership |
| JOBIE WILLIAMS | CORPORATE OFFICER | 0% | 2023-02-22 | current | pecos_ownership |
| JULIE JOLLEY | CORPORATE OFFICER | 0% | 2021-06-04 | current | pecos_ownership |
| SARAH BRALEY | CORPORATE OFFICER | 0% | 2023-02-22 | current | pecos_ownership |
| SEAN RICHARDSON | CORPORATE OFFICER | 0% | 2023-02-22 | current | pecos_ownership |
| TANYA MARION | CORPORATE OFFICER | 0% | 2022-07-01 | current | pecos_ownership |
| BARBARA JACOBSMEYER | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | current | pecos_ownership |
| COLLIN MCQUIDDY | CORPORATE OFFICER | — | 2024-08-08 | current | pecos_ownership |
| PATRICK CRAIG | W-2 MANAGING EMPLOYEE | — | 2011-08-22 | current | pecos_ownership |
| RYAN SOLOMON | CORPORATE OFFICER | — | 2024-12-09 | current | pecos_ownership |
| WELLMARK HEALTHCARE SERVICES OF EL PASO, INC | — | — | 2007-04-27 | current | tx_hhsc_hcssa |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48141 | acs median gross | 0 | $725 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | fmr | 0 | $821 | 2025-10-01 | HUD_USER_FMR |
| county 48141 | acs median gross | 1 | $852 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | fmr | 1 | $1,013 | 2025-10-01 | HUD_USER_FMR |
| county 48141 | acs median gross | 2 | $1,030 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | fmr | 2 | $1,191 | 2025-10-01 | HUD_USER_FMR |
| county 48141 | acs median gross | 3 | $1,287 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | fmr | 3 | $1,633 | 2025-10-01 | HUD_USER_FMR |
| county 48141 | acs median gross | 4 | $1,596 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | fmr | 4 | $1,998 | 2025-10-01 | HUD_USER_FMR |
| county 48141 | acs median gross | 5 | $1,405 | 2024-12-31 | CENSUS_ACS5 |
| county 48141 | acs median gross | $1,079 | 2024-12-31 | CENSUS_ACS5 | |
| county 48141 | acs recent mover gross | $1,188 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 79922 | acs median gross | 2 | $1,053 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79922 | acs median gross | 3 | $984 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79922 | acs median gross | $1,076 | 2024-12-31 | CENSUS_ACS5 | |
| zip 79922 | payment standard 110 | 0 | $1,177 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | payment standard 90 | 0 | $963 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | safmr | 0 | $1,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | payment standard 110 | 1 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | payment standard 90 | 1 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | safmr | 1 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | payment standard 110 | 2 | $1,705 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | payment standard 90 | 2 | $1,395 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | safmr | 2 | $1,550 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | payment standard 110 | 3 | $2,343 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | payment standard 90 | 3 | $1,917 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | safmr | 3 | $2,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | payment standard 110 | 4 | $2,860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | payment standard 90 | 4 | $2,340 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79922 | safmr | 4 | $2,600 | 2025-10-01 | HUD_USER_SAFMR |