Composite
71.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| quality risk | 74.5 | 67.8 | 0.30 | 0.2222 | 16.56 | in index |
| billing conduct | 61.3 | 19.2 | 0.30 | 0.2222 | 13.62 | in index |
| chow risk | 91.7 | 41.6 | 0.15 | 0.1111 | 10.19 | in index |
| financial risk | 28.1 | 36.0 | 0.30 | 0.2222 | 6.24 | in index |
| regulatory risk | 14.9 | 30.0 | 0.30 | 0.2222 | 3.31 | in index |
| 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 | 19.2 | A | 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 | 17.2 | 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 | 36.0 | B | v0.5 | default · in composite | R18. |
| quality risk | 67.8 | D | 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| financial risk | 52.8 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 32.8 | 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 | 29.5 | 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 | 31.8 | 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 | 35.0 | B | 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 | 89.8 | — | 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 | 88.1 | — | 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 | 86.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 84.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 70.9 | — | 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 | 95.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 82.5 | — | 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 | 1.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 12.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.8 | — | 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 | 97.5 | — | 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) | 83.0 | — | 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 | 88.0 | — | 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 | 75.0 | — | 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 | 112.0 | — | 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 INDIRECT OWNERSHIP INTEREST | 100% | 2011-04-01 | 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 |
| AHM TEXAS LP, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | 2011-04-01 | current | pecos_ownership |
| DEERFIELD MANAGEMENT CO. 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% | 2024-12-31 | current | pecos_ownership |
| VANGUARD GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2024-12-31 | current | pecos_ownership |
| AHM TEXAS GP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 1% | 2011-04-01 | current | pecos_ownership |
| BARBARA JACOBSMEYER | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2023-01-01 | current | pecos_ownership |
| BARBARA JACOBSMEYER | CORPORATE OFFICER | 0% | 2017-01-01 | current | pecos_ownership |
| COLLIN MCQUIDDY | CORPORATE OFFICER | 0% | 2024-08-05 | 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 |
| RYAN SOLOMON | CORPORATE OFFICER | 0% | 2024-12-09 | 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 |
| DYLAN BLACK | CORPORATE OFFICER | — | 2023-02-22 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48303 | acs median gross | 0 | $866 | 2024-12-31 | CENSUS_ACS5 |
| county 48303 | fmr | 0 | $818 | 2025-10-01 | HUD_USER_FMR |
| county 48303 | acs median gross | 1 | $967 | 2024-12-31 | CENSUS_ACS5 |
| county 48303 | fmr | 1 | $990 | 2025-10-01 | HUD_USER_FMR |
| county 48303 | acs median gross | 2 | $1,132 | 2024-12-31 | CENSUS_ACS5 |
| county 48303 | fmr | 2 | $1,175 | 2025-10-01 | HUD_USER_FMR |
| county 48303 | acs median gross | 3 | $1,480 | 2024-12-31 | CENSUS_ACS5 |
| county 48303 | fmr | 3 | $1,634 | 2025-10-01 | HUD_USER_FMR |
| county 48303 | acs median gross | 4 | $1,767 | 2024-12-31 | CENSUS_ACS5 |
| county 48303 | fmr | 4 | $1,940 | 2025-10-01 | HUD_USER_FMR |
| county 48303 | acs median gross | 5 | $1,067 | 2024-12-31 | CENSUS_ACS5 |
| county 48303 | acs median gross | $1,178 | 2024-12-31 | CENSUS_ACS5 | |
| county 48303 | acs recent mover gross | $1,231 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 79424 | acs median gross | 0 | $1,283 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79424 | acs median gross | 1 | $994 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79424 | acs median gross | 2 | $1,196 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79424 | acs median gross | 3 | $1,700 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79424 | acs median gross | 4 | $2,200 | 2024-12-31 | CENSUS_ACS5 |
| zcta 79424 | acs median gross | $1,218 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 79424 | acs recent mover gross | $1,268 | 2024-12-31 | CENSUS_ACS5 | |
| zip 79424 | payment standard 110 | 0 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | payment standard 90 | 0 | $729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | safmr | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | payment standard 110 | 1 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | payment standard 90 | 1 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | safmr | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | payment standard 110 | 2 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | payment standard 90 | 2 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | safmr | 2 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | payment standard 110 | 3 | $1,793 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | payment standard 90 | 3 | $1,467 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | safmr | 3 | $1,630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | payment standard 110 | 4 | $2,123 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | payment standard 90 | 4 | $1,737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 79424 | safmr | 4 | $1,930 | 2025-10-01 | HUD_USER_SAFMR |