CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: ENFORCEMENT ACTION PENDENFHANDS OF GOLD HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFFACO HEALTHCARE SERVICES INCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeENFFRONTIDA HOSPICE CARE LLCTX · 2026-07-07 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-04 20:25 UTC
Screener / 491557
D

MEDICAL SERVICES OF AMERICA HOME HEALTH & HOSPICE

hospiceVA
1935 FRONT STREET , RICHLANDS, VA 24641 · CCN 491557 · chain MEDICAL SERVICES OF AMERICA INC
Composite
91.6 / 100 percentile
Peer group
hospice n = 6,737
Evidence depth
deep
Certified beds
—
Model
v1.2
Reads as: riskier than 91.6% of the 6,737 facilities in the hospice peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model6ML signals4Components8Quality measures89Penalties0Deficiencies0Licensure0Ownership6Related party0Transactions0Market rent34

Composite explanation

6
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct92.557.50.300.222220.56in index
financial risk71.932.40.300.222215.98in index
quality risk68.061.40.300.222215.11in index
chow risk71.617.30.150.11117.96in index
regulatory risk19.630.00.300.22224.36in index
ownership opacity45.015.2excluded
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

4
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+24.4 vs natlMEDICAL SERVICES OF AMERICA INC38 facilities
connectionOwner fleet risk far above national+23.0 vs natlTHE YOUNG FAMILY TRUST F B O PATRICK WAYNE JEFFCOAT JR 36 facilities
connectionOwner fleet risk far above national+22.7 vs natlCHRISTINA JEFFCOAT41 facilities
connectionOwner fleet risk far above national+22.5 vs natlPATRICK JEFFCOAT41 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

8
Score typeScoreGradeModelStatusRegistry model notes
billing conduct67.5Dv0.1-hcidefault · in compositeHospice Care Index sub-indicators from CMS Care Compare, claims-derived and independent of the Provider of Services file. Scored as conduct rather than quality because the indicators are live-discharge timing, level-of-care mix, visit gaps and long-stay share.
billing conduct47.4Cv0.1-pacpuf-hosdefault · in compositeR22. PAC PUF hospice 2023. Long stay vs acuity, visit intensity, charge markup.
chow risk17.3Av0.1-posdefault · in compositeChange-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 risk32.3Bv0.1-hospiceowndefault · in compositeHospice ownership structure from CMS PECOS enrollment and All Owners. Reaches newly certified hospices that no federal quality file covers. Structure only, no quality content; the two score types from this model share one source.
ownership opacity14.3Av0.1-hospiceowndefault · in compositeHospice ownership structure from CMS PECOS enrollment and All Owners. Reaches newly certified hospices that no federal quality file covers. Structure only, no quality content; the two score types from this model share one source.
quality risk67.2Dv0.1default · in composite
quality risk55.6Cv0.1-cahpsdefault · in compositeCAHPS Hospice Survey bottom-box caregiver results from CMS Care Compare. Independent of claims and of state licensure.
regulatory risk30.0Bv0.6-posdefault · in compositeR31. 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.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

Quality measures

89
MeasureValueStarsPeriodSource
Average Daily Census56.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one yearYes—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice served at least 1 patient enrolled in Medicare Advantage during one yearYes—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Assisted Living Facility27.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Home67.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Inpatient Hospice Facility0.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Inpatient Hospital Facility0.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Nursing Facility0.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in All other locations0.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Skilled Nursing Facility5.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
The hospice team did |not| provide the right amount of emotional and spiritual support11.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
nanNot Applicable—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team provided the right amount of emotional and spiritual support89.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
nan239.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Treatment Preferences100.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan239.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Beliefs & Values Addressed (if desired by the patient)99.6—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan239.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Pain Screening99.6—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan114.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Pain Assessment100.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan239.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Dyspnea Screening99.6—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan150.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Dyspnea Treatment98.7—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan98.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Patient Treated with an Opioid Who Are Given a Bowel Regimen96.9—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan239.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Composite Process Measure97.1—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice Visits in the Last Days of Life304.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice Visits in the Last Days of Life55.6—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice Care Index Overall Score8.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
CHC/GIP provided (% days)41353.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
CHC/GIP provided (% days)0.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
CHC/GIP provided (% days)52.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Gaps in nursing visits (% elections)245.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Gaps in nursing visits (% elections)32.7—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Gaps in nursing visits (% elections)24.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Early live discharges (% live discharges)83.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Early live discharges (% live discharges)13.3—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Early live discharges (% live discharges)88.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Late live discharges (% live discharges)83.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Late live discharges (% live discharges)42.2—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Late live discharges (% live discharges)65.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 1(% live discharges)83.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 1 (% live discharges)21.7—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 1 (% live discharges)95.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 2(% live discharges)83.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 2 (% live discharges)6.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 2 (% live discharges)93.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Per-beneficiary spending (U.S. dollars $)450.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Per-beneficiary spending (U.S. dollars $)14652.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Per-beneficiary spending (U.S. dollars $)32.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Nurse care minutes per routine home care days (minutes)41204.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Nurse care minutes per routine home care days (minutes)16.6—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Nurse care minutes per routine home care days (minutes)85.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Skilled nursing minutes on weekends (% minutes)683385.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Skilled nursing minutes on weekends (% minutes)7.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Skilled nursing minutes on weekends (% minutes)39.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Visits near death (% decedents)339.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Visits near death (% decedents)95.6—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Visits near death (% decedents)66.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Cancer21.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Circulatory/heart disease13.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Dementia29.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Other Conditions19.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Respiratory disease18.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with StrokeNot Available—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Provided Routine Home Care and other levels of careYes—01/01/2022-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Provided Routine Home Care onlyNo—01/01/2022-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Caregivers rated the hospice agency a 6 or lower6.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
Caregivers rated the hospice agency a 7 or 810.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
Caregivers rated the hospice agency a 9 or 1084.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
NO, they would probably not or definitely not recommend the hospice4.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
YES, they would probably recommend the hospice9.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
YES, they would definitely recommend the hospice87.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team sometimes or never treated the patient with respect2.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team usually treated the patient with respect5.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team always treated the patient with respect93.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
Family caregiver survey ratingNot Applicable404/01/2023-03/31/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The patient sometimes or never got the help they needed for pain and symptoms6.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The patient usually got the help they needed for pain and symptoms15.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The patient always got the help they needed for pain and symptoms79.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team sometimes or never communicated well4.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team usually communicated well7.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team always communicated well89.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team sometimes or never provided timely help6.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team usually provided timely help12.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team always provided timely help82.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
CMS Care Compare measure values as published; a null value with a footnote means CMS suppressed or could not compute it.

Penalties

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

0
No deficiencies on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

6
OwnerRolePctFromStatusSource
MEDICAL SERVICES OF AMERICA INC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2002-11-02currentpecos_ownership
THE YOUNG FAMILY TRUST F/B/O PATRICK WAYNE JEFFCOAT, JR.5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2020-12-07currentpecos_ownership
DENNY GOSSCONTRACTED MANAGING EMPLOYEE0%2023-06-22currentpecos_ownership
CHRISTINA JEFFCOATCORPORATE DIRECTOR—2014-12-05currentpecos_ownership
DIANAH T BAIRDW-2 MANAGING EMPLOYEE—2024-06-03currentpecos_ownership
PATRICK JEFFCOATCORPORATE DIRECTOR—2014-12-05currentpecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Market rent context

34
GeoKindBRAmountAs ofSource
county 51185acs median gross0$5642024-12-31CENSUS_ACS5
county 51185fmr0$7272025-10-01HUD_USER_FMR
county 51185acs median gross1$4952024-12-31CENSUS_ACS5
county 51185fmr1$7322025-10-01HUD_USER_FMR
county 51185acs median gross2$7772024-12-31CENSUS_ACS5
county 51185fmr2$9142025-10-01HUD_USER_FMR
county 51185acs median gross3$8752024-12-31CENSUS_ACS5
county 51185fmr3$1,0962025-10-01HUD_USER_FMR
county 51185acs median gross4$6302024-12-31CENSUS_ACS5
county 51185fmr4$1,2522025-10-01HUD_USER_FMR
county 51185acs median gross5$1,6572024-12-31CENSUS_ACS5
county 51185acs median gross$7952024-12-31CENSUS_ACS5
county 51185acs recent mover gross$1,0632024-12-31CENSUS_ACS5
zcta 24641acs median gross1$2952024-12-31CENSUS_ACS5
zcta 24641acs median gross2$8232024-12-31CENSUS_ACS5
zcta 24641acs median gross3$9742024-12-31CENSUS_ACS5
zcta 24641acs median gross4$6102024-12-31CENSUS_ACS5
zcta 24641acs median gross$8042024-12-31CENSUS_ACS5
zcta 24641acs recent mover gross$6532024-12-31CENSUS_ACS5
zip 24641payment standard 1100$8362025-10-01HUD_USER_SAFMR
zip 24641payment standard 900$6842025-10-01HUD_USER_SAFMR
zip 24641safmr0$7602025-10-01HUD_USER_SAFMR
zip 24641payment standard 1101$8472025-10-01HUD_USER_SAFMR
zip 24641payment standard 901$6932025-10-01HUD_USER_SAFMR
zip 24641safmr1$7702025-10-01HUD_USER_SAFMR
zip 24641payment standard 1102$1,0562025-10-01HUD_USER_SAFMR
zip 24641payment standard 902$8642025-10-01HUD_USER_SAFMR
zip 24641safmr2$9602025-10-01HUD_USER_SAFMR
zip 24641payment standard 1103$1,2652025-10-01HUD_USER_SAFMR
zip 24641payment standard 903$1,0352025-10-01HUD_USER_SAFMR
zip 24641safmr3$1,1502025-10-01HUD_USER_SAFMR
zip 24641payment standard 1104$1,4522025-10-01HUD_USER_SAFMR
zip 24641payment standard 904$1,1882025-10-01HUD_USER_SAFMR
zip 24641safmr4$1,3202025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · MEDICAL SERVICES OF AMERICA HOME HEALTH & HOSPICE (491557) · generated 2026-08-04 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency