Composite
42.8 / 100 percentile
Screener / B31600
B
Living Stones Hospice Care Llc
hospiceCA
960 W. Marcos Blvd. Suite 220, San Marcos, CA 92078 · CCN B31600 · chain ACACIA HEALTH LLC
Peer group
hospice n = 6,737
Evidence depth
deep
Certified beds
—
Model
v1.2
Reads as: riskier than 42.8% 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 model7Components10Penalties0Deficiencies0Licensure0Ownership14Related party2Transactions0Market rent36
Composite explanation
7| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| quality risk | 84.9 | 59.6 | 0.30 | 0.1818 | 15.44 | in index |
| regulatory risk | 65.2 | 75.0 | 0.30 | 0.1818 | 11.85 | in index |
| billing conduct | 40.3 | 43.3 | 0.30 | 0.1818 | 7.33 | in index |
| state reg risk | 25.7 | 7.0 | 0.30 | 0.1818 | 4.67 | in index |
| financial risk | 23.2 | 19.5 | 0.30 | 0.1818 | 4.22 | in index |
| chow risk | 18.3 | 8.7 | 0.15 | 0.0909 | 1.66 | in index |
| ownership opacity | 46.8 | 31.2 | excluded |
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.
Component scores and registry models
10| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 43.3 | B | v0.1-cacdph | default · in composite | California hospice live discharge, over-180-day stay and non-terminal admission mix rates. |
| chow risk | 8.7 | 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 | 15.7 | A | v0.1-hospiceown | default · in composite | Hospice 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. |
| financial risk | 22.9 | A | v0.5 | default · in composite | R18. |
| ownership opacity | 15.0 | A | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| ownership opacity | 46.3 | C | v0.1-hospiceown | default · in composite | Hospice 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 risk | 59.6 | 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 | 7.0 | 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 | 21.6 | A | 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. |
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.
Penalties
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
0No 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
0No 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
14| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| DANTE BAUTISTA | W-2 MANAGING EMPLOYEE | 65% | 2023-12-10 | current | pecos_ownership |
| DANTE BAUTISTA | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 51% | 2024-08-23 | current | pecos_ownership |
| ACACIA HEALTH BLOCKER, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | 2024-08-23 | current | pecos_ownership |
| ACACIA HEALTH MIDCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | 2024-08-23 | current | pecos_ownership |
| ACACIA HEALTH, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 49% | 2024-08-23 | current | pecos_ownership |
| ACACIA HOSPICE OF THE LOW DESERT LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 49% | 2024-08-23 | current | pecos_ownership |
| MERIT CAPITAL FUND VII, LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 31% | 2024-08-23 | current | pecos_ownership |
| AGAZARYAN ML HOLDINGS, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2024-08-23 | current | pecos_ownership |
| ALEXSAN AGAZARYAN | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2024-08-23 | current | pecos_ownership |
| ACACIA MCMURPHY, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2024-08-23 | current | pecos_ownership |
| MATTHEW MCMURPHY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2024-08-23 | current | pecos_ownership |
| DAVID KO | W-2 MANAGING EMPLOYEE | — | 2024-08-30 | current | pecos_ownership |
| HUY HO | CONTRACTED MANAGING EMPLOYEE | — | 2023-12-10 | current | pecos_ownership |
| STEPHANIE FERRATT | W-2 MANAGING EMPLOYEE | — | 2024-08-28 | current | pecos_ownership |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No 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
36| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06073 | acs median gross | 0 | $1,761 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | fmr | 0 | $2,288 | 2025-10-01 | HUD_USER_FMR |
| county 06073 | acs median gross | 1 | $1,888 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | fmr | 1 | $2,459 | 2025-10-01 | HUD_USER_FMR |
| county 06073 | acs median gross | 2 | $2,290 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | fmr | 2 | $3,001 | 2025-10-01 | HUD_USER_FMR |
| county 06073 | acs median gross | 3 | $2,826 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | fmr | 3 | $3,998 | 2025-10-01 | HUD_USER_FMR |
| county 06073 | acs median gross | 4 | $3,451 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | fmr | 4 | $4,845 | 2025-10-01 | HUD_USER_FMR |
| county 06073 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06073 | acs median gross | $2,246 | 2024-12-31 | CENSUS_ACS5 | |
| county 06073 | acs recent mover gross | $2,729 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92078 | acs median gross | 0 | $1,900 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92078 | acs median gross | 1 | $2,017 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92078 | acs median gross | 2 | $2,521 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92078 | acs median gross | 3 | $2,859 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92078 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92078 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92078 | acs median gross | $2,567 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92078 | acs recent mover gross | $3,217 | 2024-12-31 | CENSUS_ACS5 | |
| zip 92078 | payment standard 110 | 0 | $2,838 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | payment standard 90 | 0 | $2,322 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | safmr | 0 | $2,580 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | payment standard 110 | 1 | $3,047 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | payment standard 90 | 1 | $2,493 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | safmr | 1 | $2,770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | payment standard 110 | 2 | $3,718 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | payment standard 90 | 2 | $3,042 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | safmr | 2 | $3,380 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | payment standard 110 | 3 | $4,950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | payment standard 90 | 3 | $4,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | safmr | 3 | $4,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | payment standard 110 | 4 | $6,006 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | payment standard 90 | 4 | $4,914 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92078 | safmr | 4 | $5,460 | 2025-10-01 | HUD_USER_SAFMR |
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.