Composite
80.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| quality risk | 99.7 | 100.0 | 0.30 | 0.2222 | 22.16 | in index |
| financial risk | 99.1 | 79.5 | 0.30 | 0.2222 | 22.02 | in index |
| chow risk | 81.2 | 30.2 | 0.15 | 0.1111 | 9.02 | in index |
| regulatory risk | 14.9 | 30.0 | 0.30 | 0.2222 | 3.31 | in index |
| state reg risk | 0.1 | 15.0 | 0.30 | 0.2222 | 0.02 | in index |
| ownership opacity | 88.1 | 67.5 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 37.1 | B | v0.1-flahca | default · in composite | Recency of the AHCA reported change of controlling owner, owner chain scale, domicile and vehicle naming. |
| chow risk | 36.0 | B | 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 | 17.4 | 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 | 79.5 | D | v0.5 | default · in composite | R18. |
| ownership opacity | 67.5 | D | v0.1-flahca | default · in composite | AHCA owner chain concentration, profit status, domicile and public web presence. |
| quality risk | 100.0 | F | 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. |
| state reg risk | 15.0 | A | v0.1-flahca | default · in composite | AHCA licence status, expiry, tenure and out-of-state administration. |
| financial risk | 79.7 | D | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 79.4 | 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 | 30.0 | 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 | 54.3 | — | 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 | 51.6 | — | 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 | 49.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 52.5 | — | 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 | 86.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | - | — | 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 | 1.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 1.0 | 1 | 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 | 86.0 | — | 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 | Not Available | — | 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) | Not Available | — | 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 | Not Available | — | 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 | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2024-09-26 | renewal | — | — |
| 2022-09-26 | chow_application | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| INDEPENDENT LIVING SYSTEMS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-08-31 | current | pecos_ownership |
| INDLIVSYS HOLDING COMPANY, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-08-31 | current | pecos_ownership |
| NANCY THOMPSON | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2022-09-26 | current | pecos_ownership |
| NESTOR PLANA | CONTRACTED MANAGING EMPLOYEE | 100% | 2022-09-26 | current | pecos_ownership |
| FORDHAM HOLDINGS, INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 78% | 2023-08-31 | current | pecos_ownership |
| JULIENNE PREVIL | W-2 MANAGING EMPLOYEE | 50% | 2024-03-30 | current | pecos_ownership |
| LEO THOMAS | CORPORATE OFFICER | 50% | 2022-09-26 | current | pecos_ownership |
| DAVID ROGERS | CORPORATE DIRECTOR | 25% | 2022-09-26 | current | pecos_ownership |
| OAK ILS BLOCKER CORP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 24% | 2022-09-26 | current | pecos_ownership |
| MANSA CAPITAL FUND I LP | LIMITED PARTNERSHIP INTEREST | 9% | 2023-08-31 | current | pecos_ownership |
| MAUREEN LILLIS | CORPORATE OFFICER | — | 2022-09-26 | current | pecos_ownership |
| SUNREEF HOME CARE LLC | — | — | 2022-09-26 | current | fl_ahca_healthfinder |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12011 | acs median gross | 0 | $1,568 | 2024-12-31 | CENSUS_ACS5 |
| county 12011 | fmr | 0 | $1,737 | 2025-10-01 | HUD_USER_FMR |
| county 12011 | acs median gross | 1 | $1,603 | 2024-12-31 | CENSUS_ACS5 |
| county 12011 | fmr | 1 | $1,900 | 2025-10-01 | HUD_USER_FMR |
| county 12011 | acs median gross | 2 | $1,932 | 2024-12-31 | CENSUS_ACS5 |
| county 12011 | fmr | 2 | $2,333 | 2025-10-01 | HUD_USER_FMR |
| county 12011 | acs median gross | 3 | $2,387 | 2024-12-31 | CENSUS_ACS5 |
| county 12011 | fmr | 3 | $3,216 | 2025-10-01 | HUD_USER_FMR |
| county 12011 | acs median gross | 4 | $2,814 | 2024-12-31 | CENSUS_ACS5 |
| county 12011 | fmr | 4 | $3,810 | 2025-10-01 | HUD_USER_FMR |
| county 12011 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 12011 | acs median gross | $1,907 | 2024-12-31 | CENSUS_ACS5 | |
| county 12011 | acs recent mover gross | $2,221 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33351 | acs median gross | 0 | $1,873 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33351 | acs median gross | 1 | $1,675 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33351 | acs median gross | 2 | $2,084 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33351 | acs median gross | 3 | $2,545 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33351 | acs median gross | $2,052 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33351 | acs recent mover gross | $2,238 | 2024-12-31 | CENSUS_ACS5 | |
| zip 33351 | payment standard 110 | 0 | $2,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | payment standard 90 | 0 | $1,665 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | safmr | 0 | $1,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | payment standard 110 | 1 | $2,222 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | payment standard 90 | 1 | $1,818 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | safmr | 1 | $2,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | payment standard 110 | 2 | $2,728 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | payment standard 90 | 2 | $2,232 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | safmr | 2 | $2,480 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | payment standard 110 | 3 | $3,762 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | payment standard 90 | 3 | $3,078 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | safmr | 3 | $3,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | payment standard 110 | 4 | $4,455 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | payment standard 90 | 4 | $3,645 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33351 | safmr | 4 | $4,050 | 2025-10-01 | HUD_USER_SAFMR |