Composite
48.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 85.7 | 69.8 | 0.30 | 0.1818 | 15.58 | in index |
| quality risk | 63.8 | 60.6 | 0.30 | 0.1818 | 11.60 | in index |
| chow risk | 84.0 | 33.1 | 0.15 | 0.0909 | 7.64 | in index |
| billing conduct | 21.0 | 11.0 | 0.30 | 0.1818 | 3.82 | in index |
| regulatory risk | 4.6 | 20.0 | 0.30 | 0.1818 | 0.84 | in index |
| state reg risk | 0.1 | 15.0 | 0.30 | 0.1818 | 0.02 | in index |
| ownership opacity | 70.7 | 42.6 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 11.0 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 56.7 | C | v0.1-flahca | default · in composite | Recency of the AHCA reported change of controlling owner, owner chain scale, domicile and vehicle naming. |
| chow risk | 26.0 | 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 | 16.5 | 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 | 69.8 | D | v0.5 | default · in composite | R18. |
| ownership opacity | 42.6 | B | v0.1-flahca | default · in composite | AHCA owner chain concentration, profit status, domicile and public web presence. |
| quality risk | 60.6 | C | v0.1 | default · in composite | |
| regulatory risk | 20.0 | A | 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| financial risk | 97.5 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 77.5 | D | 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 | 70.8 | 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 | 70.3 | 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 | 5.0 | 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 | 20.0 | A | 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 | 85.2 | — | 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 | 85.2 | — | 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 | 81.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 87.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 69.5 | — | 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 | 91.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 83.3 | — | 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 | 1.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 9.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.9 | — | 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 | 0.1 | — | 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 | 2.5 | 2.5 | 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 | 97.2 | — | 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 | 84.0 | — | 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) | 87.0 | — | 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 | 87.0 | — | 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 | 78.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 18.0 | — | 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 | 320.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2025-01-01 | chow_application | — | — |
| 2025-01-01 | renewal | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2025-01-01 | current | pecos_ownership |
| ADVENTHEALTH HOME HEALTH AND HOSPICE, INC | — | — | 2025-01-01 | current | fl_ahca_healthfinder |
| AMANDA BRADY | CORPORATE OFFICER | — | 2025-01-01 | current | pecos_ownership |
| BRYAN WRIGHT | OTHER | — | 2025-01-01 | current | pecos_ownership |
| DAVID HUFFMAN | CORPORATE OFFICER | — | 2025-01-01 | current | pecos_ownership |
| FARLEN HALIKMAN | CORPORATE DIRECTOR | — | 2025-01-01 | current | pecos_ownership |
| JEFFREY GRAFF | CORPORATE OFFICER | — | 2025-01-01 | current | pecos_ownership |
| LEE ADLER | CORPORATE DIRECTOR | — | 2025-01-01 | current | pecos_ownership |
| LISA BORBON | OTHER | — | 2025-01-01 | current | pecos_ownership |
| LYNN ADDISCOTT | CORPORATE OFFICER | — | 2025-01-01 | current | pecos_ownership |
| MARK WHEELER | CONTRACTED MANAGING EMPLOYEE | — | 2025-01-01 | current | pecos_ownership |
| MICHAEL SAUNDERS | CORPORATE OFFICER | — | 2025-01-01 | current | pecos_ownership |
| SANDRA RANDOLPH | CORPORATE DIRECTOR | — | 2025-01-01 | current | pecos_ownership |
| SHERRIE SITARIK | CORPORATE DIRECTOR | — | 2025-01-01 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12057 | acs median gross | 0 | $1,424 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | fmr | 0 | $1,593 | 2025-10-01 | HUD_USER_FMR |
| county 12057 | acs median gross | 1 | $1,408 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | fmr | 1 | $1,696 | 2025-10-01 | HUD_USER_FMR |
| county 12057 | acs median gross | 2 | $1,671 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | fmr | 2 | $1,977 | 2025-10-01 | HUD_USER_FMR |
| county 12057 | acs median gross | 3 | $1,895 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | fmr | 3 | $2,527 | 2025-10-01 | HUD_USER_FMR |
| county 12057 | acs median gross | 4 | $2,257 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | fmr | 4 | $3,077 | 2025-10-01 | HUD_USER_FMR |
| county 12057 | acs median gross | 5 | $2,604 | 2024-12-31 | CENSUS_ACS5 |
| county 12057 | acs median gross | $1,667 | 2024-12-31 | CENSUS_ACS5 | |
| county 12057 | acs recent mover gross | $1,939 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33637 | acs median gross | 0 | $1,591 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33637 | acs median gross | 1 | $1,429 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33637 | acs median gross | 2 | $1,700 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33637 | acs median gross | 3 | $2,185 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33637 | acs median gross | 4 | $1,890 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33637 | acs median gross | $1,648 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33637 | acs recent mover gross | $1,730 | 2024-12-31 | CENSUS_ACS5 | |
| zip 33637 | payment standard 110 | 0 | $1,749 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | payment standard 90 | 0 | $1,431 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | safmr | 0 | $1,590 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | payment standard 110 | 1 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | payment standard 90 | 1 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | safmr | 1 | $1,690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | payment standard 110 | 2 | $2,167 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | payment standard 90 | 2 | $1,773 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | safmr | 2 | $1,970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | payment standard 110 | 3 | $2,772 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | payment standard 90 | 3 | $2,268 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | safmr | 3 | $2,520 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | payment standard 110 | 4 | $3,377 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | payment standard 90 | 4 | $2,763 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33637 | safmr | 4 | $3,070 | 2025-10-01 | HUD_USER_SAFMR |