Composite
76.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| state reg risk | 83.5 | 25.0 | 0.30 | 0.1818 | 15.18 | in index |
| financial risk | 67.4 | 58.7 | 0.30 | 0.1818 | 12.25 | in index |
| billing conduct | 46.5 | 15.4 | 0.30 | 0.1818 | 8.45 | in index |
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.1818 | 6.96 | in index |
| quality risk | 32.1 | 43.6 | 0.30 | 0.1818 | 5.84 | in index |
| chow risk | 57.0 | 24.9 | 0.15 | 0.0909 | 5.18 | in index |
| ownership opacity | 93.4 | 80.2 | excluded |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 5 chains | JOSHUA PROFFITT | 516 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 15.4 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 45.3 | 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 | 22.0 | A | 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 | 7.4 | 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 | 58.7 | C | v0.5 | default · in composite | R18. |
| ownership opacity | 80.2 | F | v0.1-flahca | default · in composite | AHCA owner chain concentration, profit status, domicile and public web presence. |
| quality risk | 43.6 | B | v0.1 | default · in composite | |
| regulatory risk | 45.0 | C | 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 | 25.0 | B | v0.1-flahca | default · in composite | AHCA licence status, expiry, tenure and out-of-state administration. |
| financial risk | 85.2 | 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 | 65.2 | 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 | 54.8 | C | 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 | 56.0 | C | 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 | 45.0 | C | 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 | 90.5 | — | 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 | 88.9 | — | 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 | 90.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 90.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 71.4 | — | 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 | 93.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 91.3 | — | 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 | 0.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 10.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.3 | — | 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 | 0.2 | — | 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 | 1.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 3.5 | 3.5 | 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 | 99.9 | — | 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 | 88.0 | — | 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) | 86.0 | — | 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 | 89.0 | — | 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 | 80.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 26.0 | — | 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 | 397.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2026-06-23 | renewal | — | — |
| 2004-01-15 | chow_application | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ALMOST FAMILY, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-04-01 | current | pecos_ownership |
| LHC GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2018-04-01 | current | pecos_ownership |
| NATIONAL HEALTH INDUSTRIES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2003-08-06 | current | pecos_ownership |
| UNITEDHEALTH GROUP INCORPORATED | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-02-22 | current | pecos_ownership |
| CARETENDERS VISITING SERVICES OF DISTRICT 6, LLC | — | — | 2004-01-15 | current | fl_ahca_healthfinder |
| DARLENE SOLORZANO | W-2 MANAGING EMPLOYEE | — | 2023-09-05 | current | pecos_ownership |
| EDNA DURANT | W-2 MANAGING EMPLOYEE | — | 2023-04-17 | current | pecos_ownership |
| JOSHUA PROFFITT | CORPORATE OFFICER | — | 2012-08-01 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12081 | acs median gross | 0 | $1,526 | 2024-12-31 | CENSUS_ACS5 |
| county 12081 | fmr | 0 | $1,418 | 2025-10-01 | HUD_USER_FMR |
| county 12081 | acs median gross | 1 | $1,380 | 2024-12-31 | CENSUS_ACS5 |
| county 12081 | fmr | 1 | $1,686 | 2025-10-01 | HUD_USER_FMR |
| county 12081 | acs median gross | 2 | $1,639 | 2024-12-31 | CENSUS_ACS5 |
| county 12081 | fmr | 2 | $1,958 | 2025-10-01 | HUD_USER_FMR |
| county 12081 | acs median gross | 3 | $1,845 | 2024-12-31 | CENSUS_ACS5 |
| county 12081 | fmr | 3 | $2,537 | 2025-10-01 | HUD_USER_FMR |
| county 12081 | acs median gross | 4 | $2,578 | 2024-12-31 | CENSUS_ACS5 |
| county 12081 | fmr | 4 | $3,027 | 2025-10-01 | HUD_USER_FMR |
| county 12081 | acs median gross | 5 | $1,939 | 2024-12-31 | CENSUS_ACS5 |
| county 12081 | acs median gross | $1,671 | 2024-12-31 | CENSUS_ACS5 | |
| county 12081 | acs recent mover gross | $2,078 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 34208 | acs median gross | 0 | $1,738 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34208 | acs median gross | 1 | $1,277 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34208 | acs median gross | 2 | $1,425 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34208 | acs median gross | 3 | $1,703 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34208 | acs median gross | 4 | $1,714 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34208 | acs median gross | $1,456 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 34208 | acs recent mover gross | $1,877 | 2024-12-31 | CENSUS_ACS5 | |
| zip 34208 | payment standard 110 | 0 | $1,397 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | payment standard 90 | 0 | $1,143 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | safmr | 0 | $1,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | payment standard 110 | 1 | $1,661 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | payment standard 90 | 1 | $1,359 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | safmr | 1 | $1,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | payment standard 110 | 2 | $1,925 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | payment standard 90 | 2 | $1,575 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | safmr | 2 | $1,750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | payment standard 110 | 3 | $2,497 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | payment standard 90 | 3 | $2,043 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | safmr | 3 | $2,270 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | payment standard 110 | 4 | $2,981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | payment standard 90 | 4 | $2,439 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34208 | safmr | 4 | $2,710 | 2025-10-01 | HUD_USER_SAFMR |