Composite
45.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 63.5 | 65.0 | 0.30 | 0.2222 | 14.11 | in index |
| quality risk | 36.3 | 45.9 | 0.30 | 0.2222 | 8.07 | in index |
| state reg risk | 24.1 | 37.1 | 0.30 | 0.2222 | 5.36 | in index |
| chow risk | 47.5 | 20.3 | 0.15 | 0.1111 | 5.28 | in index |
| billing conduct | 22.7 | 11.4 | 0.30 | 0.2222 | 5.04 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +33.2 vs natl | SYLVANIA FRANCISCAN HEALTH | 9 facilities |
| connection | Owner fleet enforcement cluster | 44% fined | SYLVANIA FRANCISCAN HEALTH | 9 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 11.4 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 36.4 | B | v0.1-ohodh | default · in composite | Ohio DOH facility listing: owner portfolio size and recency of licence opening as an entry and control proxy. |
| chow risk | 7.0 | 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 | 17.6 | 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. |
| quality risk | 45.9 | C | v0.1 | default · in composite | |
| regulatory risk | 65.0 | 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 | 37.1 | B | v0.1-ohodh | default · in composite | Ohio DOH facility listing: licence tenure, owner disclosure, owner domicile and owner address identity. |
| 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 | 65.0 | D | 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 | 91.7 | — | 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 | 89.1 | — | 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 | 90.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 93.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 57.1 | — | 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 | 98.2 | — | 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 | 12.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.6 | — | 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 | 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 | 97.9 | — | 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 | 94.0 | — | 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) | 93.0 | — | 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 | 93.0 | — | 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 | 87.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 30.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | 5.0 | 5 | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 273.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| COMMONSPIRIT HEALTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2016-02-01 | current | pecos_ownership |
| TRINITY HEALTH SYSTEM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 1996-06-01 | current | pecos_ownership |
| SYLVANIA FRANCISCAN HEALTH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50% | 2016-02-01 | current | pecos_ownership |
| AARON PROVENZANO | CORPORATE DIRECTOR | 0% | 2020-07-01 | current | pecos_ownership |
| BRENAN PERGI | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| DANIEL MORISSETTE | CORPORATE OFFICER | 0% | 2019-02-01 | current | pecos_ownership |
| DAVE WERKIN | CORPORATE OFFICER | 0% | 2012-09-24 | current | pecos_ownership |
| DENNIS WOLTERS | CORPORATE DIRECTOR | 0% | 2017-07-01 | current | pecos_ownership |
| DONALD HEARNE | CORPORATE OFFICER | 0% | 2025-07-01 | current | pecos_ownership |
| JAMES MAY | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| JASON ELLIOTT | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| JEFFREY NEIDIG | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| JOHN COLUMBUS | CORPORATE DIRECTOR | 0% | 2015-01-01 | current | pecos_ownership |
| JOSEPH LUCKINO | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| KARLA GREGORY-MARTIN | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| MATTHEW BROWN | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| MICHELLE GORMAN | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| RITA DUTTON | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| SHAWN HERVEY | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| TERESA GAGLIARDI | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| TERIKA MBANU | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| THOMAS KOPFENSTEINER | CORPORATE DIRECTOR | 0% | 2025-07-01 | current | pecos_ownership |
| WILLIAM SCHAEFER | CORPORATE DIRECTOR | 0% | 2009-01-01 | current | pecos_ownership |
| WILLIAM SCHAEFER | CORPORATE OFFICER | 0% | 2019-07-01 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 39081 | acs median gross | 0 | $818 | 2024-12-31 | CENSUS_ACS5 |
| county 39081 | fmr | 0 | $752 | 2025-10-01 | HUD_USER_FMR |
| county 39081 | acs median gross | 1 | $516 | 2024-12-31 | CENSUS_ACS5 |
| county 39081 | fmr | 1 | $757 | 2025-10-01 | HUD_USER_FMR |
| county 39081 | acs median gross | 2 | $842 | 2024-12-31 | CENSUS_ACS5 |
| county 39081 | fmr | 2 | $973 | 2025-10-01 | HUD_USER_FMR |
| county 39081 | acs median gross | 3 | $985 | 2024-12-31 | CENSUS_ACS5 |
| county 39081 | fmr | 3 | $1,285 | 2025-10-01 | HUD_USER_FMR |
| county 39081 | acs median gross | 4 | $1,161 | 2024-12-31 | CENSUS_ACS5 |
| county 39081 | fmr | 4 | $1,482 | 2025-10-01 | HUD_USER_FMR |
| county 39081 | acs median gross | 5 | $1,149 | 2024-12-31 | CENSUS_ACS5 |
| county 39081 | acs median gross | $835 | 2024-12-31 | CENSUS_ACS5 | |
| county 39081 | acs recent mover gross | $877 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43952 | acs median gross | 0 | $829 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43952 | acs median gross | 1 | $488 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43952 | acs median gross | 2 | $781 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43952 | acs median gross | 3 | $976 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43952 | acs median gross | 4 | $1,136 | 2024-12-31 | CENSUS_ACS5 |
| zcta 43952 | acs median gross | $753 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 43952 | acs recent mover gross | $685 | 2024-12-31 | CENSUS_ACS5 | |
| zip 43952 | payment standard 110 | 0 | $847 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | payment standard 90 | 0 | $693 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | safmr | 0 | $770 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | payment standard 110 | 1 | $858 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | payment standard 90 | 1 | $702 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | safmr | 1 | $780 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | payment standard 110 | 2 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | payment standard 90 | 2 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | safmr | 2 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | payment standard 110 | 3 | $1,452 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | payment standard 90 | 3 | $1,188 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | safmr | 3 | $1,320 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | payment standard 110 | 4 | $1,672 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | payment standard 90 | 4 | $1,368 | 2025-10-01 | HUD_USER_SAFMR |
| zip 43952 | safmr | 4 | $1,520 | 2025-10-01 | HUD_USER_SAFMR |