Composite
49.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 75.0 | 80.0 | 0.30 | 0.1818 | 13.64 | in index |
| billing conduct | 61.9 | 19.4 | 0.30 | 0.1818 | 11.25 | in index |
| quality risk | 45.2 | 46.8 | 0.30 | 0.1818 | 8.22 | in index |
| chow risk | 64.0 | 23.5 | 0.15 | 0.0909 | 5.82 | in index |
| financial risk | 6.9 | 33.8 | 0.30 | 0.1818 | 1.25 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1818 | 0.00 | in index |
| ownership opacity | 96.4 | 56.8 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 19.4 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 35.0 | 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 | 11.9 | 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 | 33.8 | B | v0.1-cacdph | default · in composite | California home health operating scale, public payer visit concentration, service intensity and lack-of-funds discharges. |
| ownership opacity | 56.8 | C | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 45.0 | C | v0.1 | default · in composite | |
| quality risk | 48.5 | C | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| regulatory risk | 80.0 | F | 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 | 0.0 | A | v0.1-cacdph | default · in composite | CDPH licence tenure, expiry, branch role and failure to file the mandatory HCAI annual utilization report. |
| 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 | 80.0 | F | 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 | 84.4 | — | 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 | 78.2 | — | 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 | 76.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 96.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 67.8 | — | 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 | 92.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 79.9 | — | 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 | 1.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 8.4 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.7 | — | 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 | 0.4 | — | 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 | 0.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 3.0 | 3 | 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 | 91.7 | — | 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 | 89.0 | — | 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) | 92.0 | — | 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 | 91.0 | — | 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 | 89.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 27.0 | — | 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 | 78.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 1994-03-10 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ADAM THUNELL | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2026-01-12 | current | pecos_ownership |
| REDLANDS COMMUNITY HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | 100% | — | current | pecos_ownership |
| ALVIN UMEDA | CORPORATE DIRECTOR | — | 2006-04-04 | current | pecos_ownership |
| CAROL SNODGRESS | CORPORATE DIRECTOR | — | 2013-04-01 | current | pecos_ownership |
| DELLA STANGE | CORPORATE OFFICER | — | 2022-06-13 | current | pecos_ownership |
| JEFFREY MARTINEZ | CORPORATE DIRECTOR | — | 2021-04-01 | current | pecos_ownership |
| JOYCE VOLSCH | CORPORATE DIRECTOR | — | 2022-06-13 | current | pecos_ownership |
| KAREN ZIRKLE | CORPORATE OFFICER | — | 2019-09-01 | current | pecos_ownership |
| KASEY HAWS | CORPORATE DIRECTOR | — | 2021-04-21 | current | pecos_ownership |
| KATHLEEN SALVESEN | CORPORATE DIRECTOR | — | 2005-04-01 | current | pecos_ownership |
| KLEMENS HUYNH | CORPORATE DIRECTOR | — | 2022-01-01 | current | pecos_ownership |
| MICHELLE MOK | CORPORATE OFFICER | — | 2015-02-01 | current | pecos_ownership |
| NEAL WANER | CORPORATE DIRECTOR | — | 2017-04-01 | current | pecos_ownership |
| PRANAV MEHTA | CORPORATE DIRECTOR | — | 2006-04-01 | current | pecos_ownership |
| REDLANDS COMMUNITY HOSPITAL | — | — | 1994-03-10 | current | ca_cdph_elms |
| RICHARD BEEMER | CORPORATE DIRECTOR | — | 2011-04-01 | current | pecos_ownership |
| ROBERT HODGES | CORPORATE DIRECTOR | — | 1997-04-01 | current | pecos_ownership |
| SAM RACADIO | CORPORATE DIRECTOR | — | 2012-04-01 | current | pecos_ownership |
| SAMEH NASEIB | CORPORATE DIRECTOR | — | 2020-01-01 | current | pecos_ownership |
| STANLEY WEISSER | CORPORATE DIRECTOR | — | 2002-04-01 | current | pecos_ownership |
| THEODORE ALEJANDRE | CORPORATE DIRECTOR | — | 2018-04-01 | current | pecos_ownership |
| TODD SEXTON | CORPORATE OFFICER | — | 2021-07-01 | current | pecos_ownership |
| WILLIAM HATFIELD | CORPORATE DIRECTOR | — | 2001-04-01 | current | pecos_ownership |
| YOLANDA CONTRERAS | CORPORATE DIRECTOR | — | 2010-04-01 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06071 | acs median gross | 0 | $1,374 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 0 | $1,692 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 1 | $1,432 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 1 | $1,777 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 2 | $1,717 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 2 | $2,201 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 3 | $2,050 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 3 | $2,912 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 4 | $2,471 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | fmr | 4 | $3,514 | 2025-10-01 | HUD_USER_FMR |
| county 06071 | acs median gross | 5 | $2,796 | 2024-12-31 | CENSUS_ACS5 |
| county 06071 | acs median gross | $1,801 | 2024-12-31 | CENSUS_ACS5 | |
| county 06071 | acs recent mover gross | $2,184 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92373 | acs median gross | 0 | $2,074 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92373 | acs median gross | 1 | $1,732 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92373 | acs median gross | 2 | $2,021 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92373 | acs median gross | 3 | $2,319 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92373 | acs median gross | 4 | $2,932 | 2024-12-31 | CENSUS_ACS5 |
| zcta 92373 | acs median gross | $1,992 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 92373 | acs recent mover gross | $2,153 | 2024-12-31 | CENSUS_ACS5 | |
| zip 92373 | payment standard 110 | 0 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | payment standard 90 | 0 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | safmr | 0 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | payment standard 110 | 1 | $2,376 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | payment standard 90 | 1 | $1,944 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | safmr | 1 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | payment standard 110 | 2 | $2,948 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | payment standard 90 | 2 | $2,412 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | safmr | 2 | $2,680 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | payment standard 110 | 3 | $3,905 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | payment standard 90 | 3 | $3,195 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | safmr | 3 | $3,550 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | payment standard 110 | 4 | $4,708 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | payment standard 90 | 4 | $3,852 | 2025-10-01 | HUD_USER_SAFMR |
| zip 92373 | safmr | 4 | $4,280 | 2025-10-01 | HUD_USER_SAFMR |