Composite
65.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| quality risk | 88.1 | 78.6 | 0.30 | 0.1818 | 16.02 | in index |
| financial risk | 65.7 | 59.6 | 0.30 | 0.1818 | 11.95 | in index |
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.1818 | 6.96 | in index |
| billing conduct | 34.7 | 13.5 | 0.30 | 0.1818 | 6.31 | in index |
| chow risk | 60.0 | 19.0 | 0.15 | 0.0909 | 5.45 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1818 | 0.00 | in index |
| ownership opacity | 89.3 | 55.0 | excluded |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 6 chains | LAUREN RAPOSAS | 6 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 13.5 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| 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 | 12.0 | 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 | 61.0 | C | v0.1-cacdph | default · in composite | California home health operating scale, public payer visit concentration, service intensity and lack-of-funds discharges. |
| financial risk | 58.2 | C | v0.5 | default · in composite | R18. |
| ownership opacity | 55.0 | C | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 81.9 | F | v0.1 | default · in composite | |
| quality risk | 75.2 | D | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| 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 | 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. |
| financial risk | 61.6 | C | 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 | 41.6 | B | 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 | 54.1 | 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 | 55.4 | 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 | 68.4 | — | 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 | 84.2 | — | 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 | 59.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 76.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 69.8 | — | 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 | 93.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 56.2 | — | 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 | 12.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.5 | — | 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 | 0.9 | — | 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 | 100.0 | — | 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 | 79.0 | — | 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) | 91.0 | — | 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 | 77.0 | — | 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 | 48.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 17.0 | — | 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 | 18.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2009-09-28 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| JANIS INCIONG | CORPORATE OFFICER | 100% | 2011-05-01 | current | pecos_ownership |
| DANIEL VILLAMAYOR | CORPORATE OFFICER | 25% | 2024-12-13 | current | pecos_ownership |
| JAMES VILLAMAYOR | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25% | 2024-12-13 | current | pecos_ownership |
| BEN RAPOSAS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2024-12-13 | current | pecos_ownership |
| DEBIE POBLETE | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2024-12-13 | current | pecos_ownership |
| FATIMA PACHECO | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2024-12-13 | current | pecos_ownership |
| JANIS INCIONG | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2024-12-13 | current | pecos_ownership |
| NORMARAE GALIGUIS | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 10% | 2024-12-13 | current | pecos_ownership |
| CAMARILLO SKILLED HOME HEALTH LLC | — | — | 2009-09-28 | current | ca_cdph_elms |
| DEBIE POBLETE | W-2 MANAGING EMPLOYEE | — | 2010-08-31 | current | pecos_ownership |
| JANIS INCIONG | W-2 MANAGING EMPLOYEE | — | 2015-01-01 | current | pecos_ownership |
| JEAN MARIE SOLLER | — | — | 2009-09-28 | current | ca_cdph_elms |
| LAUREN RAPOSAS | CORPORATE OFFICER | — | 2024-12-13 | current | pecos_ownership |
| LAUREN RAPOSAS | CONTRACTED MANAGING EMPLOYEE | — | 2010-06-14 | current | pecos_ownership |
| MARIBEL SOLLER | CORPORATE OFFICER | — | 2024-12-13 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06111 | acs median gross | 0 | $1,772 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 0 | $1,998 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 1 | $1,946 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 1 | $2,250 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 2 | $2,249 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 2 | $2,693 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 3 | $2,754 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 3 | $3,652 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 4 | $3,220 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | fmr | 4 | $4,240 | 2025-10-01 | HUD_USER_FMR |
| county 06111 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 06111 | acs median gross | $2,317 | 2024-12-31 | CENSUS_ACS5 | |
| county 06111 | acs recent mover gross | $2,592 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93010 | acs median gross | 0 | $2,382 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93010 | acs median gross | 1 | $2,145 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93010 | acs median gross | 2 | $2,349 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93010 | acs median gross | 3 | $3,106 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93010 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93010 | acs median gross | 5 | $2,870 | 2024-12-31 | CENSUS_ACS5 |
| zcta 93010 | acs median gross | $2,500 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 93010 | acs recent mover gross | $2,768 | 2024-12-31 | CENSUS_ACS5 | |
| zip 93010 | payment standard 110 | 0 | $2,343 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | payment standard 90 | 0 | $1,917 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | safmr | 0 | $2,130 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | payment standard 110 | 1 | $2,640 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | payment standard 90 | 1 | $2,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | safmr | 1 | $2,400 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | payment standard 110 | 2 | $3,157 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | payment standard 90 | 2 | $2,583 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | safmr | 2 | $2,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | payment standard 110 | 3 | $4,279 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | payment standard 90 | 3 | $3,501 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | safmr | 3 | $3,890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | payment standard 110 | 4 | $4,972 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | payment standard 90 | 4 | $4,068 | 2025-10-01 | HUD_USER_SAFMR |
| zip 93010 | safmr | 4 | $4,520 | 2025-10-01 | HUD_USER_SAFMR |