Composite
89.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 88.3 | 28.2 | 0.30 | 0.1818 | 16.05 | in index |
| state reg risk | 83.5 | 25.0 | 0.30 | 0.1818 | 15.18 | in index |
| regulatory risk | 78.0 | 90.0 | 0.30 | 0.1818 | 14.18 | in index |
| quality risk | 48.2 | 51.7 | 0.30 | 0.1818 | 8.76 | in index |
| chow risk | 64.6 | 39.6 | 0.15 | 0.0909 | 5.87 | in index |
| financial risk | 25.8 | 34.7 | 0.30 | 0.1818 | 4.69 | in index |
| ownership opacity | 90.3 | 72.5 | excluded |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +27.1 vs natl | CARESOUTH HEALTH SYSTEM INC | 38 facilities |
| connection | Owner fleet risk far above national | +26.9 vs natl | CARESOUTH HHA HOLDINGS LLC | 34 facilities |
| connection | Owner fleet risk far above national | +20.0 vs natl | COLLIN MCQUIDDY | 195 facilities |
| connection | Owner spans multiple chains | 8 chains | BLACKROCK INC | 303 facilities |
| connection | Owner spans multiple chains | 8 chains | VANGUARD GROUP INC | 324 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 28.2 | B | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 48.1 | 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 | 66.0 | D | 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 | 4.6 | 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. |
| financial risk | 34.7 | B | v0.5 | default · in composite | R18. |
| ownership opacity | 72.5 | D | v0.1-flahca | default · in composite | AHCA owner chain concentration, profit status, domicile and public web presence. |
| quality risk | 51.7 | C | v0.1 | default · in composite | |
| regulatory risk | 90.0 | 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 | 25.0 | B | v0.1-flahca | default · in composite | AHCA licence status, expiry, tenure and out-of-state administration. |
| financial risk | 45.8 | 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 | 25.8 | 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 | 28.5 | B | 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 | 30.6 | B | 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 | 35.0 | B | v0.1-pecos | addressable | R21. Retained as a description of ownership structure. Deliberately NOT in any composite: inversely related to billing conduct. |
| regulatory risk | 90.0 | 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 | 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 getting in and out of bed | 86.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at 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 | 89.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 70.1 | — | 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 | 96.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 89.1 | — | 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 | 1.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 10.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.5 | — | 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 | 0.3 | — | 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 | 3.0 | 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 | 95.4 | — | 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) | 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 | 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 | 83.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 32.0 | — | 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 | 187.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2024-11-05 | renewal | — | — |
| 2012-08-07 | chow_application | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ADVANCED HOMECARE MANAGEMENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2015-11-01 | current | pecos_ownership |
| CARESOUTH HEALTH SYSTEM INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2012-05-30 | current | pecos_ownership |
| CARESOUTH HHA HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2012-05-30 | current | pecos_ownership |
| ENHABIT HOLDINGS, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-07-01 | current | pecos_ownership |
| ENHABIT INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2015-11-01 | current | pecos_ownership |
| WELLS FARGO BANK, N.A. | 5% OR GREATER SECURITY INTEREST | 100% | 2022-06-30 | current | pecos_ownership |
| VANGUARD GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2023-12-31 | current | pecos_ownership |
| DEERFIELD MANAGEMENT COMPANY LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 10% | 2023-12-31 | current | pecos_ownership |
| 8 KNOTS MANAGEMENT, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2024-12-31 | current | pecos_ownership |
| BLACKROCK INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2023-12-31 | current | pecos_ownership |
| BARBARA JACOBSMEYER | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-01-01 | current | pecos_ownership |
| BARBARA JACOBSMEYER | CORPORATE OFFICER | — | 2021-06-21 | current | pecos_ownership |
| CARESOUTH HHA HOLDINGS OF THE BAY AREA LLC | — | — | 2012-08-07 | current | fl_ahca_healthfinder |
| COLLIN MCQUIDDY | CORPORATE OFFICER | — | 2024-08-05 | current | pecos_ownership |
| DYLAN BLACK | CORPORATE OFFICER | — | 2023-02-22 | current | pecos_ownership |
| JEANNE KALVAITIS | CORPORATE OFFICER | — | 2022-07-01 | current | pecos_ownership |
| JOBIE WILLIAMS | CORPORATE OFFICER | — | 2023-02-22 | current | pecos_ownership |
| JULIE JOLLEY | CORPORATE OFFICER | — | 2021-06-04 | current | pecos_ownership |
| RYAN SOLOMON | CORPORATE OFFICER | — | 2024-12-09 | current | pecos_ownership |
| SARAH BRALEY | CORPORATE OFFICER | — | 2023-02-22 | current | pecos_ownership |
| SEAN RICHARDSON | CORPORATE OFFICER | — | 2023-02-22 | current | pecos_ownership |
| TANYA MARION | CORPORATE OFFICER | — | 2022-07-01 | current | pecos_ownership |
| CARESOUTH HHA HOLDINGS OF TALLAHASSEE, LLC | — | — | 2007-05-03 | ended 2026-07-27 | fl_ahca_healthfinder |
| 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 |