Composite
59.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| quality risk | 48.4 | 51.8 | 0.30 | 0.2222 | 10.76 | in index |
| financial risk | 47.7 | 47.2 | 0.30 | 0.2222 | 10.60 | in index |
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.2222 | 8.51 | in index |
| chow risk | 62.0 | 23.7 | 0.15 | 0.1111 | 6.89 | in index |
| billing conduct | 24.7 | 11.8 | 0.30 | 0.2222 | 5.49 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +22.6 vs natl | SALO INC | 25 facilities |
| connection | Owner fleet risk far above national | +22.4 vs natl | THOMAS DIMARCO | 25 facilities |
| connection | Owner fleet risk far above national | +22.1 vs natl | CHRISTINE OSWALD | 25 facilities |
| connection | Owner fleet risk far above national | +21.5 vs natl | DIANE PICCARD | 17 facilities |
| connection | Owner fleet risk far above national | +21.5 vs natl | NICHOLAS REISER | 13 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 11.8 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 36.0 | 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 | 11.4 | 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 | 47.2 | C | v0.5 | default · in composite | R18. |
| quality risk | 51.8 | C | 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. |
| financial risk | 65.7 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 45.7 | C | 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 | 41.0 | 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 | 43.1 | 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 | 30.0 | 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 | 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 | 90.0 | — | 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 | 88.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 90.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 84.7 | — | 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 | 86.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 70.2 | — | 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 | 1.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 8.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.1 | — | 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 | 1.0 | — | 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 | 0.8 | — | 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 | 92.6 | — | 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 | 95.0 | — | 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 | 94.0 | — | 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 | 85.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 33.0 | — | 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 | 220.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| NICHOLAS REISER | CORPORATE DIRECTOR | 100% | 2021-10-08 | current | pecos_ownership |
| NICHOLAS REISER | CORPORATE OFFICER | 100% | 2021-03-01 | current | pecos_ownership |
| SALO INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | current | pecos_ownership |
| THOMAS DIMARCO | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75% | 2024-07-03 | current | pecos_ownership |
| THOMAS DIMARCO | CORPORATE OFFICER | 70% | — | current | pecos_ownership |
| CHRISTINE OSWALD | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2004-04-16 | current | pecos_ownership |
| CARIN BENZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2024-02-06 | current | pecos_ownership |
| CHRISTINE OSWALD | CORPORATE OFFICER | — | 2004-11-07 | current | pecos_ownership |
| DIANE PICCARD | CORPORATE OFFICER | — | 2016-07-19 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 42003 | acs median gross | 0 | $1,022 | 2024-12-31 | CENSUS_ACS5 |
| county 42003 | fmr | 0 | $1,001 | 2025-10-01 | HUD_USER_FMR |
| county 42003 | acs median gross | 1 | $965 | 2024-12-31 | CENSUS_ACS5 |
| county 42003 | fmr | 1 | $1,077 | 2025-10-01 | HUD_USER_FMR |
| county 42003 | acs median gross | 2 | $1,201 | 2024-12-31 | CENSUS_ACS5 |
| county 42003 | fmr | 2 | $1,299 | 2025-10-01 | HUD_USER_FMR |
| county 42003 | acs median gross | 3 | $1,426 | 2024-12-31 | CENSUS_ACS5 |
| county 42003 | fmr | 3 | $1,661 | 2025-10-01 | HUD_USER_FMR |
| county 42003 | acs median gross | 4 | $1,624 | 2024-12-31 | CENSUS_ACS5 |
| county 42003 | fmr | 4 | $1,789 | 2025-10-01 | HUD_USER_FMR |
| county 42003 | acs median gross | 5 | $1,697 | 2024-12-31 | CENSUS_ACS5 |
| county 42003 | acs median gross | $1,153 | 2024-12-31 | CENSUS_ACS5 | |
| county 42003 | acs recent mover gross | $1,351 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 15238 | acs median gross | 1 | $932 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15238 | acs median gross | 2 | $1,460 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15238 | acs median gross | 3 | $1,690 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15238 | acs median gross | 4 | $2,325 | 2024-12-31 | CENSUS_ACS5 |
| zcta 15238 | acs median gross | $1,320 | 2024-12-31 | CENSUS_ACS5 | |
| zip 15238 | payment standard 110 | 0 | $1,122 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | payment standard 90 | 0 | $918 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | safmr | 0 | $1,020 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | payment standard 110 | 1 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | payment standard 90 | 1 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | safmr | 1 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | payment standard 110 | 2 | $1,463 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | payment standard 90 | 2 | $1,197 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | safmr | 2 | $1,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | payment standard 110 | 3 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | payment standard 90 | 3 | $1,530 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | safmr | 3 | $1,700 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | payment standard 110 | 4 | $2,013 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | payment standard 90 | 4 | $1,647 | 2025-10-01 | HUD_USER_SAFMR |
| zip 15238 | safmr | 4 | $1,830 | 2025-10-01 | HUD_USER_SAFMR |