Composite
91.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| quality risk | 86.1 | 77.1 | 0.30 | 0.2222 | 19.13 | in index |
| financial risk | 79.9 | 66.1 | 0.30 | 0.2222 | 17.76 | in index |
| billing conduct | 73.6 | 23.3 | 0.30 | 0.2222 | 16.36 | in index |
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.2222 | 8.51 | in index |
| chow risk | 59.5 | 14.7 | 0.15 | 0.1111 | 6.61 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 5 chains | JOSHUA PROFFITT | 516 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 23.3 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 16.0 | 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 | 13.4 | 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 | 66.1 | D | v0.5 | default · in composite | R18. |
| quality risk | 77.1 | D | 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| financial risk | 84.5 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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| financial risk | 64.5 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 65.9 | D | 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 | 65.9 | D | 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 | 81.9 | — | 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 | 81.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at walking or moving around | 80.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 82.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 65.5 | — | 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 | 88.4 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 75.0 | — | 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 | 1.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 11.3 | — | 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 | 1.4 | — | 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 | 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 | 2.0 | 2 | 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 | 90.8 | — | 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) | 86.0 | — | 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 | 76.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 22.0 | — | 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 | 57.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| HEALTH AT HOME HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-11-01 | current | pecos_ownership |
| HEALTH AT HOME HOLDINGS-TULSA, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-11-01 | current | pecos_ownership |
| LHC GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-11-01 | current | pecos_ownership |
| TENNESSEE HEALTH CARE GROUP LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-11-01 | current | pecos_ownership |
| UNITEDHEALTH GROUP INCORPORATED | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-02-22 | current | pecos_ownership |
| AMY CORMIER | CORPORATE DIRECTOR | 0% | 2025-05-01 | current | pecos_ownership |
| MARCUS MACIP | CORPORATE OFFICER | 0% | 2023-02-22 | current | pecos_ownership |
| SHAWNA VERNON | W-2 MANAGING EMPLOYEE | 0% | 2025-03-26 | current | pecos_ownership |
| JOSHUA PROFFITT | CORPORATE OFFICER | — | 2021-11-01 | current | pecos_ownership |
| KIMBERLY SEYMOUR | CORPORATE OFFICER | — | 2023-02-22 | current | pecos_ownership |
| SHERRY DOWNING | W-2 MANAGING EMPLOYEE | — | 2021-11-01 | current | pecos_ownership |
| WENDY DAIGLE | CORPORATE DIRECTOR | — | 2022-10-01 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 40143 | acs median gross | 0 | $840 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | fmr | 0 | $933 | 2025-10-01 | HUD_USER_FMR |
| county 40143 | acs median gross | 1 | $911 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | fmr | 1 | $987 | 2025-10-01 | HUD_USER_FMR |
| county 40143 | acs median gross | 2 | $1,128 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | fmr | 2 | $1,217 | 2025-10-01 | HUD_USER_FMR |
| county 40143 | acs median gross | 3 | $1,368 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | fmr | 3 | $1,602 | 2025-10-01 | HUD_USER_FMR |
| county 40143 | acs median gross | 4 | $1,716 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | fmr | 4 | $1,858 | 2025-10-01 | HUD_USER_FMR |
| county 40143 | acs median gross | 5 | $1,806 | 2024-12-31 | CENSUS_ACS5 |
| county 40143 | acs median gross | $1,110 | 2024-12-31 | CENSUS_ACS5 | |
| county 40143 | acs recent mover gross | $1,198 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 74012 | acs median gross | 0 | $1,170 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74012 | acs median gross | 1 | $1,045 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74012 | acs median gross | 2 | $1,268 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74012 | acs median gross | 3 | $1,519 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74012 | acs median gross | 4 | $2,087 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74012 | acs median gross | 5 | $2,083 | 2024-12-31 | CENSUS_ACS5 |
| zcta 74012 | acs median gross | $1,297 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 74012 | acs recent mover gross | $1,431 | 2024-12-31 | CENSUS_ACS5 | |
| zip 74012 | payment standard 110 | 0 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | payment standard 90 | 0 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | safmr | 0 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | payment standard 110 | 1 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | payment standard 90 | 1 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | safmr | 1 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | payment standard 110 | 2 | $1,562 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | payment standard 90 | 2 | $1,278 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | safmr | 2 | $1,420 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | payment standard 110 | 3 | $2,057 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | payment standard 90 | 3 | $1,683 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | safmr | 3 | $1,870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | payment standard 110 | 4 | $2,387 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | payment standard 90 | 4 | $1,953 | 2025-10-01 | HUD_USER_SAFMR |
| zip 74012 | safmr | 4 | $2,170 | 2025-10-01 | HUD_USER_SAFMR |