Composite
34.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 71.2 | 47.0 | 0.30 | 0.1818 | 12.95 | in index |
| billing conduct | 32.9 | 13.2 | 0.30 | 0.1818 | 5.98 | in index |
| quality risk | 27.4 | 41.0 | 0.30 | 0.1818 | 4.98 | in index |
| regulatory risk | 19.1 | 25.0 | 0.30 | 0.1818 | 3.47 | in index |
| chow risk | 29.4 | 7.2 | 0.15 | 0.0909 | 2.67 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1818 | 0.00 | in index |
| ownership opacity | 99.8 | 98.0 | excluded |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +22.7 vs natl | H3OT CORP LLC | 25 facilities |
| connection | Owner fleet risk far above national | +22.7 vs natl | HEALTH AT HOME BHS LLC | 27 facilities |
| connection | Owner fleet risk far above national | +21.3 vs natl | MICHAEL MARKS | 26 facilities |
| connection | Owner fleet risk far above national | +20.8 vs natl | HCA SQUARED LLC | 26 facilities |
| connection | Owner fleet risk far above national | +20.8 vs natl | HOSPITAL CORP LLC | 26 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 13.2 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 3.0 | 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 | 11.3 | 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 | 40.2 | B | v0.1-txclosures | default · in composite | Texas HHSC HCSSA closure footprint: own-licence closure, owner closure count, closure recency and branch churn, as a going-concern proxy. |
| financial risk | 27.5 | B | v0.1-txhcssa | default · in composite | Texas HCSSA current client census and service breadth. |
| financial risk | 73.3 | D | v0.5 | default · in composite | R18. |
| ownership opacity | 98.0 | F | v0.1-txhcssa | default · in composite | Texas HCSSA legal entity chain and domicile. |
| quality risk | 41.0 | B | v0.1 | default · in composite | |
| regulatory risk | 5.0 | A | v0.1-txhcssa | default · in composite | Texas HHSC HCSSA licence status. Flags active state enforcement; records status not severity. |
| 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-txhcssa | default · in composite | Texas HCSSA licence status, tenure and branch role. |
| financial risk | 94.7 | 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 | 74.7 | D | 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 | 74.9 | 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 | 74.2 | 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 | 95.6 | — | 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 | 93.3 | — | 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 | 90.4 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 96.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 68.8 | — | 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 | 97.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 87.3 | — | 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 | 11.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.8 | — | 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 | 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 | 4.5 | 4.5 | 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 | 99.5 | — | 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) | 83.0 | — | 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 | 92.0 | — | 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 | 80.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 20.0 | — | 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 | 117.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| H3OT CORP., LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-07-01 | current | pecos_ownership |
| HCA HEALTHCARE INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-07-01 | current | pecos_ownership |
| HCA INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-07-01 | current | pecos_ownership |
| HCA SQUARED LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-07-01 | current | pecos_ownership |
| HEALTH AT HOME-BHS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-07-01 | current | pecos_ownership |
| HEALTHTRUST INC - THE HOSPITAL COMPANY | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-07-01 | current | pecos_ownership |
| HOSPITAL CORP LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-07-01 | current | pecos_ownership |
| HERCULES HOLDING II | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2021-07-01 | current | pecos_ownership |
| FRISCO INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 13% | 2021-07-01 | current | pecos_ownership |
| JESSICA ROWAN | W-2 MANAGING EMPLOYEE | 0% | 2021-08-27 | current | pecos_ownership |
| KARA WIMBERLY | W-2 MANAGING EMPLOYEE | 0% | 2024-12-09 | current | pecos_ownership |
| ARC THERAPY SERVICES, LLC | — | — | 2003-01-17 | current | tx_hhsc_hcssa |
| BRAD PARRISH | CORPORATE OFFICER | — | 2023-03-01 | current | pecos_ownership |
| ERIC SMITH | OPERATIONAL/MANAGERIAL CONTROL | — | 2021-07-01 | current | pecos_ownership |
| JARROD WATSON | CORPORATE OFFICER | — | 2021-07-01 | current | pecos_ownership |
| MICHAEL MARKS | CORPORATE OFFICER | — | 2023-01-01 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48355 | acs median gross | 0 | $993 | 2024-12-31 | CENSUS_ACS5 |
| county 48355 | fmr | 0 | $1,031 | 2025-10-01 | HUD_USER_FMR |
| county 48355 | acs median gross | 1 | $1,085 | 2024-12-31 | CENSUS_ACS5 |
| county 48355 | fmr | 1 | $1,117 | 2025-10-01 | HUD_USER_FMR |
| county 48355 | acs median gross | 2 | $1,316 | 2024-12-31 | CENSUS_ACS5 |
| county 48355 | fmr | 2 | $1,366 | 2025-10-01 | HUD_USER_FMR |
| county 48355 | acs median gross | 3 | $1,576 | 2024-12-31 | CENSUS_ACS5 |
| county 48355 | fmr | 3 | $1,796 | 2025-10-01 | HUD_USER_FMR |
| county 48355 | acs median gross | 4 | $1,845 | 2024-12-31 | CENSUS_ACS5 |
| county 48355 | fmr | 4 | $2,054 | 2025-10-01 | HUD_USER_FMR |
| county 48355 | acs median gross | 5 | $1,764 | 2024-12-31 | CENSUS_ACS5 |
| county 48355 | acs median gross | $1,283 | 2024-12-31 | CENSUS_ACS5 | |
| county 48355 | acs recent mover gross | $1,408 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78411 | acs median gross | 0 | $973 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78411 | acs median gross | 1 | $982 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78411 | acs median gross | 2 | $1,293 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78411 | acs median gross | 3 | $1,521 | 2024-12-31 | CENSUS_ACS5 |
| zcta 78411 | acs median gross | $1,169 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 78411 | acs recent mover gross | $1,062 | 2024-12-31 | CENSUS_ACS5 | |
| zip 78411 | payment standard 110 | 0 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | payment standard 90 | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | safmr | 0 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | payment standard 110 | 1 | $1,199 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | payment standard 90 | 1 | $981 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | safmr | 1 | $1,090 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | payment standard 110 | 2 | $1,463 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | payment standard 90 | 2 | $1,197 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | safmr | 2 | $1,330 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | payment standard 110 | 3 | $1,925 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | payment standard 90 | 3 | $1,575 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | safmr | 3 | $1,750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | payment standard 110 | 4 | $2,200 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | payment standard 90 | 4 | $1,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 78411 | safmr | 4 | $2,000 | 2025-10-01 | HUD_USER_SAFMR |