Composite
96.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 64.2 | 75.0 | 0.30 | 0.6667 | 42.80 | in index |
| chow risk | 95.3 | 45.0 | 0.15 | 0.3333 | 31.77 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +26.3 vs natl | RANDALL EDMUNDSON | 9 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | AOC OPCO LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | JESSICA RIGGS | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS ACQUISITION LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS HOLDCO LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS HOLDINGS LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC CAPITAL X L P | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC PARTNERS X A L P | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS INTERMEDIATE HOLDINGS LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS PARENT LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS PARENT HOLDINGS LLC | 10 facilities |
| connection | Owner fleet risk far above national | +23.1 vs natl | AOC BLOCKER CORP | 8 facilities |
| connection | Owner fleet risk far above national | +22.8 vs natl | MARK FRATES | 9 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 71.0 | 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 | 19.0 | 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. |
| regulatory risk | 75.0 | D | 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. |
| ownership opacity | 15.0 | 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 | 75.0 | D | 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 | - | — | 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 | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | - | — | 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 | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | - | — | 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 | - | — | 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 | Not Available | — | 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) | Not Available | — | 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 | Not Available | — | 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 | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | Not Available | — | 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 | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AOC CO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-02-10 | current | pecos_ownership |
| AOC OPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-04-17 | current | pecos_ownership |
| NAUTIC ANGELS ACQUISITION, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-09 | current | pecos_ownership |
| NAUTIC ANGELS HOLDCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-04-17 | current | pecos_ownership |
| NAUTIC ANGELS HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-09 | current | pecos_ownership |
| NAUTIC ANGELS INTERMEDIATE HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-09 | current | pecos_ownership |
| NAUTIC ANGELS PARENT HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-09 | current | pecos_ownership |
| NAUTIC ANGELS PARENT, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-09 | current | pecos_ownership |
| NAUTIC CAPITAL X, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 56% | 2024-02-09 | current | pecos_ownership |
| NAUTIC PARTNERS X-A, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 44% | 2024-02-09 | current | pecos_ownership |
| AOC BLOCKER CORP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2024-02-09 | current | pecos_ownership |
| CASEY MASTRENO | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2025-06-01 | current | pecos_ownership |
| JUANITA MUNOZ | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2025-05-01 | current | pecos_ownership |
| MARK FRATES | CORPORATE OFFICER | 0% | 2025-06-01 | current | pecos_ownership |
| RANDALL EDMUNDSON | CORPORATE OFFICER | 0% | 2025-06-01 | current | pecos_ownership |
| JESSICA RIGGS | CORPORATE OFFICER | — | 2019-04-17 | current | pecos_ownership |
| JUSTIN GUTIERREZ | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-02-28 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 08005 | acs median gross | 0 | $1,660 | 2024-12-31 | CENSUS_ACS5 |
| county 08005 | fmr | 0 | $1,643 | 2025-10-01 | HUD_USER_FMR |
| county 08005 | acs median gross | 1 | $1,577 | 2024-12-31 | CENSUS_ACS5 |
| county 08005 | fmr | 1 | $1,754 | 2025-10-01 | HUD_USER_FMR |
| county 08005 | acs median gross | 2 | $1,978 | 2024-12-31 | CENSUS_ACS5 |
| county 08005 | fmr | 2 | $2,089 | 2025-10-01 | HUD_USER_FMR |
| county 08005 | acs median gross | 3 | $2,412 | 2024-12-31 | CENSUS_ACS5 |
| county 08005 | fmr | 3 | $2,734 | 2025-10-01 | HUD_USER_FMR |
| county 08005 | acs median gross | 4 | $2,786 | 2024-12-31 | CENSUS_ACS5 |
| county 08005 | fmr | 4 | $3,049 | 2025-10-01 | HUD_USER_FMR |
| county 08005 | acs median gross | 5 | $2,710 | 2024-12-31 | CENSUS_ACS5 |
| county 08005 | acs median gross | $1,891 | 2024-12-31 | CENSUS_ACS5 | |
| county 08005 | acs recent mover gross | $2,014 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 80014 | acs median gross | 0 | $1,653 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80014 | acs median gross | 1 | $1,606 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80014 | acs median gross | 2 | $1,943 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80014 | acs median gross | 3 | $2,389 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80014 | acs median gross | 4 | $2,823 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80014 | acs median gross | 5 | $3,063 | 2024-12-31 | CENSUS_ACS5 |
| zcta 80014 | acs median gross | $1,842 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 80014 | acs recent mover gross | $1,897 | 2024-12-31 | CENSUS_ACS5 | |
| zip 80014 | payment standard 110 | 0 | $1,925 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | payment standard 90 | 0 | $1,575 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | safmr | 0 | $1,750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | payment standard 110 | 1 | $2,046 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | payment standard 90 | 1 | $1,674 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | safmr | 1 | $1,860 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | payment standard 110 | 2 | $2,442 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | payment standard 90 | 2 | $1,998 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | safmr | 2 | $2,220 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | payment standard 110 | 3 | $3,201 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | payment standard 90 | 3 | $2,619 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | safmr | 3 | $2,910 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | payment standard 110 | 4 | $3,564 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | payment standard 90 | 4 | $2,916 | 2025-10-01 | HUD_USER_SAFMR |
| zip 80014 | safmr | 4 | $3,240 | 2025-10-01 | HUD_USER_SAFMR |