Composite
83.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 78.0 | 90.0 | 0.30 | 0.2222 | 17.33 | in index |
| quality risk | 57.3 | 56.6 | 0.30 | 0.2222 | 12.73 | in index |
| billing conduct | 56.9 | 17.5 | 0.30 | 0.2222 | 12.64 | in index |
| financial risk | 42.2 | 44.1 | 0.30 | 0.2222 | 9.38 | in index |
| chow risk | 48.6 | 33.0 | 0.15 | 0.1111 | 5.40 | in index |
| 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 | 17.5 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| 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 | 0.0 | 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. |
| financial risk | 44.1 | B | v0.5 | default · in composite | R18. |
| quality risk | 56.6 | 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. |
| financial risk | 65.7 | D | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 37.4 | 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 | 39.7 | 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 | 91.0 | — | 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 | 89.3 | — | 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 | 75.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 87.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 74.2 | — | 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 | 97.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 86.6 | — | 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 | 1.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 11.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.3 | — | 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 | 0.0 | — | 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 | 1.0 | — | 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 | 98.8 | — | 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 | 87.0 | — | 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) | 87.0 | — | 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 | 88.0 | — | 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 | 84.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 26.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | 4.0 | 4 | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 174.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| 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% | 2015-11-01 | current | pecos_ownership |
| CARESOUTH HHA HOLDINGS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2015-11-01 | 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% | 2022-03-07 | current | pecos_ownership |
| WELLS FARGO BANK, N.A. | 5% OR GREATER SECURITY INTEREST | 100% | 2022-07-01 | 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 |
| VANGUARD GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2023-12-31 | current | pecos_ownership |
| BARBARA JACOBSMEYER | CORPORATE OFFICER | 0% | 2021-06-21 | current | pecos_ownership |
| BARBARA JACOBSMEYER | OPERATIONAL/MANAGERIAL CONTROL | 0% | 2023-01-01 | current | pecos_ownership |
| COLLIN MCQUIDDY | CORPORATE OFFICER | 0% | 2024-08-05 | current | pecos_ownership |
| DYLAN BLACK | CORPORATE OFFICER | 0% | 2023-02-22 | current | pecos_ownership |
| JEANNE KALVAITIS | CORPORATE OFFICER | 0% | 2022-07-01 | current | pecos_ownership |
| JOBIE WILLIAMS | CORPORATE OFFICER | 0% | 2023-02-22 | current | pecos_ownership |
| JULIE JOLLEY | CORPORATE OFFICER | 0% | 2021-06-04 | current | pecos_ownership |
| PEGGY TAYLOR | W-2 MANAGING EMPLOYEE | 0% | 2022-07-01 | current | pecos_ownership |
| SARAH BRALEY | CORPORATE OFFICER | 0% | 2023-02-22 | current | pecos_ownership |
| SEAN RICHARDSON | CORPORATE OFFICER | 0% | 2023-02-22 | current | pecos_ownership |
| TANYA MARION | CORPORATE OFFICER | 0% | 2022-07-01 | current | pecos_ownership |
| RYAN SOLOMON | CORPORATE OFFICER | — | 2024-12-09 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 51059 | acs median gross | 0 | $1,968 | 2024-12-31 | CENSUS_ACS5 |
| county 51059 | fmr | 0 | $1,953 | 2025-10-01 | HUD_USER_FMR |
| county 51059 | acs median gross | 1 | $1,954 | 2024-12-31 | CENSUS_ACS5 |
| county 51059 | fmr | 1 | $2,015 | 2025-10-01 | HUD_USER_FMR |
| county 51059 | acs median gross | 2 | $2,273 | 2024-12-31 | CENSUS_ACS5 |
| county 51059 | fmr | 2 | $2,246 | 2025-10-01 | HUD_USER_FMR |
| county 51059 | acs median gross | 3 | $2,735 | 2024-12-31 | CENSUS_ACS5 |
| county 51059 | fmr | 3 | $2,835 | 2025-10-01 | HUD_USER_FMR |
| county 51059 | acs median gross | 4 | $3,260 | 2024-12-31 | CENSUS_ACS5 |
| county 51059 | fmr | 4 | $3,332 | 2025-10-01 | HUD_USER_FMR |
| county 51059 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| county 51059 | acs median gross | $2,276 | 2024-12-31 | CENSUS_ACS5 | |
| county 51059 | acs recent mover gross | $2,341 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 20191 | acs median gross | 0 | $2,189 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20191 | acs median gross | 1 | $1,821 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20191 | acs median gross | 2 | $1,979 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20191 | acs median gross | 3 | $2,127 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20191 | acs median gross | 4 | $2,928 | 2024-12-31 | CENSUS_ACS5 |
| zcta 20191 | acs median gross | $2,016 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 20191 | acs recent mover gross | $2,336 | 2024-12-31 | CENSUS_ACS5 | |
| zip 20191 | payment standard 110 | 0 | $2,211 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | payment standard 90 | 0 | $1,809 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | safmr | 0 | $2,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | payment standard 110 | 1 | $2,277 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | payment standard 90 | 1 | $1,863 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | safmr | 1 | $2,070 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | payment standard 110 | 2 | $2,541 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | payment standard 90 | 2 | $2,079 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | safmr | 2 | $2,310 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | payment standard 110 | 3 | $3,212 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | payment standard 90 | 3 | $2,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | safmr | 3 | $2,920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | payment standard 110 | 4 | $3,773 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | payment standard 90 | 4 | $3,087 | 2025-10-01 | HUD_USER_SAFMR |
| zip 20191 | safmr | 4 | $3,430 | 2025-10-01 | HUD_USER_SAFMR |