Composite
70.2 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| quality risk | 74.6 | 67.9 | 0.30 | 0.1818 | 13.56 | in index |
| billing conduct | 62.5 | 19.6 | 0.30 | 0.1818 | 11.36 | in index |
| financial risk | 42.7 | 32.1 | 0.30 | 0.1818 | 7.76 | in index |
| chow risk | 74.1 | 39.4 | 0.15 | 0.0909 | 6.74 | in index |
| state reg risk | 36.2 | 8.0 | 0.30 | 0.1818 | 6.58 | in index |
| regulatory risk | 19.1 | 25.0 | 0.30 | 0.1818 | 3.47 | in index |
| ownership opacity | 99.1 | 73.0 | excluded |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| 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 | 19.6 | 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 | 12.8 | 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 | 54.5 | C | 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 | 8.0 | A | v0.1-txhcssa | default · in composite | Texas HCSSA current client census and service breadth. |
| financial risk | 33.9 | B | v0.5 | default · in composite | R18. |
| ownership opacity | 73.0 | D | v0.1-txhcssa | default · in composite | Texas HCSSA legal entity chain and domicile. |
| quality risk | 67.9 | D | 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 | 8.0 | A | v0.1-txhcssa | default · in composite | Texas HCSSA licence status, tenure and branch role. |
| financial risk | 44.7 | B | 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 | 24.7 | A | 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 | 28.0 | 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 | 30.0 | 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 | 20.0 | 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 | 91.1 | — | 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 | 88.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at walking or moving around | 87.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 88.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 69.9 | — | 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 | 91.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 83.7 | — | 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 | 1.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 13.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.5 | — | 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 | 0.3 | — | 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 | 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 | 96.3 | — | 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 | 84.0 | — | 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) | 85.0 | — | 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 | 78.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 23.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | 3.0 | 3 | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 298.0 | — | 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% | 2004-12-01 | 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% | 2014-12-31 | current | pecos_ownership |
| WELLS FARGO BANK, N.A. | 5% OR GREATER SECURITY INTEREST | 100% | 2022-06-30 | current | pecos_ownership |
| AHM TEXAS LP, INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 99% | 2004-12-01 | 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% | 2024-12-31 | current | pecos_ownership |
| VANGUARD GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2024-12-31 | current | pecos_ownership |
| AHM TEXAS GP LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 1% | 2004-12-01 | current | pecos_ownership |
| BARBARA JACOBSMEYER | CORPORATE OFFICER | 0% | 2017-01-01 | 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 |
| JULIE JOLLEY | CORPORATE OFFICER | 0% | 2021-06-04 | current | pecos_ownership |
| RYAN SOLOMON | CORPORATE OFFICER | 0% | 2024-12-09 | 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 |
| TEXAS SENIOR CARE, LP | — | — | 2004-12-01 | current | tx_hhsc_hcssa |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48085 | acs median gross | 0 | $1,594 | 2024-12-31 | CENSUS_ACS5 |
| county 48085 | fmr | 0 | $1,582 | 2025-10-01 | HUD_USER_FMR |
| county 48085 | acs median gross | 1 | $1,544 | 2024-12-31 | CENSUS_ACS5 |
| county 48085 | fmr | 1 | $1,648 | 2025-10-01 | HUD_USER_FMR |
| county 48085 | acs median gross | 2 | $1,963 | 2024-12-31 | CENSUS_ACS5 |
| county 48085 | fmr | 2 | $1,931 | 2025-10-01 | HUD_USER_FMR |
| county 48085 | acs median gross | 3 | $2,337 | 2024-12-31 | CENSUS_ACS5 |
| county 48085 | fmr | 3 | $2,431 | 2025-10-01 | HUD_USER_FMR |
| county 48085 | acs median gross | 4 | $2,829 | 2024-12-31 | CENSUS_ACS5 |
| county 48085 | fmr | 4 | $3,091 | 2025-10-01 | HUD_USER_FMR |
| county 48085 | acs median gross | 5 | $2,810 | 2024-12-31 | CENSUS_ACS5 |
| county 48085 | acs median gross | $1,859 | 2024-12-31 | CENSUS_ACS5 | |
| county 48085 | acs recent mover gross | $1,937 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75013 | acs median gross | 0 | $1,968 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75013 | acs median gross | 1 | $1,623 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75013 | acs median gross | 2 | $1,905 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75013 | acs median gross | 3 | $2,602 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75013 | acs median gross | 4 | $2,985 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75013 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 75013 | acs median gross | $1,825 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 75013 | acs recent mover gross | $2,028 | 2024-12-31 | CENSUS_ACS5 | |
| zip 75013 | payment standard 110 | 0 | $2,024 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | payment standard 90 | 0 | $1,656 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | safmr | 0 | $1,840 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | payment standard 110 | 1 | $2,112 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | payment standard 90 | 1 | $1,728 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | safmr | 1 | $1,920 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | payment standard 110 | 2 | $2,475 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | payment standard 90 | 2 | $2,025 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | safmr | 2 | $2,250 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | payment standard 110 | 3 | $3,113 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | payment standard 90 | 3 | $2,547 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | safmr | 3 | $2,830 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | payment standard 110 | 4 | $3,960 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | payment standard 90 | 4 | $3,240 | 2025-10-01 | HUD_USER_SAFMR |
| zip 75013 | safmr | 4 | $3,600 | 2025-10-01 | HUD_USER_SAFMR |