Composite
24.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| chow risk | 90.2 | 32.6 | 0.15 | 0.1111 | 10.02 | in index |
| billing conduct | 15.6 | 9.9 | 0.30 | 0.2222 | 3.47 | in index |
| regulatory risk | 14.9 | 30.0 | 0.30 | 0.2222 | 3.31 | in index |
| financial risk | 14.4 | 28.2 | 0.30 | 0.2222 | 3.20 | in index |
| quality risk | 9.5 | 28.4 | 0.30 | 0.2222 | 2.11 | 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 | 9.8 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 30.0 | B | 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 | 35.2 | B | 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 | 28.2 | B | v0.5 | default · in composite | R18. |
| quality risk | 28.4 | B | v0.1 | default · in composite | |
| regulatory risk | 30.0 | B | 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| financial risk | 44.4 | B | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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| financial risk | 24.4 | A | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 24.2 | A | 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 | 25.8 | 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 | 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 | 30.0 | B | 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 | 94.8 | — | 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 | 97.5 | — | 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 | 93.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 96.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 80.8 | — | 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 | 98.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 93.7 | — | 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 | 1.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 9.9 | — | 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 | 0.2 | — | 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 | 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 | 91.5 | — | 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 | 90.0 | — | 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) | 89.0 | — | 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 | 81.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 32.0 | — | 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 | 235.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| KEYSTONE HEALTHCARE PARTNERSHIP, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-04-01 | current | pecos_ownership |
| LHC GROUP INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75% | 2019-04-01 | current | pecos_ownership |
| PENNSYLVANIA HEALTH CARE GROUP HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75% | 2019-04-01 | current | pecos_ownership |
| UNITEDHEALTH GROUP INCORPORATED | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 75% | 2023-02-22 | current | pecos_ownership |
| GEISINGER CLINIC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2019-04-01 | current | pecos_ownership |
| RISANT HEALTH, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 25% | 2024-03-31 | current | pecos_ownership |
| ALYSIA SIRSKY | W-2 MANAGING EMPLOYEE | — | 2024-02-26 | current | pecos_ownership |
| AMY CORMIER | CORPORATE DIRECTOR | — | 2025-05-01 | current | pecos_ownership |
| JOSHUA PROFFITT | CORPORATE OFFICER | — | 2019-12-31 | current | pecos_ownership |
| MARCUS MACIP | CORPORATE OFFICER | — | 2023-02-22 | current | pecos_ownership |
| WENDY DAIGLE | CORPORATE DIRECTOR | — | 2022-10-01 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 42079 | acs median gross | 0 | $600 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | fmr | 0 | $863 | 2025-10-01 | HUD_USER_FMR |
| county 42079 | acs median gross | 1 | $752 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | fmr | 1 | $1,028 | 2025-10-01 | HUD_USER_FMR |
| county 42079 | acs median gross | 2 | $1,016 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | fmr | 2 | $1,252 | 2025-10-01 | HUD_USER_FMR |
| county 42079 | acs median gross | 3 | $1,194 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | fmr | 3 | $1,631 | 2025-10-01 | HUD_USER_FMR |
| county 42079 | acs median gross | 4 | $1,306 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | fmr | 4 | $1,766 | 2025-10-01 | HUD_USER_FMR |
| county 42079 | acs median gross | 5 | $1,428 | 2024-12-31 | CENSUS_ACS5 |
| county 42079 | acs median gross | $1,004 | 2024-12-31 | CENSUS_ACS5 | |
| county 42079 | acs recent mover gross | $1,218 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 18202 | acs median gross | 1 | $494 | 2024-12-31 | CENSUS_ACS5 |
| zcta 18202 | acs median gross | 2 | $1,156 | 2024-12-31 | CENSUS_ACS5 |
| zcta 18202 | acs median gross | 3 | $1,350 | 2024-12-31 | CENSUS_ACS5 |
| zcta 18202 | acs median gross | 4 | $1,643 | 2024-12-31 | CENSUS_ACS5 |
| zcta 18202 | acs median gross | $1,125 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 18202 | acs recent mover gross | $1,222 | 2024-12-31 | CENSUS_ACS5 | |
| zip 18202 | payment standard 110 | 0 | $979 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | payment standard 90 | 0 | $801 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | safmr | 0 | $890 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | payment standard 110 | 1 | $1,166 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | payment standard 90 | 1 | $954 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | safmr | 1 | $1,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | payment standard 110 | 2 | $1,430 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | payment standard 90 | 2 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | safmr | 2 | $1,300 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | payment standard 110 | 3 | $1,859 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | payment standard 90 | 3 | $1,521 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | safmr | 3 | $1,690 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | payment standard 110 | 4 | $2,013 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | payment standard 90 | 4 | $1,647 | 2025-10-01 | HUD_USER_SAFMR |
| zip 18202 | safmr | 4 | $1,830 | 2025-10-01 | HUD_USER_SAFMR |