Composite
74.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 90.5 | 73.0 | 0.30 | 0.1818 | 16.45 | in index |
| regulatory risk | 78.0 | 90.0 | 0.30 | 0.1818 | 14.18 | in index |
| quality risk | 59.8 | 58.1 | 0.30 | 0.1818 | 10.87 | in index |
| billing conduct | 31.8 | 13.1 | 0.30 | 0.1818 | 5.78 | in index |
| chow risk | 58.4 | 25.0 | 0.15 | 0.0909 | 5.31 | in index |
| state reg risk | 0.1 | 15.0 | 0.30 | 0.1818 | 0.02 | in index |
| ownership opacity | 1.9 | 20.0 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 13.1 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 8.0 | A | v0.1-flahca | default · in composite | Recency of the AHCA reported change of controlling owner, owner chain scale, domicile and vehicle naming. |
| chow risk | 53.0 | C | 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 | 14.0 | 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 | 73.0 | D | v0.5 | default · in composite | R18. |
| ownership opacity | 20.0 | A | v0.1-flahca | default · in composite | AHCA owner chain concentration, profit status, domicile and public web presence. |
| quality risk | 58.1 | 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. |
| state reg risk | 15.0 | A | v0.1-flahca | default · in composite | AHCA licence status, expiry, tenure and out-of-state administration. |
| financial risk | 97.0 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 77.0 | 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 | 74.5 | 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 | 73.8 | 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 | 30.0 | 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 | 88.9 | — | 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 | 89.6 | — | 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 | 88.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 92.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 88.6 | — | 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 | 99.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 84.4 | — | 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 | 10.5 | — | 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 | 1.1 | — | 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 | 94.4 | — | 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 | 92.0 | — | 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) | 91.0 | — | 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 | 81.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 36.0 | — | 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 | 54.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2026-03-09 | renewal | — | — |
| 2007-10-18 | chow_application | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ACCENTCARE FLORIDA HOLDING COMPANY, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-04-15 | current | pecos_ownership |
| ACCENTCARE, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-04-15 | current | pecos_ownership |
| ALOHA HOMECARE INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2006-01-13 | current | pecos_ownership |
| HORIZON ACQUISITION CO INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-06-20 | current | pecos_ownership |
| HORIZON GROUP HOLDINGS INTERMEDIATE 1, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-06-20 | current | pecos_ownership |
| HORIZON GROUP HOLDINGS INTERMEDIATE 2, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-06-20 | current | pecos_ownership |
| HORIZON GROUP HOLDINGS, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-06-20 | current | pecos_ownership |
| PLUTO ACQUISITION I INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2019-04-15 | current | pecos_ownership |
| SEASONS ROLLOVER HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2020-12-21 | current | pecos_ownership |
| ADVENT INTERNATIONAL GPE VIII-B, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 15% | 2020-12-21 | current | pecos_ownership |
| ADVENT INTERNATIONAL GPE VIII-A LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2020-12-21 | current | pecos_ownership |
| ADVENT INTERNATIONAL GPE VIII-B-3, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2020-12-21 | current | pecos_ownership |
| ADVENT INTERNATIONAL GPE VIII-H, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2020-12-21 | current | pecos_ownership |
| ADVENT INTERNATIONAL GPE VIII-B-1, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2020-12-21 | current | pecos_ownership |
| ADVENT INTERNATIONAL GPE VIII-I, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2020-12-21 | current | pecos_ownership |
| ADVENT INTERNATIONAL GPE VIII-J LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 5% | 2020-12-21 | current | pecos_ownership |
| CAROLYN BRUNK | W-2 MANAGING EMPLOYEE | 0% | 2024-01-08 | current | pecos_ownership |
| LAURA TORTORELLA | CORPORATE DIRECTOR | 0% | 2023-12-14 | current | pecos_ownership |
| ALOHA HOME CARE, LLC | — | — | 2007-10-18 | current | fl_ahca_healthfinder |
| DENA SCHWARTZ-DOTY | CORPORATE DIRECTOR | — | 2019-04-15 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12111 | acs median gross | 0 | $1,263 | 2024-12-31 | CENSUS_ACS5 |
| county 12111 | fmr | 0 | $1,455 | 2025-10-01 | HUD_USER_FMR |
| county 12111 | acs median gross | 1 | $1,182 | 2024-12-31 | CENSUS_ACS5 |
| county 12111 | fmr | 1 | $1,467 | 2025-10-01 | HUD_USER_FMR |
| county 12111 | acs median gross | 2 | $1,479 | 2024-12-31 | CENSUS_ACS5 |
| county 12111 | fmr | 2 | $1,757 | 2025-10-01 | HUD_USER_FMR |
| county 12111 | acs median gross | 3 | $1,838 | 2024-12-31 | CENSUS_ACS5 |
| county 12111 | fmr | 3 | $2,421 | 2025-10-01 | HUD_USER_FMR |
| county 12111 | acs median gross | 4 | $2,070 | 2024-12-31 | CENSUS_ACS5 |
| county 12111 | fmr | 4 | $2,579 | 2025-10-01 | HUD_USER_FMR |
| county 12111 | acs median gross | 5 | $1,855 | 2024-12-31 | CENSUS_ACS5 |
| county 12111 | acs median gross | $1,585 | 2024-12-31 | CENSUS_ACS5 | |
| county 12111 | acs recent mover gross | $2,077 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 34986 | acs median gross | 0 | $1,254 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34986 | acs median gross | 1 | $1,587 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34986 | acs median gross | 2 | $1,834 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34986 | acs median gross | 3 | $1,988 | 2024-12-31 | CENSUS_ACS5 |
| zcta 34986 | acs median gross | $1,713 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 34986 | acs recent mover gross | $1,489 | 2024-12-31 | CENSUS_ACS5 | |
| zip 34986 | payment standard 110 | 0 | $1,815 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | payment standard 90 | 0 | $1,485 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | safmr | 0 | $1,650 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | payment standard 110 | 1 | $1,826 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | payment standard 90 | 1 | $1,494 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | safmr | 1 | $1,660 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | payment standard 110 | 2 | $2,189 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | payment standard 90 | 2 | $1,791 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | safmr | 2 | $1,990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | payment standard 110 | 3 | $3,014 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | payment standard 90 | 3 | $2,466 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | safmr | 3 | $2,740 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | payment standard 110 | 4 | $3,212 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | payment standard 90 | 4 | $2,628 | 2025-10-01 | HUD_USER_SAFMR |
| zip 34986 | safmr | 4 | $2,920 | 2025-10-01 | HUD_USER_SAFMR |