Composite
71.7 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 92.9 | 74.8 | 0.30 | 0.2222 | 20.64 | in index |
| billing conduct | 62.5 | 19.6 | 0.30 | 0.2222 | 13.89 | in index |
| chow risk | 61.0 | 23.4 | 0.15 | 0.1111 | 6.78 | in index |
| regulatory risk | 28.0 | 35.0 | 0.30 | 0.2222 | 6.22 | in index |
| quality risk | 13.4 | 31.6 | 0.30 | 0.2222 | 2.98 | in index |
| 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 | 3.0 | A | 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 | 43.7 | 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 | 74.8 | D | v0.5 | default · in composite | R18. |
| quality risk | 31.6 | B | v0.1 | default · in composite | |
| regulatory risk | 35.0 | 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| financial risk | 80.2 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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| financial risk | 60.2 | C | v0.2 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 76.2 | 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 | 75.5 | 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 | 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 | 35.0 | 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 | 88.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at getting in and out of bed | 90.5 | — | 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 | 89.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 85.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 73.2 | — | 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 | 100.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 96.4 | — | 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 | 3.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 7.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.4 | — | 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 | 1.0 | — | 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 | 3.5 | 3.5 | 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 | 97.6 | — | 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 | 89.0 | — | 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 | 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 | 78.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 29.0 | — | 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 | 46.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SANFORD | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2019-01-01 | current | pecos_ownership |
| AIMEE MIDDLETON | CORPORATE OFFICER | 0% | 2022-01-27 | current | pecos_ownership |
| ANDREW NORTH | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| BRENT TEIKEN | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| CYNTHIA SWANSON | W-2 MANAGING EMPLOYEE | 0% | 2022-04-18 | current | pecos_ownership |
| DANA DYKHOUSE | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| DAVID SHULKIN | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| JAMES CAIN | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| JOEL FLUIT | CORPORATE OFFICER | 0% | 2022-10-01 | current | pecos_ownership |
| LAURIS MOLBERT | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| MARK LUNDEEN | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| MARNIE VENTLING-HERRMANN | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| MICHAEL ROGERS | CORPORATE OFFICER | 0% | 2022-06-13 | current | pecos_ownership |
| NATHAN SCHEMA | CORPORATE OFFICER | 0% | 2022-01-01 | current | pecos_ownership |
| NEIL GULSVIG | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| NICHOLAS OLSON | CORPORATE OFFICER | 0% | 2024-04-08 | current | pecos_ownership |
| STEPHANIE HERSETH | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| WESLEY ENGBRECHT | CORPORATE DIRECTOR | 0% | 2024-05-30 | current | pecos_ownership |
| WILLIAM GASSEN | CORPORATE OFFICER | 0% | 2024-05-30 | current | pecos_ownership |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | OPERATIONAL/MANAGERIAL CONTROL | — | 2019-01-01 | current | pecos_ownership |
| TONY MORRISON | W-2 MANAGING EMPLOYEE | — | 2019-01-01 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 19163 | acs median gross | 0 | $863 | 2024-12-31 | CENSUS_ACS5 |
| county 19163 | fmr | 0 | $817 | 2025-10-01 | HUD_USER_FMR |
| county 19163 | acs median gross | 1 | $819 | 2024-12-31 | CENSUS_ACS5 |
| county 19163 | fmr | 1 | $928 | 2025-10-01 | HUD_USER_FMR |
| county 19163 | acs median gross | 2 | $1,031 | 2024-12-31 | CENSUS_ACS5 |
| county 19163 | fmr | 2 | $1,143 | 2025-10-01 | HUD_USER_FMR |
| county 19163 | acs median gross | 3 | $1,347 | 2024-12-31 | CENSUS_ACS5 |
| county 19163 | fmr | 3 | $1,498 | 2025-10-01 | HUD_USER_FMR |
| county 19163 | acs median gross | 4 | $1,685 | 2024-12-31 | CENSUS_ACS5 |
| county 19163 | fmr | 4 | $1,819 | 2025-10-01 | HUD_USER_FMR |
| county 19163 | acs median gross | 5 | $1,250 | 2024-12-31 | CENSUS_ACS5 |
| county 19163 | acs median gross | $1,005 | 2024-12-31 | CENSUS_ACS5 | |
| county 19163 | acs recent mover gross | $1,181 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 52804 | acs median gross | 0 | $749 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52804 | acs median gross | 1 | $761 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52804 | acs median gross | 2 | $949 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52804 | acs median gross | 3 | $1,264 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52804 | acs median gross | 4 | $1,581 | 2024-12-31 | CENSUS_ACS5 |
| zcta 52804 | acs median gross | $951 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 52804 | acs recent mover gross | $996 | 2024-12-31 | CENSUS_ACS5 | |
| zip 52804 | payment standard 110 | 0 | $902 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | payment standard 90 | 0 | $738 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | safmr | 0 | $820 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | payment standard 110 | 1 | $1,023 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | payment standard 90 | 1 | $837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | safmr | 1 | $930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | payment standard 110 | 2 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | payment standard 90 | 2 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | safmr | 2 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | payment standard 110 | 3 | $1,661 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | payment standard 90 | 3 | $1,359 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | safmr | 3 | $1,510 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | payment standard 110 | 4 | $2,013 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | payment standard 90 | 4 | $1,647 | 2025-10-01 | HUD_USER_SAFMR |
| zip 52804 | safmr | 4 | $1,830 | 2025-10-01 | HUD_USER_SAFMR |