Composite
84.1 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| state reg risk | 83.5 | 25.0 | 0.30 | 0.2222 | 18.56 | in index |
| financial risk | 67.2 | 58.6 | 0.30 | 0.2222 | 14.93 | in index |
| chow risk | 76.9 | 27.2 | 0.15 | 0.1111 | 8.54 | in index |
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.2222 | 8.51 | in index |
| quality risk | 32.3 | 43.7 | 0.30 | 0.2222 | 7.18 | in index |
| ownership opacity | 66.8 | 40.0 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 27.0 | B | v0.1-flahca | default · in composite | Recency of the AHCA reported change of controlling owner, owner chain scale, domicile and vehicle naming. |
| chow risk | 37.0 | 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 | 17.5 | 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 | 58.6 | C | v0.5 | default · in composite | R18. |
| ownership opacity | 40.0 | B | v0.1-flahca | default · in composite | AHCA owner chain concentration, profit status, domicile and public web presence. |
| quality risk | 43.7 | B | v0.1 | default · in composite | |
| 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 | 25.0 | B | v0.1-flahca | default · in composite | AHCA licence status, expiry, tenure and out-of-state administration. |
| financial risk | 54.6 | C | v0.3 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 55.8 | C | 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 | 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 | - | — | 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 | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 83.3 | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | - | — | 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 | - | — | 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 | 0.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | - | — | 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 | - | — | 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 | Not Available | — | 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) | Not Available | — | 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 | Not Available | — | 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 | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2026-03-16 | renewal | — | — |
| 2019-10-21 | chow_application | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CR & RA INVESTMENTS, LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2023-08-02 | current | pecos_ownership |
| CSC TS ACQUISITION LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-08-02 | current | pecos_ownership |
| CSC TS INTERMEDIATE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-08-02 | current | pecos_ownership |
| CSC TS PARENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-08-02 | current | pecos_ownership |
| TEAM SELECT HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-08-02 | current | pecos_ownership |
| TS HOLDCO PARENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-08-02 | current | pecos_ownership |
| TS INVESTORS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-08-02 | current | pecos_ownership |
| CSC TS HOLDINGS LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 67% | 2023-08-02 | current | pecos_ownership |
| JCML HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | 2023-08-02 | current | pecos_ownership |
| MICHAEL LOVELL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2023-08-02 | current | pecos_ownership |
| CSC TS MANAGEMENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2023-08-02 | current | pecos_ownership |
| TS TCM INVESTORS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2023-08-02 | current | pecos_ownership |
| FELIPE ASCENSO | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-08-02 | current | pecos_ownership |
| FREDERICK JOHNSON | CORPORATE OFFICER | — | 2023-08-02 | current | pecos_ownership |
| HEALTHY HOME FIRST HOME HEALTH AGENCY LLC | — | — | 2019-10-21 | current | fl_ahca_healthfinder |
| MARK KULECK | CORPORATE OFFICER | — | 2025-04-15 | current | pecos_ownership |
| MIGUEL CABA | W-2 MANAGING EMPLOYEE | — | 2023-08-02 | current | pecos_ownership |
| SUSAN VALOCCHI | CORPORATE OFFICER | — | 2023-08-02 | current | pecos_ownership |
| CR&RA INVESTMENTS LLC | — | — | 2023-10-09 | ended 2026-07-27 | fl_ahca_healthfinder |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12099 | acs median gross | 0 | $1,584 | 2024-12-31 | CENSUS_ACS5 |
| county 12099 | fmr | 0 | $1,788 | 2025-10-01 | HUD_USER_FMR |
| county 12099 | acs median gross | 1 | $1,688 | 2024-12-31 | CENSUS_ACS5 |
| county 12099 | fmr | 1 | $1,901 | 2025-10-01 | HUD_USER_FMR |
| county 12099 | acs median gross | 2 | $1,878 | 2024-12-31 | CENSUS_ACS5 |
| county 12099 | fmr | 2 | $2,254 | 2025-10-01 | HUD_USER_FMR |
| county 12099 | acs median gross | 3 | $2,281 | 2024-12-31 | CENSUS_ACS5 |
| county 12099 | fmr | 3 | $2,920 | 2025-10-01 | HUD_USER_FMR |
| county 12099 | acs median gross | 4 | $2,678 | 2024-12-31 | CENSUS_ACS5 |
| county 12099 | fmr | 4 | $3,388 | 2025-10-01 | HUD_USER_FMR |
| county 12099 | acs median gross | 5 | $3,061 | 2024-12-31 | CENSUS_ACS5 |
| county 12099 | acs median gross | $1,916 | 2024-12-31 | CENSUS_ACS5 | |
| county 12099 | acs recent mover gross | $2,333 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33445 | acs median gross | 1 | $2,043 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33445 | acs median gross | 2 | $2,019 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33445 | acs median gross | 3 | $2,039 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33445 | acs median gross | 4 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33445 | acs median gross | $2,045 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33445 | acs recent mover gross | $2,263 | 2024-12-31 | CENSUS_ACS5 | |
| zip 33445 | payment standard 110 | 0 | $2,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | payment standard 90 | 0 | $1,746 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | safmr | 0 | $1,940 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | payment standard 110 | 1 | $2,266 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | payment standard 90 | 1 | $1,854 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | safmr | 1 | $2,060 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | payment standard 110 | 2 | $2,684 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | payment standard 90 | 2 | $2,196 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | safmr | 2 | $2,440 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | payment standard 110 | 3 | $3,476 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | payment standard 90 | 3 | $2,844 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | safmr | 3 | $3,160 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | payment standard 110 | 4 | $4,037 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | payment standard 90 | 4 | $3,303 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33445 | safmr | 4 | $3,670 | 2025-10-01 | HUD_USER_SAFMR |