Composite
67.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 65.5 | 20.8 | 0.30 | 0.2222 | 14.56 | in index |
| chow risk | 97.2 | 48.1 | 0.15 | 0.1111 | 10.80 | in index |
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.2222 | 8.51 | in index |
| quality risk | 37.5 | 46.5 | 0.30 | 0.2222 | 8.33 | in index |
| financial risk | 24.2 | 33.8 | 0.30 | 0.2222 | 5.38 | in index |
| 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 | 20.8 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 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 | 30.2 | 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 | 33.8 | B | v0.5 | default · in composite | R18. |
| quality risk | 46.5 | C | 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. |
| financial risk | 53.6 | C | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 33.6 | B | 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 | 27.9 | 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 | 93.8 | — | 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 | 90.2 | — | 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 | 91.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 90.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 60.4 | — | 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 | 91.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 82.7 | — | 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 | 4.4 | — | 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 | 3.9 | — | 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 | 0.4 | — | 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 | 1.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 4.0 | 4 | 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 | 87.0 | — | 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) | 90.0 | — | 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 | 90.0 | — | 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 | 20.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | 4.0 | 4 | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 124.0 | — | 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% | 2015-06-04 | 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% | 2015-06-04 | 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% | 2015-06-04 | 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% | 2015-06-04 | 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 |
| JOBIE WILLIAMS | CORPORATE OFFICER | 0% | 2023-02-22 | current | pecos_ownership |
| TANYA MARION | CORPORATE OFFICER | 0% | 2022-07-01 | current | pecos_ownership |
| BARBARA JACOBSMEYER | CORPORATE OFFICER | — | 2021-06-21 | current | pecos_ownership |
| DYLAN BLACK | CORPORATE OFFICER | — | 2023-02-22 | current | pecos_ownership |
| JEANNE KALVAITIS | CORPORATE OFFICER | — | 2022-07-01 | current | pecos_ownership |
| JULIE JOLLEY | CORPORATE OFFICER | — | 2021-06-04 | current | pecos_ownership |
| RYAN SOLOMON | CORPORATE OFFICER | — | 2024-12-09 | current | pecos_ownership |
| SARAH BRALEY | CORPORATE OFFICER | — | 2023-02-22 | current | pecos_ownership |
| SEAN RICHARDSON | CORPORATE OFFICER | — | 2023-02-22 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 05143 | acs median gross | 0 | $756 | 2024-12-31 | CENSUS_ACS5 |
| county 05143 | fmr | 0 | $1,007 | 2025-10-01 | HUD_USER_FMR |
| county 05143 | acs median gross | 1 | $850 | 2024-12-31 | CENSUS_ACS5 |
| county 05143 | fmr | 1 | $1,115 | 2025-10-01 | HUD_USER_FMR |
| county 05143 | acs median gross | 2 | $1,030 | 2024-12-31 | CENSUS_ACS5 |
| county 05143 | fmr | 2 | $1,347 | 2025-10-01 | HUD_USER_FMR |
| county 05143 | acs median gross | 3 | $1,416 | 2024-12-31 | CENSUS_ACS5 |
| county 05143 | fmr | 3 | $1,873 | 2025-10-01 | HUD_USER_FMR |
| county 05143 | acs median gross | 4 | $1,528 | 2024-12-31 | CENSUS_ACS5 |
| county 05143 | fmr | 4 | $2,213 | 2025-10-01 | HUD_USER_FMR |
| county 05143 | acs median gross | 5 | $1,267 | 2024-12-31 | CENSUS_ACS5 |
| county 05143 | acs median gross | $1,071 | 2024-12-31 | CENSUS_ACS5 | |
| county 05143 | acs recent mover gross | $1,214 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 72762 | acs median gross | 1 | $910 | 2024-12-31 | CENSUS_ACS5 |
| zcta 72762 | acs median gross | 2 | $1,153 | 2024-12-31 | CENSUS_ACS5 |
| zcta 72762 | acs median gross | 3 | $1,367 | 2024-12-31 | CENSUS_ACS5 |
| zcta 72762 | acs median gross | 4 | $1,627 | 2024-12-31 | CENSUS_ACS5 |
| zcta 72762 | acs median gross | $1,166 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 72762 | acs recent mover gross | $1,481 | 2024-12-31 | CENSUS_ACS5 | |
| zip 72762 | payment standard 110 | 0 | $1,144 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | payment standard 90 | 0 | $936 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | safmr | 0 | $1,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | payment standard 110 | 1 | $1,265 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | payment standard 90 | 1 | $1,035 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | safmr | 1 | $1,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | payment standard 110 | 2 | $1,529 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | payment standard 90 | 2 | $1,251 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | safmr | 2 | $1,390 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | payment standard 110 | 3 | $2,123 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | payment standard 90 | 3 | $1,737 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | safmr | 3 | $1,930 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | payment standard 110 | 4 | $2,508 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | payment standard 90 | 4 | $2,052 | 2025-10-01 | HUD_USER_SAFMR |
| zip 72762 | safmr | 4 | $2,280 | 2025-10-01 | HUD_USER_SAFMR |