Composite
57.9 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 75.0 | 80.0 | 0.30 | 0.1818 | 13.64 | in index |
| billing conduct | 47.8 | 15.6 | 0.30 | 0.1818 | 8.69 | in index |
| quality risk | 44.7 | 48.6 | 0.30 | 0.1818 | 8.13 | in index |
| financial risk | 33.5 | 47.1 | 0.30 | 0.1818 | 6.09 | in index |
| chow risk | 55.2 | 13.3 | 0.15 | 0.0909 | 5.02 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.1818 | 0.00 | in index |
| ownership opacity | 96.5 | 58.6 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 15.6 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 13.3 | 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 | 47.1 | C | v0.1-cacdph | default · in composite | California home health operating scale, public payer visit concentration, service intensity and lack-of-funds discharges. |
| ownership opacity | 58.6 | C | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 31.2 | B | v0.1 | default · in composite | |
| quality risk | 65.9 | D | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| regulatory risk | 80.0 | 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 | 0.0 | A | v0.1-cacdph | default · in composite | CDPH licence tenure, expiry, branch role and failure to file the mandatory HCAI annual utilization report. |
| 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| regulatory risk | 80.0 | F | v0.5-pos | superseded | R20.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 | 89.1 | — | 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 | 93.2 | — | 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 | 88.4 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 93.4 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 78.8 | — | 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 | 89.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 91.6 | — | 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 | 0.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 7.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.6 | — | 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 | 0.8 | — | 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 | 94.3 | — | 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 | 86.0 | — | 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 | 89.0 | — | 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 | 80.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 30.0 | — | 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 | 396.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 1977-11-01 | new_license | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| SUTTER HEALTH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | current | pecos_ownership |
| PATRICIA MANDRUP | W-2 MANAGING EMPLOYEE | 0% | 2011-10-11 | current | pecos_ownership |
| DAVID ADKINS | CORPORATE DIRECTOR | — | 2015-05-21 | current | pecos_ownership |
| EDWARD LELAND | CORPORATE DIRECTOR | — | 2015-05-21 | current | pecos_ownership |
| HELEN THOMSON | CORPORATE DIRECTOR | — | 2011-02-07 | current | pecos_ownership |
| I-MEI HSIU | CORPORATE DIRECTOR | — | 2015-05-21 | current | pecos_ownership |
| KURT SHULER | CORPORATE DIRECTOR | — | 2015-01-01 | current | pecos_ownership |
| MARIE SEWARD | CORPORATE DIRECTOR | — | 2015-05-21 | current | pecos_ownership |
| MICHAEL NEWELL | CORPORATE DIRECTOR | — | 2009-10-01 | current | pecos_ownership |
| NARENDRA PATHIPATI | CORPORATE DIRECTOR | — | 2011-10-01 | current | pecos_ownership |
| PETER HULL | CORPORATE DIRECTOR | — | 2012-01-01 | current | pecos_ownership |
| RONNIE YAMANAKA | CORPORATE OFFICER | — | 2024-01-04 | current | pecos_ownership |
| SCOTT HOWELL | CORPORATE DIRECTOR | — | 2009-01-01 | current | pecos_ownership |
| SUTTER VALLEY HOSPITALS | — | — | 1977-11-01 | current | ca_cdph_elms |
| TIMOTHY BYRD | CORPORATE DIRECTOR | — | 2015-05-21 | current | pecos_ownership |
| TODD SMITH | CORPORATE DIRECTOR | — | 2015-05-21 | current | pecos_ownership |
| VIVA ETTIN | CORPORATE DIRECTOR | — | 2014-02-07 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 06061 | acs median gross | 0 | $1,813 | 2024-12-31 | CENSUS_ACS5 |
| county 06061 | fmr | 0 | $1,748 | 2025-10-01 | HUD_USER_FMR |
| county 06061 | acs median gross | 1 | $1,606 | 2024-12-31 | CENSUS_ACS5 |
| county 06061 | fmr | 1 | $1,832 | 2025-10-01 | HUD_USER_FMR |
| county 06061 | acs median gross | 2 | $2,025 | 2024-12-31 | CENSUS_ACS5 |
| county 06061 | fmr | 2 | $2,255 | 2025-10-01 | HUD_USER_FMR |
| county 06061 | acs median gross | 3 | $2,490 | 2024-12-31 | CENSUS_ACS5 |
| county 06061 | fmr | 3 | $3,002 | 2025-10-01 | HUD_USER_FMR |
| county 06061 | acs median gross | 4 | $3,068 | 2024-12-31 | CENSUS_ACS5 |
| county 06061 | fmr | 4 | $3,460 | 2025-10-01 | HUD_USER_FMR |
| county 06061 | acs median gross | 5 | $3,290 | 2024-12-31 | CENSUS_ACS5 |
| county 06061 | acs median gross | $2,069 | 2024-12-31 | CENSUS_ACS5 | |
| county 06061 | acs recent mover gross | $2,392 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95602 | acs median gross | 1 | $2,038 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95602 | acs median gross | 2 | $1,720 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95602 | acs median gross | 3 | $2,383 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95602 | acs median gross | $1,864 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95602 | acs recent mover gross | $1,798 | 2024-12-31 | CENSUS_ACS5 | |
| zip 95602 | payment standard 110 | 0 | $1,727 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | payment standard 90 | 0 | $1,413 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | safmr | 0 | $1,570 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | payment standard 110 | 1 | $1,793 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | payment standard 90 | 1 | $1,467 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | safmr | 1 | $1,630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | payment standard 110 | 2 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | payment standard 90 | 2 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | safmr | 2 | $2,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | payment standard 110 | 3 | $3,025 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | payment standard 90 | 3 | $2,475 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | safmr | 3 | $2,750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | payment standard 110 | 4 | $3,542 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | payment standard 90 | 4 | $2,898 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95602 | safmr | 4 | $3,220 | 2025-10-01 | HUD_USER_SAFMR |