Composite
76.4 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| financial risk | 95.9 | 76.9 | 0.30 | 0.2222 | 21.31 | in index |
| quality risk | 51.5 | 53.4 | 0.30 | 0.2222 | 11.44 | in index |
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.2222 | 8.51 | in index |
| chow risk | 66.6 | 18.9 | 0.15 | 0.1111 | 7.40 | in index |
| billing conduct | 22.5 | 11.4 | 0.30 | 0.2222 | 5.00 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner spans multiple chains | 35 chains | WELLTOWER INC | 135 facilities |
| connection | Owner fleet risk far above national | +30.3 vs natl | CSIG HOLDING COMPANY LLC | 5 facilities |
| connection | Owner fleet risk far above national | +30.3 vs natl | DANIEL HUGHES | 5 facilities |
| connection | Owner fleet risk far above national | +30.3 vs natl | ROBERT CZAPIEWSKI | 5 facilities |
| connection | Owner fleet risk far above national | +29.7 vs natl | LORI APPLE | 5 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 11.3 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 24.0 | 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 | 13.7 | 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 | 76.9 | D | v0.5 | default · in composite | R18. |
| quality risk | 53.4 | 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| financial risk | 96.8 | F | v0.1 | superseded | Pre-registry model iteration, superseded by a later financial_risk rebuild.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 | 76.8 | 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 | 77.9 | 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 | 77.2 | 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 | 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 | 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 | 84.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients got better at walking or moving around | 85.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 86.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 49.3 | — | 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 | 95.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 89.8 | — | 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 | 10.0 | — | 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 | 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 | 1.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 3.0 | 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 | 99.0 | — | 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 | 72.0 | — | 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) | 78.0 | — | 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 | 87.0 | — | 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 | 71.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 21.0 | — | 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 | 15.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| HOMECARE NETWORK SERVICES LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 80% | 2017-09-25 | current | pecos_ownership |
| CSIG HOLDING COMPANY, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 60% | 2023-09-20 | current | pecos_ownership |
| DANIEL HUGHES | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 21% | 2017-09-25 | current | pecos_ownership |
| HCCF MANAGEMENT GROUP XI LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2023-09-20 | current | pecos_ownership |
| HEALTH FRI TRS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2023-09-20 | current | pecos_ownership |
| VALLEY SUPPLEMENTAL STAFFING, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | 2017-09-25 | current | pecos_ownership |
| WELLTOWER INC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 20% | 2023-09-20 | current | pecos_ownership |
| JAMES BINSON | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2017-09-25 | current | pecos_ownership |
| CARRIE MANZ | W-2 MANAGING EMPLOYEE | — | 2025-02-10 | current | pecos_ownership |
| JAMIE CHITTARO | CORPORATE DIRECTOR | — | 2021-01-26 | current | pecos_ownership |
| KELLY BURKE | CORPORATE DIRECTOR | — | 2017-09-25 | current | pecos_ownership |
| KENNETH FASSE | CORPORATE DIRECTOR | — | 2017-09-25 | current | pecos_ownership |
| LORI APPLE | CORPORATE OFFICER | — | 2020-07-01 | current | pecos_ownership |
| LORI APPLE | CORPORATE DIRECTOR | — | 2017-09-25 | current | pecos_ownership |
| ROBERT BRUCE | CORPORATE OFFICER | — | 2023-09-20 | current | pecos_ownership |
| ROBERT CZAPIEWSKI | CORPORATE OFFICER | — | 2017-09-25 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 26125 | acs median gross | 0 | $1,043 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | fmr | 0 | $1,009 | 2025-10-01 | HUD_USER_FMR |
| county 26125 | acs median gross | 1 | $1,122 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | fmr | 1 | $1,122 | 2025-10-01 | HUD_USER_FMR |
| county 26125 | acs median gross | 2 | $1,466 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | fmr | 2 | $1,411 | 2025-10-01 | HUD_USER_FMR |
| county 26125 | acs median gross | 3 | $1,728 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | fmr | 3 | $1,724 | 2025-10-01 | HUD_USER_FMR |
| county 26125 | acs median gross | 4 | $2,152 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | fmr | 4 | $1,868 | 2025-10-01 | HUD_USER_FMR |
| county 26125 | acs median gross | 5 | $1,881 | 2024-12-31 | CENSUS_ACS5 |
| county 26125 | acs median gross | $1,376 | 2024-12-31 | CENSUS_ACS5 | |
| county 26125 | acs recent mover gross | $1,492 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 48381 | acs median gross | 1 | $906 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48381 | acs median gross | 2 | $1,236 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48381 | acs median gross | 3 | $1,750 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48381 | acs median gross | 4 | $1,699 | 2024-12-31 | CENSUS_ACS5 |
| zcta 48381 | acs median gross | $1,466 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 48381 | acs recent mover gross | $2,139 | 2024-12-31 | CENSUS_ACS5 | |
| zip 48381 | payment standard 110 | 0 | $1,155 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | payment standard 90 | 0 | $945 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | safmr | 0 | $1,050 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | payment standard 110 | 1 | $1,287 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | payment standard 90 | 1 | $1,053 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | safmr | 1 | $1,170 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | payment standard 110 | 2 | $1,617 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | payment standard 90 | 2 | $1,323 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | safmr | 2 | $1,470 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | payment standard 110 | 3 | $1,980 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | payment standard 90 | 3 | $1,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | safmr | 3 | $1,800 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | payment standard 110 | 4 | $2,145 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | payment standard 90 | 4 | $1,755 | 2025-10-01 | HUD_USER_SAFMR |
| zip 48381 | safmr | 4 | $1,950 | 2025-10-01 | HUD_USER_SAFMR |