Reads as: riskier than 59.9% of the 24,351 facilities in the home health peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.
ML signals — parallel engine
1
Kind
Finding
Signal
Subject
First seen
connection
Owner fleet risk far above national
+31.3 vs natl
JOHN KELLY
12 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
Home health change of ownership from PECOS owner association dates, the created-for-acquisition flag, owner cohort churn and investment or holding company layering.
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.
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.
Pre-registry model iteration, superseded by a later financial_risk rebuild.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.
Pre-registry model iteration, superseded by a later financial_risk rebuild.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.
Pre-registry model iteration, superseded by a later financial_risk rebuild.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.
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.
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.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.
CMS Care Compare measure values as published; a null value with a footnote means CMS suppressed or could not compute it.
Penalties
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
0
No deficiencies on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.
Licensure actions
0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Ownership
2
Owner
Role
Pct
From
Status
Source
HOME HEALTH HOLDINGS LLP
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2023-07-21
current
pecos_ownership
JOHN KELLY
CONTRACTED MANAGING EMPLOYEE
100%
2023-07-21
current
pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Related-party costs
0
No related-party cost years on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Market rent context
36
Geo
Kind
BR
Amount
As of
Source
county 40031
acs median gross
0
$676
2024-12-31
CENSUS_ACS5
county 40031
fmr
0
$779
2025-10-01
HUD_USER_FMR
county 40031
acs median gross
1
$701
2024-12-31
CENSUS_ACS5
county 40031
fmr
1
$784
2025-10-01
HUD_USER_FMR
county 40031
acs median gross
2
$908
2024-12-31
CENSUS_ACS5
county 40031
fmr
2
$1,001
2025-10-01
HUD_USER_FMR
county 40031
acs median gross
3
$1,120
2024-12-31
CENSUS_ACS5
county 40031
fmr
3
$1,392
2025-10-01
HUD_USER_FMR
county 40031
acs median gross
4
$1,338
2024-12-31
CENSUS_ACS5
county 40031
fmr
4
$1,679
2025-10-01
HUD_USER_FMR
county 40031
acs median gross
5
$1,199
2024-12-31
CENSUS_ACS5
county 40031
acs median gross
$970
2024-12-31
CENSUS_ACS5
county 40031
acs recent mover gross
$1,042
2024-12-31
CENSUS_ACS5
zcta 73505
acs median gross
0
$827
2024-12-31
CENSUS_ACS5
zcta 73505
acs median gross
1
$767
2024-12-31
CENSUS_ACS5
zcta 73505
acs median gross
2
$904
2024-12-31
CENSUS_ACS5
zcta 73505
acs median gross
3
$1,102
2024-12-31
CENSUS_ACS5
zcta 73505
acs median gross
4
$1,292
2024-12-31
CENSUS_ACS5
zcta 73505
acs median gross
5
$1,170
2024-12-31
CENSUS_ACS5
zcta 73505
acs median gross
$952
2024-12-31
CENSUS_ACS5
zcta 73505
acs recent mover gross
$991
2024-12-31
CENSUS_ACS5
zip 73505
payment standard 110
0
$869
2025-10-01
HUD_USER_SAFMR
zip 73505
payment standard 90
0
$711
2025-10-01
HUD_USER_SAFMR
zip 73505
safmr
0
$790
2025-10-01
HUD_USER_SAFMR
zip 73505
payment standard 110
1
$880
2025-10-01
HUD_USER_SAFMR
zip 73505
payment standard 90
1
$720
2025-10-01
HUD_USER_SAFMR
zip 73505
safmr
1
$800
2025-10-01
HUD_USER_SAFMR
zip 73505
payment standard 110
2
$1,122
2025-10-01
HUD_USER_SAFMR
zip 73505
payment standard 90
2
$918
2025-10-01
HUD_USER_SAFMR
zip 73505
safmr
2
$1,020
2025-10-01
HUD_USER_SAFMR
zip 73505
payment standard 110
3
$1,562
2025-10-01
HUD_USER_SAFMR
zip 73505
payment standard 90
3
$1,278
2025-10-01
HUD_USER_SAFMR
zip 73505
safmr
3
$1,420
2025-10-01
HUD_USER_SAFMR
zip 73505
payment standard 110
4
$1,881
2025-10-01
HUD_USER_SAFMR
zip 73505
payment standard 90
4
$1,539
2025-10-01
HUD_USER_SAFMR
zip 73505
safmr
4
$1,710
2025-10-01
HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.