Composite
97.3 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 78.0 | 90.0 | 0.30 | 0.6667 | 52.00 | in index |
| chow risk | 78.1 | 28.5 | 0.15 | 0.3333 | 26.03 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +26.3 vs natl | RANDALL EDMUNDSON | 9 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | JESSICA RIGGS | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS ACQUISITION LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS HOLDCO LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS HOLDINGS LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | AOC OPCO LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS PARENT LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS PARENT HOLDINGS LLC | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC CAPITAL X L P | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC PARTNERS X A L P | 10 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | NAUTIC ANGELS INTERMEDIATE HOLDINGS LLC | 10 facilities |
| connection | Owner fleet risk far above national | +22.8 vs natl | MARK FRATES | 9 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 42.0 | 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 | 14.9 | 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. |
| regulatory risk | 90.0 | 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. |
| 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 | 90.0 | 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 | - | — | 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 | - | — | 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 | - | — | 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 |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| AOC OPCO LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2020-12-29 | current | pecos_ownership |
| NAUTIC ANGELS ACQUISITION, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-09 | current | pecos_ownership |
| NAUTIC ANGELS HOLDCO, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2020-12-29 | current | pecos_ownership |
| NAUTIC ANGELS HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-09 | current | pecos_ownership |
| NAUTIC ANGELS INTERMEDIATE HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-09 | current | pecos_ownership |
| NAUTIC ANGELS PARENT HOLDINGS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-09 | current | pecos_ownership |
| NAUTIC ANGELS PARENT, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-02-09 | current | pecos_ownership |
| PORTRUSH INTERMEDIATE HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2020-12-29 | current | pecos_ownership |
| NAUTIC CAPITAL X, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 56% | 2024-02-09 | current | pecos_ownership |
| NAUTIC PARTNERS X-A, L.P. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 44% | 2024-02-09 | current | pecos_ownership |
| JESSICA RIGGS | CORPORATE OFFICER | 0% | 2020-12-29 | current | pecos_ownership |
| MARK FRATES | CORPORATE OFFICER | 0% | 2025-06-01 | current | pecos_ownership |
| RANDALL EDMUNDSON | CORPORATE OFFICER | 0% | 2020-12-29 | current | pecos_ownership |
| MICHELLE REINER | OPERATIONAL/MANAGERIAL CONTROL | — | 2023-04-24 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 04013 | acs median gross | 0 | $1,383 | 2024-12-31 | CENSUS_ACS5 |
| county 04013 | fmr | 0 | $1,457 | 2025-10-01 | HUD_USER_FMR |
| county 04013 | acs median gross | 1 | $1,453 | 2024-12-31 | CENSUS_ACS5 |
| county 04013 | fmr | 1 | $1,583 | 2025-10-01 | HUD_USER_FMR |
| county 04013 | acs median gross | 2 | $1,698 | 2024-12-31 | CENSUS_ACS5 |
| county 04013 | fmr | 2 | $1,839 | 2025-10-01 | HUD_USER_FMR |
| county 04013 | acs median gross | 3 | $2,027 | 2024-12-31 | CENSUS_ACS5 |
| county 04013 | fmr | 3 | $2,452 | 2025-10-01 | HUD_USER_FMR |
| county 04013 | acs median gross | 4 | $2,312 | 2024-12-31 | CENSUS_ACS5 |
| county 04013 | fmr | 4 | $2,720 | 2025-10-01 | HUD_USER_FMR |
| county 04013 | acs median gross | 5 | $2,632 | 2024-12-31 | CENSUS_ACS5 |
| county 04013 | acs median gross | $1,708 | 2024-12-31 | CENSUS_ACS5 | |
| county 04013 | acs recent mover gross | $1,867 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 85260 | acs median gross | 0 | $2,002 | 2024-12-31 | CENSUS_ACS5 |
| zcta 85260 | acs median gross | 1 | $1,861 | 2024-12-31 | CENSUS_ACS5 |
| zcta 85260 | acs median gross | 2 | $2,143 | 2024-12-31 | CENSUS_ACS5 |
| zcta 85260 | acs median gross | 3 | $2,448 | 2024-12-31 | CENSUS_ACS5 |
| zcta 85260 | acs median gross | 4 | $3,172 | 2024-12-31 | CENSUS_ACS5 |
| zcta 85260 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 85260 | acs median gross | $2,132 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 85260 | acs recent mover gross | $2,309 | 2024-12-31 | CENSUS_ACS5 | |
| zip 85260 | payment standard 110 | 0 | $2,145 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | payment standard 90 | 0 | $1,755 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | safmr | 0 | $1,950 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | payment standard 110 | 1 | $2,332 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | payment standard 90 | 1 | $1,908 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | safmr | 1 | $2,120 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | payment standard 110 | 2 | $2,706 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | payment standard 90 | 2 | $2,214 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | safmr | 2 | $2,460 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | payment standard 110 | 3 | $3,608 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | payment standard 90 | 3 | $2,952 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | safmr | 3 | $3,280 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | payment standard 110 | 4 | $4,004 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | payment standard 90 | 4 | $3,276 | 2025-10-01 | HUD_USER_SAFMR |
| zip 85260 | safmr | 4 | $3,640 | 2025-10-01 | HUD_USER_SAFMR |