Composite
14.9 / 100 percentile
Screener / 05K124
A
Brightstar Healthcare
home healthCA
151 N Sunrise Ave, Roseville, CA 95661 · CCN 05K124 · chain ALTUS HEALTH, INC.
Peer group
home health n = 24,351
Evidence depth
deep
Certified beds
—
Model
v1.2
Reads as: riskier than 14.9% 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.
Score model6Components7Penalties0Deficiencies0Licensure1Ownership1Related party0Transactions0Market rent36
Composite explanation
6| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| chow risk | 66.1 | 15.0 | 0.15 | 0.1111 | 7.34 | in index |
| quality risk | 30.6 | 34.9 | 0.30 | 0.2222 | 6.80 | in index |
| regulatory risk | 3.7 | 10.0 | 0.30 | 0.2222 | 0.82 | in index |
| financial risk | 0.8 | 29.5 | 0.30 | 0.2222 | 0.18 | in index |
| state reg risk | 0.0 | 0.0 | 0.30 | 0.2222 | 0.00 | in index |
| ownership opacity | 71.4 | 35.0 | excluded |
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.
Component scores and registry models
7| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 15.0 | 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 | 29.5 | B | v0.1-cacdph | default · in composite | California home health operating scale, public payer visit concentration, service intensity and lack-of-funds discharges. |
| ownership opacity | 35.0 | B | v0.1-cacdph | default · in composite | CDPH licensee chain size, parent corporation and domicile. |
| quality risk | 34.9 | B | v0.1-cacdph | default · in composite | California home health discharge to hospital and discharge by death rates, not case mix adjusted. |
| regulatory risk | 10.0 | A | 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. |
| regulatory risk | 10.0 | A | 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. |
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.
Penalties
0No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
0No 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
1| Date | Action | Agency | Detail |
|---|---|---|---|
| 2009-05-08 | new_license | — | — |
Ownership
1| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| ALTUS HEALTH, INC. | — | — | 2009-05-08 | current | ca_cdph_elms |
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.
Transactions
0No 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 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 95661 | acs median gross | 0 | $2,246 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95661 | acs median gross | 1 | $1,728 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95661 | acs median gross | 2 | $2,027 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95661 | acs median gross | 3 | $2,646 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95661 | acs median gross | 4 | $3,114 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95661 | acs median gross | 5 | $3,501 | 2024-12-31 | CENSUS_ACS5 |
| zcta 95661 | acs median gross | $2,082 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 95661 | acs recent mover gross | $2,428 | 2024-12-31 | CENSUS_ACS5 | |
| zip 95661 | payment standard 110 | 0 | $2,244 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | payment standard 90 | 0 | $1,836 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | safmr | 0 | $2,040 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | payment standard 110 | 1 | $2,354 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | payment standard 90 | 1 | $1,926 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | safmr | 1 | $2,140 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | payment standard 110 | 2 | $2,893 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | payment standard 90 | 2 | $2,367 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | safmr | 2 | $2,630 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | payment standard 110 | 3 | $3,850 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | payment standard 90 | 3 | $3,150 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | safmr | 3 | $3,500 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | payment standard 110 | 4 | $4,444 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | payment standard 90 | 4 | $3,636 | 2025-10-01 | HUD_USER_SAFMR |
| zip 95661 | safmr | 4 | $4,040 | 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.