Composite
70.6 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 74.1 | 23.5 | 0.30 | 0.2222 | 16.47 | in index |
| quality risk | 45.7 | 50.6 | 0.30 | 0.2222 | 10.16 | in index |
| regulatory risk | 38.3 | 45.0 | 0.30 | 0.2222 | 8.51 | in index |
| chow risk | 69.0 | 25.9 | 0.15 | 0.1111 | 7.67 | in index |
| financial risk | 31.2 | 37.8 | 0.30 | 0.2222 | 6.93 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +28.1 vs natl | SHEILA WALTON | 5 facilities |
| connection | Owner fleet risk far above national | +25.5 vs natl | LIFECARE HOME HEALTH ACQUISITION LLC | 15 facilities |
| connection | Owner fleet risk far above national | +25.4 vs natl | LIFECARE HAVEN HOLDINGS LLC | 11 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | LIFECARE INTERMEDIATE II LLC | 13 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | LIFECARE HOME HEALTH HOLDINGS LLC | 13 facilities |
| connection | Owner fleet risk far above national | +25.1 vs natl | LIFECARE INTERMEDIATE I LLC | 13 facilities |
| connection | Owner fleet risk far above national | +23.4 vs natl | WILLIAM ALVERSON | 16 facilities |
| connection | Owner fleet risk far above national | +23.4 vs natl | LIFECARE HOME HEALTH INTERMEDIATE SUB LLC | 18 facilities |
| connection | Owner fleet risk far above national | +22.6 vs natl | JAMES DOUTHITT | 13 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 23.5 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 39.0 | 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 | 12.7 | 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 | 37.8 | B | v0.5 | default · in composite | R18. |
| quality risk | 50.6 | 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 | 96.5 | 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 | 76.5 | 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 | 31.0 | B | 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 | 33.3 | B | 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 | 100.0 | — | 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 | 100.0 | — | 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 | 100.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 94.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 84.2 | — | 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 | 99.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 72.9 | — | 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 | 2.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 14.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 3.9 | — | 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 | 1.2 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 4.5 | 4.5 | 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 | 99.6 | — | 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 | 92.0 | — | 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) | 96.0 | — | 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 | 95.0 | — | 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 | 95.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 29.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | 5.0 | 5 | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 89.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| LIFECARE HAVEN HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2017-08-31 | current | pecos_ownership |
| LIFECARE HOME HEALTH ACQUISITION LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2017-08-31 | current | pecos_ownership |
| LIFECARE HOME HEALTH HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-05-20 | current | pecos_ownership |
| LIFECARE HOME HEALTH INTERMEDIATE SUB LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2017-08-31 | current | pecos_ownership |
| LIFECARE INTERMEDIATE I LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-05-20 | current | pecos_ownership |
| LIFECARE INTERMEDIATE II LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-05-20 | current | pecos_ownership |
| WILLIAM ALVERSON | CORPORATE OFFICER | 100% | 2021-03-08 | current | pecos_ownership |
| JAMES DOUTHITT | W-2 MANAGING EMPLOYEE | — | 2025-07-21 | current | pecos_ownership |
| SHEILA WALTON | OPERATIONAL/MANAGERIAL CONTROL | — | 2025-07-22 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 48485 | acs median gross | 0 | $796 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | fmr | 0 | $831 | 2025-10-01 | HUD_USER_FMR |
| county 48485 | acs median gross | 1 | $822 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | fmr | 1 | $925 | 2025-10-01 | HUD_USER_FMR |
| county 48485 | acs median gross | 2 | $981 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | fmr | 2 | $1,136 | 2025-10-01 | HUD_USER_FMR |
| county 48485 | acs median gross | 3 | $1,265 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | fmr | 3 | $1,553 | 2025-10-01 | HUD_USER_FMR |
| county 48485 | acs median gross | 4 | $1,466 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | fmr | 4 | $1,759 | 2025-10-01 | HUD_USER_FMR |
| county 48485 | acs median gross | 5 | $1,113 | 2024-12-31 | CENSUS_ACS5 |
| county 48485 | acs median gross | $1,006 | 2024-12-31 | CENSUS_ACS5 | |
| county 48485 | acs recent mover gross | $1,183 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 76301 | acs median gross | 0 | $704 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76301 | acs median gross | 1 | $704 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76301 | acs median gross | 2 | $909 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76301 | acs median gross | 3 | $996 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76301 | acs median gross | 4 | $1,342 | 2024-12-31 | CENSUS_ACS5 |
| zcta 76301 | acs median gross | $843 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 76301 | acs recent mover gross | $1,110 | 2024-12-31 | CENSUS_ACS5 | |
| zip 76301 | payment standard 110 | 0 | $825 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | payment standard 90 | 0 | $675 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | safmr | 0 | $750 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | payment standard 110 | 1 | $891 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | payment standard 90 | 1 | $729 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | safmr | 1 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | payment standard 110 | 2 | $1,100 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | payment standard 90 | 2 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | safmr | 2 | $1,000 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | payment standard 110 | 3 | $1,496 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | payment standard 90 | 3 | $1,224 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | safmr | 3 | $1,360 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | payment standard 110 | 4 | $1,694 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | payment standard 90 | 4 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 76301 | safmr | 4 | $1,540 | 2025-10-01 | HUD_USER_SAFMR |