Composite
64.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| regulatory risk | 64.2 | 75.0 | 0.30 | 0.2222 | 14.27 | in index |
| chow risk | 94.1 | 36.7 | 0.15 | 0.1111 | 10.46 | in index |
| billing conduct | 40.9 | 14.5 | 0.30 | 0.2222 | 9.09 | in index |
| financial risk | 39.1 | 42.3 | 0.30 | 0.2222 | 8.69 | in index |
| quality risk | 15.3 | 33.1 | 0.30 | 0.2222 | 3.40 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +26.5 vs natl | BARUCH GLAUBACH | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | EPHRAIM BERGER | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | EPHRAIM TENNENBAUM | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | ESTHER MUSCHEL | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | FRANCES MARX 2021 FAMILY TRUST | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | FREDERIK LILJEWALL | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | LJA FAMILY IRREVOCABLE TRUST | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | MIRIAM SCHWARTZ | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | MITCHEL AEDER | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | PERSONAL TOUCH HOLDING CORP | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | PT INTERMEDIATE HOLDING INC | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | SHOSHANA E BERGER 2021 TRUST | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | TODD PINKUS | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | ROBERT MARX 2021 FAMILY TRUST | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | RONALD SPIELBERGER | 7 facilities |
| connection | Owner fleet risk far above national | +26.5 vs natl | SG PT LLC | 7 facilities |
| connection | Owner fleet risk far above national | +26.4 vs natl | ROBERT MARX | 7 facilities |
| connection | Owner fleet risk far above national | +24.4 vs natl | TSIONA ELIYAHU | 8 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 14.5 | A | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 46.0 | C | 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 | 27.3 | B | 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 | 42.3 | B | v0.5 | default · in composite | R18. |
| quality risk | 33.1 | B | v0.1 | default · in composite | |
| regulatory risk | 75.0 | D | 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 | 77.4 | D | 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 | 57.4 | C | 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 | 35.4 | 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 | 37.7 | 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 | 75.0 | D | 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 | 90.6 | — | 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 | 91.4 | — | 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 | 91.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 73.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 71.0 | — | 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 | 97.7 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 92.5 | — | 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 | 3.3 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 8.9 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 5.2 | — | 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 | 1.1 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | 3.5 | 3.5 | 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 | 99.1 | — | 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 | 89.0 | — | 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 | 92.0 | — | 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 | 88.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 27.0 | — | 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 | 49.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| PERSONAL TOUCH HOLDING CORP. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2011-07-13 | current | pecos_ownership |
| PT INTERMEDIATE HOLDING INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2010-12-13 | current | pecos_ownership |
| STEARNS BANK NA | 5% OR GREATER SECURITY INTEREST | 100% | 2011-07-13 | current | pecos_ownership |
| TERRY CARPENTER | OPERATIONAL/MANAGERIAL CONTROL | 100% | 2000-08-14 | current | pecos_ownership |
| SG PT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 40% | 2024-09-01 | current | pecos_ownership |
| ROBERT MARX 2021 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2021-06-03 | current | pecos_ownership |
| FRANCES MARX 2021 FAMILY TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 9% | 2021-06-03 | current | pecos_ownership |
| SHOSHANA E BERGER 2021 TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 8% | 2022-02-07 | current | pecos_ownership |
| LJA FAMILY IRREVOCABLE TRUST | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2024-04-09 | current | pecos_ownership |
| EPHRAIM BERGER | CORPORATE DIRECTOR | 0% | 2021-11-15 | current | pecos_ownership |
| EPHRAIM TENNENBAUM | CORPORATE OFFICER | 0% | 2024-07-29 | current | pecos_ownership |
| ESTHER MUSCHEL | CORPORATE DIRECTOR | 0% | 2021-11-15 | current | pecos_ownership |
| FREDERIK LILJEWALL | CORPORATE DIRECTOR | 0% | 2021-11-15 | current | pecos_ownership |
| MICHELE SCHNEIDER | W-2 MANAGING EMPLOYEE | 0% | 2024-12-01 | current | pecos_ownership |
| MITCHEL AEDER | CORPORATE DIRECTOR | 0% | 2021-11-15 | current | pecos_ownership |
| REVA RAHE | W-2 MANAGING EMPLOYEE | 0% | 2024-12-01 | current | pecos_ownership |
| TSIONA ELIYAHU | CONTRACTED MANAGING EMPLOYEE | 0% | 2024-10-07 | current | pecos_ownership |
| BARUCH GLAUBACH | CORPORATE DIRECTOR | — | 2021-11-15 | current | pecos_ownership |
| MIRIAM SCHWARTZ | CORPORATE DIRECTOR | — | 2022-07-21 | current | pecos_ownership |
| ROBERT MARX | CORPORATE OFFICER | — | 1995-09-13 | current | pecos_ownership |
| ROBERT MARX | CORPORATE DIRECTOR | — | 2001-04-18 | current | pecos_ownership |
| RONALD SPIELBERGER | CORPORATE OFFICER | — | 2019-01-28 | current | pecos_ownership |
| TODD PINKUS | CORPORATE OFFICER | — | 2025-05-07 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| zcta 42728 | acs median gross | 0 | $375 | 2024-12-31 | CENSUS_ACS5 |
| zcta 42728 | acs median gross | 1 | $513 | 2024-12-31 | CENSUS_ACS5 |
| zcta 42728 | acs median gross | 2 | $682 | 2024-12-31 | CENSUS_ACS5 |
| zcta 42728 | acs median gross | 3 | $1,025 | 2024-12-31 | CENSUS_ACS5 |
| zcta 42728 | acs median gross | 4 | $968 | 2024-12-31 | CENSUS_ACS5 |
| zcta 42728 | acs median gross | 5 | $865 | 2024-12-31 | CENSUS_ACS5 |
| zcta 42728 | acs median gross | $771 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 42728 | acs recent mover gross | $790 | 2024-12-31 | CENSUS_ACS5 | |
| zip 42728 | payment standard 110 | 0 | $682 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | payment standard 90 | 0 | $558 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | safmr | 0 | $620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | payment standard 110 | 1 | $781 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | payment standard 90 | 1 | $639 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | safmr | 1 | $710 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | payment standard 110 | 2 | $957 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | payment standard 90 | 2 | $783 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | safmr | 2 | $870 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | payment standard 110 | 3 | $1,331 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | payment standard 90 | 3 | $1,089 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | safmr | 3 | $1,210 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | payment standard 110 | 4 | $1,375 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | payment standard 90 | 4 | $1,125 | 2025-10-01 | HUD_USER_SAFMR |
| zip 42728 | safmr | 4 | $1,250 | 2025-10-01 | HUD_USER_SAFMR |