Composite
81.8 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| billing conduct | 82.3 | 26.0 | 0.30 | 0.2222 | 18.29 | in index |
| regulatory risk | 75.0 | 80.0 | 0.30 | 0.2222 | 16.67 | in index |
| quality risk | 39.2 | 47.3 | 0.30 | 0.2222 | 8.71 | in index |
| financial risk | 36.5 | 40.8 | 0.30 | 0.2222 | 8.11 | in index |
| chow risk | 49.1 | 23.4 | 0.15 | 0.1111 | 5.46 | in index |
| Kind | Finding | Signal | Subject | First seen |
|---|---|---|---|---|
| connection | Owner fleet risk far above national | +37.0 vs natl | INSPIRIUM HEALTH LLC | 5 facilities |
| connection | Owner fleet risk far above national | +36.2 vs natl | BEVERLY KIMZEY | 8 facilities |
| connection | Owner fleet risk far above national | +34.0 vs natl | CFH01 SACRED HEART LLC | 10 facilities |
| connection | Owner fleet risk far above national | +34.0 vs natl | SACRED HEART HEALTH INC | 10 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | BILL CREACH IRREVOCABLE TRUST FOR FREDERICK R CREACH | 12 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | BILL CREACH IRREVOCABLE TRUST FOR BILL E CREACH | 12 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | CHARLES CREACH | 12 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | FREDERICK CREACH | 12 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | BILL CREACH | 12 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | SHARLA CREACH | 12 facilities |
| connection | Owner fleet risk far above national | +33.8 vs natl | BILL CREACH IRREVOCABLE TRUST FOR CHARLES R CREACH | 12 facilities |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| billing conduct | 26.0 | B | v0.1-pacpuf | default · in composite | R21. CMS PAC PUF home health 2023. Outlier share, risk-adjusted episode churn, LUPA rate. |
| chow risk | 45.0 | 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 | 1.8 | 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 | 40.8 | B | v0.5 | default · in composite | R18. |
| quality risk | 47.3 | C | v0.1 | default · in composite | |
| regulatory risk | 80.0 | 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. |
| financial risk | 57.8 | C | 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 | 37.8 | B | 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 | 34.0 | 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 | 36.3 | 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 | 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 | 80.0 | 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 | 94.5 | — | 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 | 97.2 | — | 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 | 95.8 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | 90.5 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | 76.1 | — | 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 | 96.6 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | 83.6 | — | 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 | 2.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | 12.0 | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | 4.3 | — | 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 | 0.3 | — | 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 | 4.0 | 4 | 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 | 98.0 | — | 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 | 88.0 | — | 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) | 86.0 | — | 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 | 90.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 35.0 | — | 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 | 82.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| BEVERLY KIMZEY | CORPORATE OFFICER | 100% | 2024-08-22 | current | pecos_ownership |
| BILL CREACH | CORPORATE DIRECTOR | 100% | 2024-08-22 | current | pecos_ownership |
| CFH01 SACRED HEART, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2024-08-22 | current | pecos_ownership |
| INSPIRE HEALTHCARE LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2022-04-30 | current | pecos_ownership |
| SACRED HEART HEALTH, INC. | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2022-04-30 | current | pecos_ownership |
| SHARLA CREACH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 36% | 2024-08-22 | current | pecos_ownership |
| BILL CREACH IRREVOCABLE TRUST FOR CHARLES R CREACH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2024-08-22 | current | pecos_ownership |
| BILL CREACH IRREVOCABLE TRUST FOR BILL E CREACH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2024-08-22 | current | pecos_ownership |
| BILL CREACH IRREVOCABLE TRUST FOR FREDERICK R CREACH | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 6% | 2024-08-22 | current | pecos_ownership |
| CHARLES CREACH | OTHER | 0% | 2024-08-22 | current | pecos_ownership |
| FREDERICK CREACH | OTHER | 0% | 2024-08-22 | current | pecos_ownership |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 20173 | acs median gross | 0 | $793 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 0 | $782 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 1 | $807 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 1 | $849 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 2 | $1,007 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 2 | $1,099 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 3 | $1,258 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 3 | $1,444 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 4 | $1,539 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | fmr | 4 | $1,784 | 2025-10-01 | HUD_USER_FMR |
| county 20173 | acs median gross | 5 | $1,589 | 2024-12-31 | CENSUS_ACS5 |
| county 20173 | acs median gross | $998 | 2024-12-31 | CENSUS_ACS5 | |
| county 20173 | acs recent mover gross | $1,074 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 67206 | acs median gross | 0 | $1,004 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67206 | acs median gross | 1 | $935 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67206 | acs median gross | 2 | $1,296 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67206 | acs median gross | 3 | $2,076 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67206 | acs median gross | 4 | $2,065 | 2024-12-31 | CENSUS_ACS5 |
| zcta 67206 | acs median gross | $1,219 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 67206 | acs recent mover gross | $1,196 | 2024-12-31 | CENSUS_ACS5 | |
| zip 67206 | payment standard 110 | 0 | $990 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | payment standard 90 | 0 | $810 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | safmr | 0 | $900 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | payment standard 110 | 1 | $1,067 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | payment standard 90 | 1 | $873 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | safmr | 1 | $970 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | payment standard 110 | 2 | $1,386 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | payment standard 90 | 2 | $1,134 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | safmr | 2 | $1,260 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | payment standard 110 | 3 | $1,826 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | payment standard 90 | 3 | $1,494 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | safmr | 3 | $1,660 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | payment standard 110 | 4 | $2,255 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | payment standard 90 | 4 | $1,845 | 2025-10-01 | HUD_USER_SAFMR |
| zip 67206 | safmr | 4 | $2,050 | 2025-10-01 | HUD_USER_SAFMR |