CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 20:14 UTC
Screener / 491640
C

JAMES RIVER HOME HEALTH CARE LLC

hospiceVA
1012 W 3RD STREET SUITE 1, FARMVILLE, VA 23901 · CCN 491640 · chain JAMES RIVER BUYER INC
Composite
80.4 / 100 percentile
Peer group
hospice n = 6,737
Evidence depth
deep
Certified beds
—
Model
v1.2
Reads as: riskier than 80.4% of the 6,737 facilities in the hospice 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 model6Components10Quality measures89Penalties0Deficiencies0Licensure0Ownership7Related party0Transactions0Market rent32

Composite explanation

6
ComponentPercentileRawWeightWeight shareContributionCounts
billing conduct73.355.80.300.222216.29in index
quality risk67.262.40.300.222214.93in index
regulatory risk65.275.00.300.222214.49in index
financial risk44.736.80.300.22229.93in index
chow risk19.99.00.150.11112.21in index
ownership opacity39.413.2excluded
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

10
Score typeScoreGradeModelStatusRegistry model notes
billing conduct51.6Cv0.1-hcidefault · in compositeHospice Care Index sub-indicators from CMS Care Compare, claims-derived and independent of the Provider of Services file. Scored as conduct rather than quality because the indicators are live-discharge timing, level-of-care mix, visit gaps and long-stay share.
billing conduct59.9Cv0.1-pacpuf-hosdefault · in compositeR22. PAC PUF hospice 2023. Long stay vs acuity, visit intensity, charge markup.
chow risk9.0Av0.1-posdefault · in compositeChange-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 risk50.8Cv0.1-hospiceowndefault · in compositeHospice ownership structure from CMS PECOS enrollment and All Owners. Reaches newly certified hospices that no federal quality file covers. Structure only, no quality content; the two score types from this model share one source.
financial risk22.8Av0.5default · in compositeR18.
ownership opacity12.4Av0.1-hospiceowndefault · in compositeHospice ownership structure from CMS PECOS enrollment and All Owners. Reaches newly certified hospices that no federal quality file covers. Structure only, no quality content; the two score types from this model share one source.
quality risk63.7Cv0.1default · in composite
quality risk61.0Cv0.1-cahpsdefault · in compositeCAHPS Hospice Survey bottom-box caregiver results from CMS Care Compare. Independent of claims and of state licensure.
regulatory risk75.0Dv0.6-posdefault · in compositeR31. 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 risk21.5Av0.4supersededPre-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.
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.

Quality measures

89
MeasureValueStarsPeriodSource
Average Daily Census50.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice served at least 1 patient with both Medicare and Medicaid coverage during one yearYes—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice served at least 1 patient enrolled in Medicare Advantage during one yearYes—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Assisted Living Facility21.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Home58.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Inpatient Hospice Facility0.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Inpatient Hospital FacilityNot Available—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Nursing Facility6.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in All other locations3.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Care Provided in Skilled Nursing Facility11.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
The hospice team did |not| provide the right amount of emotional and spiritual support14.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
nanNot Applicable—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team provided the right amount of emotional and spiritual support86.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
nan166.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Treatment Preferences100.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan166.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Beliefs & Values Addressed (if desired by the patient)98.2—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan166.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Pain Screening98.8—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan73.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Pain Assessment98.6—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan166.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Dyspnea Screening100.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan62.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Dyspnea Treatment98.4—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan46.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Patient Treated with an Opioid Who Are Given a Bowel Regimen97.8—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
nan166.0—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice and Palliative Care Composite Process Measure95.2—07/01/2024-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice Visits in the Last Days of Life229.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice Visits in the Last Days of Life43.2—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Hospice Care Index Overall Score9.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
CHC/GIP provided (% days)35491.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
CHC/GIP provided (% days)0.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
CHC/GIP provided (% days)52.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Gaps in nursing visits (% elections)191.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Gaps in nursing visits (% elections)51.3—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Gaps in nursing visits (% elections)48.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Early live discharges (% live discharges)54.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Early live discharges (% live discharges)7.4—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Early live discharges (% live discharges)57.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Late live discharges (% live discharges)54.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Late live discharges (% live discharges)31.5—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Late live discharges (% live discharges)35.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 1(% live discharges)54.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 1 (% live discharges)16.7—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 1 (% live discharges)88.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 2(% live discharges)54.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 2 (% live discharges)3.7—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Burdensome transitions, Type 2 (% live discharges)81.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Per-beneficiary spending (U.S. dollars $)350.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Per-beneficiary spending (U.S. dollars $)15605.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Per-beneficiary spending (U.S. dollars $)37.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Nurse care minutes per routine home care days (minutes)35338.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Nurse care minutes per routine home care days (minutes)8.2—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Nurse care minutes per routine home care days (minutes)10.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Skilled nursing minutes on weekends (% minutes)290505.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Skilled nursing minutes on weekends (% minutes)6.6—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Skilled nursing minutes on weekends (% minutes)34.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Visits near death (% decedents)262.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Visits near death (% decedents)87.8—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Visits near death (% decedents)25.0—01/01/2023-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Cancer21.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Circulatory/heart disease15.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Dementia33.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Other Conditions13.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Respiratory disease11.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Percent of Patients with Stroke10.0—01/01/2024-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Provided Routine Home Care and other levels of careYes—01/01/2022-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Provided Routine Home Care onlyNo—01/01/2022-12/31/2024https://data.cms.gov/provider-data/sites/default/files/resources/88c6eedfbc6f52e839092ed781f6482c_1777658736/Hospice_Provider_May2026.csv
Caregivers rated the hospice agency a 6 or lower6.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
Caregivers rated the hospice agency a 7 or 811.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
Caregivers rated the hospice agency a 9 or 1083.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
NO, they would probably not or definitely not recommend the hospice6.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
YES, they would probably recommend the hospice9.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
YES, they would definitely recommend the hospice85.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team sometimes or never treated the patient with respect1.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team usually treated the patient with respect13.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team always treated the patient with respect86.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
Family caregiver survey ratingNot Applicable—04/01/2023-03/31/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The patient sometimes or never got the help they needed for pain and symptoms13.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The patient usually got the help they needed for pain and symptoms20.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The patient always got the help they needed for pain and symptoms67.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team sometimes or never communicated well5.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team usually communicated well16.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team always communicated well79.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team sometimes or never provided timely help9.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team usually provided timely help20.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
The hospice team always provided timely help71.0—07/01/2023-06/30/2025https://data.cms.gov/provider-data/sites/default/files/resources/bbf8607529216a6cf0a54c0ba08001c0_1777658741/Provider_CAHPS_Hospice_Survey_Data_May2026.csv
CMS Care Compare measure values as published; a null value with a footnote means CMS suppressed or could not compute it.

Penalties

0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Deficiencies

0
No 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

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

7
OwnerRolePctFromStatusSource
ALESHA HOLMANW-2 MANAGING EMPLOYEE100%2024-01-31currentpecos_ownership
JAMES RIVER BUYER, INC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2024-06-07currentpecos_ownership
JAMES RIVER HOLDCO, LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2024-06-07currentpecos_ownership
JAMES RIVER INTERMEDIATE HOLDINGS, LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2020-01-23currentpecos_ownership
SHANE MALEYCORPORATE OFFICER100%2020-09-10currentpecos_ownership
TORINO JENNINGSW-2 MANAGING EMPLOYEE100%2024-01-31currentpecos_ownership
TRICIA ROWSEYW-2 MANAGING EMPLOYEE100%2020-09-10currentpecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

0
No 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

32
GeoKindBRAmountAs ofSource
county 51147fmr0$9162025-10-01HUD_USER_FMR
county 51147acs median gross1$6972024-12-31CENSUS_ACS5
county 51147fmr1$9222025-10-01HUD_USER_FMR
county 51147acs median gross2$1,0182024-12-31CENSUS_ACS5
county 51147fmr2$1,0942025-10-01HUD_USER_FMR
county 51147acs median gross3$9722024-12-31CENSUS_ACS5
county 51147fmr3$1,3122025-10-01HUD_USER_FMR
county 51147acs median gross4$1,0282024-12-31CENSUS_ACS5
county 51147fmr4$1,4482025-10-01HUD_USER_FMR
county 51147acs median gross$9312024-12-31CENSUS_ACS5
county 51147acs recent mover gross$8322024-12-31CENSUS_ACS5
zcta 23901acs median gross1$7532024-12-31CENSUS_ACS5
zcta 23901acs median gross2$1,0472024-12-31CENSUS_ACS5
zcta 23901acs median gross3$1,0342024-12-31CENSUS_ACS5
zcta 23901acs median gross4$8632024-12-31CENSUS_ACS5
zcta 23901acs median gross$9152024-12-31CENSUS_ACS5
zcta 23901acs recent mover gross$8102024-12-31CENSUS_ACS5
zip 23901payment standard 1100$1,0342025-10-01HUD_USER_SAFMR
zip 23901payment standard 900$8462025-10-01HUD_USER_SAFMR
zip 23901safmr0$9402025-10-01HUD_USER_SAFMR
zip 23901payment standard 1101$1,0452025-10-01HUD_USER_SAFMR
zip 23901payment standard 901$8552025-10-01HUD_USER_SAFMR
zip 23901safmr1$9502025-10-01HUD_USER_SAFMR
zip 23901payment standard 1102$1,2432025-10-01HUD_USER_SAFMR
zip 23901payment standard 902$1,0172025-10-01HUD_USER_SAFMR
zip 23901safmr2$1,1302025-10-01HUD_USER_SAFMR
zip 23901payment standard 1103$1,4962025-10-01HUD_USER_SAFMR
zip 23901payment standard 903$1,2242025-10-01HUD_USER_SAFMR
zip 23901safmr3$1,3602025-10-01HUD_USER_SAFMR
zip 23901payment standard 1104$1,7602025-10-01HUD_USER_SAFMR
zip 23901payment standard 904$1,4402025-10-01HUD_USER_SAFMR
zip 23901safmr4$1,6002025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · JAMES RIVER HOME HEALTH CARE LLC (491640) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency