Composite
85.0 / 100 percentile
| Component | Percentile | Raw | Weight | Weight share | Contribution | Counts |
|---|---|---|---|---|---|---|
| state reg risk | 83.5 | 25.0 | 0.30 | 0.4000 | 33.40 | in index |
| regulatory risk | 32.8 | 40.0 | 0.30 | 0.4000 | 13.12 | in index |
| chow risk | 60.7 | 25.8 | 0.15 | 0.2000 | 12.14 | in index |
| ownership opacity | 95.5 | 82.6 | excluded |
| Score type | Score | Grade | Model | Status | Registry model notes |
|---|---|---|---|---|---|
| chow risk | 50.7 | C | v0.1-flahca | default · in composite | Recency of the AHCA reported change of controlling owner, owner chain scale, domicile and vehicle naming. |
| chow risk | 16.0 | A | 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 | 10.8 | 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. |
| ownership opacity | 82.6 | F | v0.1-flahca | default · in composite | AHCA owner chain concentration, profit status, domicile and public web presence. |
| regulatory risk | 40.0 | B | 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 | 25.0 | B | v0.1-flahca | default · in composite | AHCA licence status, expiry, tenure and out-of-state administration. |
| 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| regulatory risk | 40.0 | B | v0.5-pos | superseded | R20.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 Superseded by v0.6-pos, which extends the population to hospices with no expression change.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 | - | — | 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 | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| How often patients' breathing improved | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Discharge Function Score | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| DTC Risk-Standardized Rate | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPH Risk-Standardized Rate | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| PPR Risk-Standardized Rate | - | — | 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 | - | — | 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 | - | — | hha_quality | https://data.cms.gov/provider-data/sites/default/files/resources/0260f790d69086d7330c10bcd51b9c3c_1782764087/HH_Provider_Jul2026.csv |
| Quality of patient care star rating | - | — | 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 | - | — | 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 | 96.0 | — | 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) | 94.0 | — | 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 | 97.0 | — | 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 | 96.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Survey response rate | 20.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| HHCAHPS Survey Summary Star Rating | Not Available | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Number of completed Surveys | 1.0 | — | hhcahps | https://data.cms.gov/provider-data/sites/default/files/resources/706e7ad48548f6f3893109f403dd9fd8_1782764088/HHCAHPS_Provider_Jul2026.csv |
| Date | Action | Agency | Detail |
|---|---|---|---|
| 2025-09-08 | renewal | — | — |
| 2021-06-01 | chow_application | — | — |
| Owner | Role | Pct | From | Status | Source |
|---|---|---|---|---|---|
| CSC TS ACQUISITION LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-05-04 | current | pecos_ownership |
| CSC TS INTERMEDIATE LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-05-04 | current | pecos_ownership |
| CSC TS PARENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2023-05-04 | current | pecos_ownership |
| TEAM SELECT HOLDINGS LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | 2021-03-19 | current | pecos_ownership |
| TS HOLDCO PARENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-03-19 | current | pecos_ownership |
| TS INVESTORS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100% | 2021-03-19 | current | pecos_ownership |
| CSC TS HOLDINGS LP | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 67% | 2023-05-04 | current | pecos_ownership |
| JCML HOLDINGS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 14% | 2021-03-19 | current | pecos_ownership |
| MICHAEL LOVELL | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12% | 2021-03-19 | current | pecos_ownership |
| CSC TS MANAGEMENT LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 11% | 2023-05-04 | current | pecos_ownership |
| TS TCM INVESTORS, LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 7% | 2021-03-19 | current | pecos_ownership |
| SUSAN VALOCCHI | CORPORATE OFFICER | 0% | 2023-05-05 | current | pecos_ownership |
| CR&RA INVESTMENTS LLC | — | — | 2021-06-01 | current | fl_ahca_healthfinder |
| FREDERICK JOHNSON | CORPORATE OFFICER | — | 2023-05-04 | current | pecos_ownership |
| KINEYSHA ALONSO ECHEVARRIA | W-2 MANAGING EMPLOYEE | — | 2025-01-27 | current | pecos_ownership |
| MARK KULECK | CORPORATE OFFICER | — | 2025-04-15 | current | pecos_ownership |
| INTEGRITY HEALTH SERVICES ORLANDO LLC | — | — | 2015-03-12 | ended 2026-07-27 | fl_ahca_healthfinder |
| Geo | Kind | BR | Amount | As of | Source |
|---|---|---|---|---|---|
| county 12071 | acs median gross | 0 | $1,630 | 2024-12-31 | CENSUS_ACS5 |
| county 12071 | fmr | 0 | $1,629 | 2025-10-01 | HUD_USER_FMR |
| county 12071 | acs median gross | 1 | $1,475 | 2024-12-31 | CENSUS_ACS5 |
| county 12071 | fmr | 1 | $1,638 | 2025-10-01 | HUD_USER_FMR |
| county 12071 | acs median gross | 2 | $1,617 | 2024-12-31 | CENSUS_ACS5 |
| county 12071 | fmr | 2 | $1,961 | 2025-10-01 | HUD_USER_FMR |
| county 12071 | acs median gross | 3 | $1,874 | 2024-12-31 | CENSUS_ACS5 |
| county 12071 | fmr | 3 | $2,560 | 2025-10-01 | HUD_USER_FMR |
| county 12071 | acs median gross | 4 | $2,133 | 2024-12-31 | CENSUS_ACS5 |
| county 12071 | fmr | 4 | $2,836 | 2025-10-01 | HUD_USER_FMR |
| county 12071 | acs median gross | 5 | $2,648 | 2024-12-31 | CENSUS_ACS5 |
| county 12071 | acs median gross | $1,712 | 2024-12-31 | CENSUS_ACS5 | |
| county 12071 | acs recent mover gross | $2,090 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33907 | acs median gross | 0 | $1,705 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33907 | acs median gross | 1 | $1,526 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33907 | acs median gross | 2 | $1,604 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33907 | acs median gross | 3 | $1,723 | 2024-12-31 | CENSUS_ACS5 |
| zcta 33907 | acs median gross | $1,614 | 2024-12-31 | CENSUS_ACS5 | |
| zcta 33907 | acs recent mover gross | $1,906 | 2024-12-31 | CENSUS_ACS5 | |
| zip 33907 | payment standard 110 | 0 | $1,837 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | payment standard 90 | 0 | $1,503 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | safmr | 0 | $1,670 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | payment standard 110 | 1 | $1,848 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | payment standard 90 | 1 | $1,512 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | safmr | 1 | $1,680 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | payment standard 110 | 2 | $2,211 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | payment standard 90 | 2 | $1,809 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | safmr | 2 | $2,010 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | payment standard 110 | 3 | $2,882 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | payment standard 90 | 3 | $2,358 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | safmr | 3 | $2,620 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | payment standard 110 | 4 | $3,201 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | payment standard 90 | 4 | $2,619 | 2025-10-01 | HUD_USER_SAFMR |
| zip 33907 | safmr | 4 | $2,910 | 2025-10-01 | HUD_USER_SAFMR |