SeniorIndex.ai — Home Health Agency Intelligence Report

Sample Home Health Agency — Regional

CCN: XXXXXX • 1234 Healthcare Blvd, Metro Area AK

(XXX) XXX-XXXX • Certified: 1982-05-17 • PROPRIETARY

A-

Overall Score

78.2

+2.01% VBP Adj.

Quality Star

★★★★☆

Patient Survey Star

★★★★☆

VBP Status

HHVBP Participant

Service Area

15 ZIPs • 1 state

Ownership

PROPRIETARY

Data Vintage: Quality measures reflect CMS Provider Data Catalog refresh (2024Q3–2025Q2). Financial data from CMS HCRIS FY2024 cost reports. VBP performance from CMS HHVBP 2024 performance year. Report generated April 13, 2026.

Executive Summary

Overall Score

78.2

Grade: A- National Avg: 48.7

Cost Per Visit

$171.63

National Avg: $139.27

Medicare Revenue

48.8%

Medicaid: 51.2%

VBP Payment Adj.

+2.01%

National Avg TPS: 34.9

Section 1 — Quality of Care

Quality of Patient Care Star Rating

★★★★☆

4.5 / 5 stars

Timely Care Initiation77.8%

Flu Shot (Staff)40.0%

COVID Vaccine (Staff)32.9%

Walking Improvement89.6%

Bed Transfer Improvement94.0%

Bathing Improvement93.5%

Hospitalization Metrics

Discharge to Community 80.0% Better Than Expected

Observed: 80.0% Risk-Adj: 89.4%

Potentially Preventable Readmission 5.0% No Different Than Expected

Observed: 5.0% Risk-Adj: 4.4%

Potentially Preventable Hospitalization 9.5% Better Than Expected

Observed: 9.5% Risk-Adj: 7.6%

Medicare Spending vs. National 0.94x

Oral Medications (Self-Mgmt) 97.8%

Falls w/ Major Injury 1.7%

Discharge Function Score 60.0%

Section 2 — Patient Experience (HHCAHPS)

Overall Summary Star Rating

★★★★☆

Would Recommend This Agency

85.0%

Surveys Completed

131

Response rate: 16.0%

Professional Care

★★★★☆

89.0% of patients rate high

Communication

★★★★☆

85.0% of patients rate high

Medication & Pain Safety

★★★☆☆

83.0% of patients rate high

Overall Rating (9–10)

★★★☆☆

84.0% of patients rate high

Section 3 — Value-Based Purchasing Performance

Total Performance Score (TPS) 44.9 / 100

Payment Adjustment +2.01%

Performance Year 2025

Cohort Larger-volume

Care Points by Domain

Discharge to Community 1.5 pts

Dyspnea Improvement 10.0 pts

Oral Medications 6.3 pts

ACH (Acute Care Hospitalization) 5.2 pts

Patient Survey — Care of Patients 4.9 pts

Patient Survey — Communication 3.1 pts

Section 4 — Financial Profile (HCRIS FY2024)

Revenue Mix

Medicare Revenue $1.4M 48.8%

Medicaid Revenue $1.5M 51.2%

Other / Private Pay $2,223 0.1%

Net Revenue (Total) $2.9M

Cost & Utilization

Cost Per Visit $171.63 AVERAGE vs. national

Total Visits 27,129

Skilled Nursing Visits 18,496

Physical Therapy Visits 3,977

Occupational Therapy Visits 4,656

Total Costs $4.7M

Medicare Spending Efficiency AVERAGE

Report Status Settled without audit

Section 5 — SeniorIndex Agency Score

A-

78.2

Composite score (0–100)

National average: 48.7

Better than 99%% of 14 AK HHAs

Quality of Care (50%) 87.5

Patient Experience (30%) 80.0

Value-Based Performance (20%) 44.9

Section 6 — Service Area

ZIP Codes Served

Active service territories

States Covered

Per CMS service area file

Agency Type

Home Health Agency

Offers skilled nursing, physical therapy

Service area data reflects CMS-reported ZIP codes covered by this agency. Actual coverage may differ from what is actively marketed or staffed.

Section 7 — Methodology & Data Sources

This report was produced by SeniorIndex.ai using exclusively government-published datasets. All data is sourced directly from CMS without modification, except for composite scores which are computed by SeniorIndex.ai using transparent, documented inputs.

Data Layer	Source	Coverage
Agency Profile & Quality Measures	CMS Provider Data Catalog (6jpm-sxkc)	12,251 HHAs nationally
Patient Survey (HHCAHPS)	CMS Provider Data Catalog (ccn4-8vby)	2024Q3–2025Q2
Value-Based Purchasing	CMS HHVBP Dataset (56d7-4994)	7,212 participants, FY2024
Financial / Cost Reports	CMS HCRIS HHA20 Form 1728-20	FY2024, 7,301 agencies
Service Area (ZIP Codes)	CMS Provider Data Catalog (m5eg-upu5)	549,027 ZIP-agency pairs

Composite Score: Quality of Care (50%%) — normalized CMS quality star rating with hospitalization performance adjustments. Patient Experience (30%%) — normalized HHCAHPS summary star blended with recommend percentage. Value-Based Performance (20%%) — CMS Total Performance Score; non-participants receive national median.

Limitations: HCRIS cost reports are self-reported and may contain errors or delays. Agencies with low patient volume may have suppressed quality measures. VBP non-participation does not indicate poor quality. Financial data reflects the most recently available completed fiscal year.