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Data / Home health agencies

US home health agencies: quality ratings, owners and outcomes for 12,409 agencies

Medicare certifies 12,409 US home health agencies, and 924 owners run three or more of them. The average quality of patient care rating is 3.2 of 5 and 166 agencies hold one star. 689 agencies are worse than the national rate for potentially preventable hospitalizations after a stay.

SpecStream is the live web data engine for teams and agents. It reads the CMS home health files and the Medicare ownership file, and this page is that reading, joined on the CMS Certification Number. Ask for the agencies you track by state, owner or rating, and each new rating or ownership change arrives in your sheet, CRM, Slack or agent as CMS publishes it.

Home health agencies
12,409
Average quality rating
3.2 of 5
One star agencies
166
Five star agencies
459
Average timely start of care
94.0%
Worse than national on hospitalizations
689
For profit agencies
8,954
Owner pages
924
Data as of
September 21, 2026

States

StateAgenciesAverage starsOne starFive starWorse on hospitalizations
Alaska152.8000
Alabama1163.81814
Arkansas913.30216
Arizona1783.40811
California3,1963.228136124
Colorado2283550
Connecticut723.1241
District of Columbia343.4001
Delaware223.6101
Florida1,1573.5107030
Georgia1053.60410
Guam32.7001
Hawaii182.8000
Iowa1233.1151
Idaho493.3022
Illinois5313122924
Indiana1733.1427
Kansas1043.3059
Kentucky883.5127
Louisiana1763.601051
Massachusetts2872.9947
Maryland513.7031
Maine193.5000
Michigan3703.32123
Minnesota1383230
Missouri1183.3125
Northern Mariana Islands41.5001
Mississippi423.60021
Montana212.7001
North Carolina1653.6042
North Dakota203.2001
Nebraska613.4023
New Hampshire273.4000
New Jersey383.7001
New Mexico703.3044
Nevada2272.811517
New York983.50133
Ohio8263.17412
Oklahoma2113.45759
Oregon493.2001
Pennsylvania4153.301011
Puerto Rico393.4040
Rhode Island223.2001
South Carolina673.8002
South Dakota233.8042
Tennessee1283.70717
Texas1,83136151179
Utah813.80103
Virginia2373.321113
U.S. Virgin Islands33000
Vermont93.1001
Washington723.5130
Wisconsin873.4031
West Virginia433.6016
Wyoming313.1001

Owners and managers with the most home health agencies

Grouped on CMS's own owner ID. Each page lists the owner's facilities.

OrganizationAgenciesAverage starsOne starFive starWorse on hospitalizations
Unitedhealth Group Incorporated4453.60253
LHC Group Inc3203.30139
Humana Inc2324.404815
Kentucky Homecare Holdings, Inc.2294.404815
Centerwell Health Services Inc2284.404815
Kentucky Homecare Parent Inc.2284.404815
Centerwell Health Services Holding Corp1714.403710
Enhabit Holdings, Inc.1503.30030
Advanced Homecare Management LLC1493.30030
Enhabit Inc1493.30030
Amedisys Inc1464.30116
Amedisys Holding LLC1434.30116
Stepstone K Strategic Opportunities Fund V, L.P.1143.30021
Anchor Topco, LP1133.40021
Kinderhook Capital Fund 8-B, L.P.1133.40021
Anchor Midco, LLC1123.40021
Anchor Parent, LLC1123.40021
Aveanna Healthcare Holdings Inc1124.3053
Aveanna Healthcare Intermediate Holdings LLC1124.3053
Kinderhook Capital Fund 8, L.P.1123.40021
Pacific Life Insurance Company1123.40021
Psa Healthcare Investment Holding LLC1124.3053
Bain Capital Fund XI LP1114.3053
Bcpe Eagle Investor, L.P.1104.3053
Hamilton Lane Co-Investment Fund III Holdings, 2 LP1104.3053
J.H. Whitney VII LP1104.3053
Aveanna Healthcare LLC1064.3043
Nut Tree Master Fund LP1064.3052
Brightspring Health Services Inc1004049
Phoenix Guarantor Inc.1004049
Phoenix Intermediate Holdings Inc.1004049
Res-Care Inc1004049
Almost Family, Inc.983.3002
BAYADA Home Health Care, Inc.973.4005
National Health Industries, Inc.963.3002
BAYADA Health, LLC.903.4005
Adoration Home Health & Hospice Inc893.9019
BAYADA893.4004
Rescare Holdings Inc893.9018
Adoration Home Health Care LLC853.9017
Cornerstone Healthcare Inc794.10104
The Pennant Group Inc794.10104
Accentcare, Inc.654037
Advent International Gpe Viii-A LP654037
Advent International Gpe Viii-B, L.P.654037
Horizon Acquisition Co Inc.654037
Horizon Group Holdings Intermediate 1, Inc.654037
Horizon Group Holdings Intermediate 2, Inc.654037
Horizon Group Holdings, L.P.654037
Pluto Acquisition I Inc654037

Agencies with the lowest quality ratings

Ranked by lowest quality rating, then by worse than national hospitalization rate.

AgencyCityStateOwnershipStarsTimely start of carePreventable hospitalizationsSource
Alpine Home Health, IncLas VegasNVProprietary192.5%Worse Than National Ratemedicare.gov
American Home CareTerrellTXProprietary184.5%Worse Than National Ratemedicare.gov
Amistad Home Health IncLaredoTXProprietary190.5%Worse Than National Ratemedicare.gov
Committed Home Health Care IncPlanoTXProprietary173.3%Worse Than National Ratemedicare.gov
Descanso Home Health Services, IncCovinaCAProprietary177.7%Worse Than National Ratemedicare.gov
Dignity Home Health CareFresnoCAProprietary183.9%Worse Than National Ratemedicare.gov
Good Choice Home Health, IncBurbankCAProprietary190.5%Worse Than National Ratemedicare.gov
Healing Hearts Home Care IncLas VegasNVProprietary192.8%Worse Than National Ratemedicare.gov
Horizon Valley Home Health Care IncTemeculaCAProprietary190.8%Worse Than National Ratemedicare.gov
Interim HealthcarePearlandTXProprietary182.3%Worse Than National Ratemedicare.gov
Laredo Skilled Services IncLaredoTXProprietary180%Worse Than National Ratemedicare.gov
Legacy Home Health CareNorcoCAProprietary185.5%Worse Than National Ratemedicare.gov
Legend Home Health, IncTorranceCAProprietary174.3%Worse Than National Ratemedicare.gov
Radmed Home Health Care, LLCLas VegasNVGovernment Operated182.2%Worse Than National Ratemedicare.gov
Rainbow Home Health, IncAntlersOKProprietary167.2%Worse Than National Ratemedicare.gov
Running River Home Health ServicesCerritosCAProprietary173.8%Worse Than National Ratemedicare.gov
Star Home Health IncHighlandINProprietary182.4%Worse Than National Ratemedicare.gov
Unicare Home Health ServicesTylerTXProprietary189%Worse Than National Ratemedicare.gov
Valley Care Home Health, Inc.Palm DesertCAProprietary167.4%Worse Than National Ratemedicare.gov
A Passionate Helping Hand Home Health Care LLCIndianapolisINNot listed159.2%-medicare.gov
A's Home Health Care, IncRancho CucamongaCAProprietary191.2%Same As National Ratemedicare.gov
About Kids Home Health CarePuebloCOProprietary157%Not Availablemedicare.gov
Accelerated Health Home Care, IncN HollywoodCAProprietary120.4%Same As National Ratemedicare.gov
Aces Home Healthcare Services IncMontclairCAProprietary179%Not Availablemedicare.gov
Advance Home Health Care ServicesPlanoTXProprietary152.5%Not Availablemedicare.gov

Updated November 7, 2026. Read from CMS Provider Data Catalog and data.cms.gov, home health. Open data from the Centers for Medicare & Medicaid Services (US government work). Ratings and measures are as CMS lists them on the date shown and CMS refreshes them on its own schedule. The CMS files are joined on the CMS Certification Number. CMS gives each owner organization an ID, and an owner page groups agencies on that ID. Names of individual owners and managers are not shown. This page uses CMS data and is not endorsed or certified by CMS. Free to reuse with credit to SpecStream under CC BY 4.0. Spot a wrong value? Write to [email protected] with the link to this page.