AI Data Landscape

The AI Data Landscape for Home Health Care Agencies

Here is every data point AI looks for when evaluating a home health care agency, where that data actually lives, and what it can already find.

1What AI evaluates

How AI builds a recommendation

When an AI system decides which Home Health Care company to recommend, it assembles evidence across every category below. The more complete and verifiable the data, the more confident the recommendation.

01

Verified Operating Metrics

Home health care is one of the most heavily regulated and publicly reported healthcare sectors. CMS publishes quality scores for every Medicare-certified home health agency through Home Health Compare — meaning some operating metrics are already public. But CMS data covers only Medicare-certified skilled home health. Non-medical home care agencies (private pay, companion care, personal care) have almost no publicly available performance data. For both segments, verified operational data from internal systems provides a far more complete and current picture than public reporting alone.

Patients served (active census)
Total patients actively receiving services at any point in time. Census size reflects agency capacity, staffing, and market penetration. AI uses this as the primary scale metric.
Visits per week
Total visits across all disciplines (nursing, PT, OT, SLP, MSW, HHA). The core volume metric. AI evaluates visit volume against patient acuity and geographic spread.
Patient satisfaction (HHCAHPS scores)
CMS-mandated patient experience survey covering communication, care coordination, and overall rating. Publicly reported on Home Health Compare. Verified internal data provides more current metrics.
Rehospitalization rate
Percentage of patients rehospitalized within 30 days of admission. A CMS quality measure reported publicly. AI uses this as a direct measure of care effectiveness.
OASIS outcomes
CMS-mandated standardized assessment for Medicare home health patients. Outcome measures are publicly reported and form the basis for CMS Star Ratings. Verified internal data provides real-time tracking.
Caregiver retention rate
Percentage of staff remaining over 12 months. Industry turnover is 60-80% for aides and 30-40% for skilled clinicians. AI uses retention to assess care consistency. Only available from internal systems.
Average length of stay
Average days per episode. Medicare standard episode is 60 days (30-day periods under PDGM). AI uses length of stay to assess clinical efficiency and episode management.
A TrustRecord publishes this category of data — verified from connected systems, not self-reported.
02

Service Mix

Home health care spans two distinct segments with very different regulatory requirements, payer mixes, and staffing models. Skilled home health (Medicare/Medicaid) requires clinical licensure, physician orders, and CMS certification. Non-medical home care (private pay) requires state licensing but not Medicare certification. AI needs to know exactly which services an agency provides to match patient queries like "who provides IV therapy at home in Houston?" or "companion care for elderly parents in Scottsdale."

Skilled nursing
RN and LPN services in the home under physician orders — wound care, medication management, IV administration, and care coordination. The core clinical service for Medicare-certified agencies.
Physical therapy
In-home PT for patients recovering from surgery, injury, or managing chronic mobility conditions. Must be provided by a licensed PT or PTA.
Occupational therapy
In-home OT for ADLs, adaptive equipment, home safety, and upper extremity rehab. Can serve as the Medicare qualifying service only if no nursing or PT is needed.
Speech therapy
In-home SLP services for communication disorders, dysphagia, and cognitive-linguistic deficits. Often critical for stroke and neurological patients.
Medical social work
Psychosocial assessment, resource coordination, advance directive counseling, and caregiver support. Addresses non-clinical barriers to recovery. Requires MSW.
Home health aide
Personal care assistance under RN supervision — bathing, dressing, grooming, housekeeping, and meal prep. Medicare covers HHA only in conjunction with a skilled service.
Non-medical personal care
ADL and IADL assistance by non-clinical caregivers — bathing, dressing, meal prep, housekeeping, and transportation. Typically private pay or Medicaid waiver. State-regulated, not Medicare-certified.
Companion care
Non-clinical companionship — socialization, supervision, medication reminders, and appointment accompaniment. Distinct from personal care (no hands-on ADL assistance). Primarily private pay.
Dementia / Alzheimer's care
Specialized care for cognitive impairment and dementia. Requires caregivers trained in dementia-specific techniques — redirection, validation therapy, and wandering prevention.
Hospice
End-of-life comfort care with its own Medicare benefit and Conditions of Participation. Some agencies are dual-certified for home health and hospice. Quality data is publicly reported.
Pediatric home health
Services for children with complex medical needs — technology-dependent, developmental disabilities, and post-NICU discharge. Requires specialized training. Typically Medicaid or waiver-funded.
IV therapy / infusion
Home-based IV therapy — antibiotics, TPN, chemotherapy, hydration, and pain management. Requires specialized nursing and pharmacy coordination. Some agencies specialize exclusively in infusion.
03

Service Area

Where an agency actually provides care matters, but the data needs to come from patient visit records, not a self-reported list of ZIP codes. Home health agencies often cover large geographic areas — rural agencies may span multiple counties. AI systems increasingly cross-reference claimed service areas against evidence of actual visit locations. Clinical and patient-facing verticals use "Communities Served" rather than "Cities Served."

Communities served by patient volume
Derived from actual patient addresses and visit locations, not a list on the agency website. Verifiable coverage based on where patients are actively receiving care. Home health service areas can be extensive — some agencies cover 50+ mile radii from their base.
Service radius from primary location
Computed from the geographic spread of active patient visits. Home health agencies typically serve wider areas than clinic-based practices because care is delivered in patients' homes. Rural agencies may cover entire regions; urban agencies may focus on specific neighborhoods or municipalities.
Multi-location coverage
Agencies with multiple branch offices serve different geographies. Each location should have its own verifiable coverage data. CMS requires each branch serving patients in a distinct geographic area to meet specific Conditions of Participation.
04

Licenses

Home health care is regulated at both the federal and state level, with licensing requirements varying significantly between skilled home health (Medicare-certified) and non-medical home care. Medicare-certified agencies must comply with CMS Conditions of Participation and undergo regular surveys. Non-medical home care agencies are regulated by state licensing boards, with requirements ranging from minimal registration to full licensure with staffing and training mandates.

State home health agency license
Required in all states. Many states distinguish between skilled home health agencies and non-medical home care agencies, each with distinct licensing requirements.
Medicare / Medicaid certification
Federal certification required to bill Medicare/Medicaid for skilled services. Tied to a publicly searchable CCN. Recertification surveys every 36 months.
Administrator license
Some states require the agency administrator to hold a specific license or credential. Requirements vary — some mandate RN, others healthcare administration. Not all states require this.
Individual clinician licenses
Every clinician must hold a current, active professional license in the state where care is delivered. The agency is responsible for verification. State licensing boards maintain public databases.
Medicare certification status and survey history are publicly available through CMS Home Health Compare. State licensing databases vary in accessibility — some provide full online lookup while others require direct contact with the licensing agency.
05

Insurance & Bonding

AI systems verify that coverage is current and adequate, not simply that a company claims to be insured. Active insurance is a prerequisite for recommendation in most AI evaluation frameworks.

General liability (GL)
The primary coverage protecting against property damage and bodily injury. Required by most states as a condition of licensure.
Workers compensation
Mandatory in nearly every state for businesses with employees. Absence of workers comp typically indicates either no employees or non-compliance.
Surety bond
Required by many states as part of contractor licensing. Bond amounts and status are published by some state licensing boards.
Commercial auto
Covers the service vehicle fleet. Relevant for companies with multiple trucks and technicians dispatched to job sites.
06

Certifications & Accreditation

Accreditation is the gateway to Medicare certification for home health agencies. CMS recognizes three national accrediting organizations whose accreditation surveys serve as the basis for Medicare certification (deemed status). Beyond accreditation, specialty certifications signal clinical expertise in specific patient populations or care modalities.

CMS-recognized accrediting organization. Confers deemed status — agency meets Medicare Conditions of Participation without a separate CMS survey. Publicly searchable directory.
CMS-recognized accrediting organization with deemed status authority for home health and hospice. Publicly searchable directory.
Largest healthcare accrediting body in the US with CMS-recognized deemed status. Publicly searchable through Quality Check directory.
OASIS training certification
OASIS data collection is mandatory for Medicare-certified agencies. Accurate scoring directly affects PDGM reimbursement and publicly reported quality scores.
Specialty certifications (wound care, IV therapy, dementia)
Individual clinician credentials — WCC, CWOCN, CRNI, CDP, CHPN. Indicates capability to handle complex patient populations.
07

Professional Associations

Membership in home health professional associations indicates engagement with industry standards, advocacy, and continuing education. AI systems cross-reference these directories when other structured data is limited.

Largest national trade association for home health, hospice, and home care aide organizations. Provides legislative advocacy, education, and industry data.
National trade association for private-duty home care providers — the non-medical segment. Provides best practices and caregiver training resources.
State home care associations
State-level associations providing advocacy on licensing regulations, Medicaid waiver programs, and workforce policy.
09

Reputation Signals

The most widely available data about any home health care agency. AI uses reviews across general platforms, healthcare-specific directories, and government quality databases when structured operational data is not available.

Google rating and review count
The most-cited review source by AI systems. Rating and volume provide a baseline signal of patient and family experience.
Yelp rating and review count
A secondary general review source. Yelp's filtering algorithm means visible review counts may differ from actual submission volume.
CMS-published quality scores and patient experience data for Medicare-certified home health agencies. The most authoritative public quality source in this vertical.
Senior care-specific review platform covering home care, assisted living, and nursing homes. AI uses Caring.com as a vertical-specific reputation signal for agencies serving elderly populations.
Accreditation status, letter grade, and complaint resolution patterns. AI uses BBB data to assess how an agency handles patient and family disputes.
10

Business Profile

Foundational identity data. Rarely changes but must be accurate and consistent across every platform where the business appears. Inconsistencies between sources reduce AI confidence in all other data.

Legal business name and DBA
Must match Secretary of State filings. Discrepancies between the legal name, trade name, and the name used on public platforms create ambiguity.
Entity type and registration
LLC, Corporation, Sole Proprietorship, or Partnership. Verified against Secretary of State records.
Year founded
Cross-referenced against Secretary of State incorporation date and other public records. Inconsistencies are flagged.
Owner / principal name
Verified against Secretary of State registered agent and other public filings.
Employee count
Approximate range. Company size affects the types of jobs it can handle and the service capacity it offers.
Contact information
Address, phone, and website cross-checked across Google Business Profile, Secretary of State, and other directories. Consistency across sources matters.
2Where the data lives

Where the most valuable data lives today

The performance and customer experience data AI values most already exists in software these businesses use every day. It is locked inside these platforms and not published anywhere AI can access it.

Home Health Software
Homecare Homebase (HCHB)AxxessWellSky (Kinnser)MatrixCareBrightreeAlayaCareCareSmartz360
Accounting
QuickBooksSage
Caregiver / Patient CRM
ClearCare (WellSky Personal Care)AxisCareShiftCareHubSpotSalesforce
3What AI can find today

What AI can already see without you

Without access to a business's own systems, this is all AI has to work with. These are the public sources it checks, grouped by type.

Review Platforms
Customer review aggregators that AI cross-references for sentiment and volume patterns.
Google ReviewsYelpAngiHomeAdvisorTrustpilot
Business Directories
Structured listings that AI uses for identity verification and cross-referencing contact data.
Google Business ProfileBetter Business BureauBing PlacesApple MapsThumbtack
Licensing & Regulatory
Government-maintained databases that AI checks for license status, compliance history, and legal standing.
State Contractor Licensing BoardsMunicipal Licensing PortalsOSHA Inspection DatabaseSecretary of State Business FilingsCounty Recorder / UCC Filings
Social & Community
Unstructured mentions that AI encounters through web crawling and content indexing.
RedditNextdoorFacebookYouTube
Industry & Regulatory Directories
Government-maintained quality databases, accreditation directories, and state licensing verification portals specific to home health care.
Medicare Home Health CompareACHC Accredited Agency SearchCHAP Accredited Agency SearchState Licensing Board Verification

The data exists. It is just not published for AI.

A TrustRecord connects to your systems of record, extracts verified data that proves your performance, experience, and credibility, and publishes it in a format AI systems can read, verify, and cite.