October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

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Medicare-certified home health agency

A & a Home Health Services Inc

Home health agency in Houston, Texas

CMS Care Compare, released 2026-07-15

Quality of care

Patient survey

Not rated yet

How patients did

Compared with the average Texas agency. The dot is this agency; the solid line is the state average, the dashed line the U.S.

Care started on time99.8%
Better than the Texas averageState average 96.8%U.S. average 96.5%398 of 399 patients
What this measures

Share of patients whose first visit happened on the date the doctor ordered, or within 2 days of the referral or of coming home from the hospital when no date was ordered.

Patients got better at walking93.3%
Better than the Texas averageState average 85.7%U.S. average 88.6%198 of 261 patients
What this measures

Share of patients who could walk or move around more easily by the end of care.

Falls with major injury · lower is better0.5%
Better than the Texas averageState average 1.1%U.S. average 0.9%2 of 399 patients
What this measures

Share of patients who had a fall that caused a broken bone, head injury or similar during care. Lower is better.

Patients sent home to the community46.9%

likely between 31.2% and 61.3%

Medicare: Worse Than National RateU.S. rate 77.7%
What this measures

Share of patients who went home or to the community after home health and stayed out of a facility, adjusted for how sick patients were.

Preventable hospital stays during care · lower is betterNot reported

The number of patient episodes for this measure is too small to report.

What this measures

Share of home health stays with a hospital or observation stay for a problem good care might have prevented, adjusted for how sick patients were. Lower is better.

See all 17 measures
Checked on flu shot93.9%
Better than the Texas averageState average 64.4%U.S. average 64.2%245 of 261 patients
What this measures

Share of patients who were determined to have received the flu shot for the current flu season, from the agency or elsewhere.

Got better at getting in and out of bed85.9%
About the Texas averageState average 85.8%U.S. average 89.7%168 of 259 patients
What this measures

Share of patients who needed less help getting in and out of bed by the end of care.

Got better at bathing90.3%
Better than the Texas averageState average 87.8%U.S. average 90.6%200 of 258 patients
What this measures

Share of patients who needed less help washing themselves by the end of care.

Less short of breath100.0%
Better than the Texas averageState average 88.0%U.S. average 91.3%177 of 198 patients
What this measures

Share of patients who were less short of breath by the end of care.

Got better at taking medicines91.0%
Better than the Texas averageState average 86.5%U.S. average 88.1%135 of 178 patients
What this measures

Share of patients who could take their medicines correctly on their own by the end of care.

Pressure ulcers that got worse or appeared · lower is better0.3%
About the Texas averageState average 0.2%U.S. average 0.2%1 of 270 patients
What this measures

Share of patients who developed a new or worsened pressure ulcer during care. Lower is better.

Medication problems acted on in time99.5%
Better than the Texas averageState average 95.1%U.S. average 94.5%397 of 399 patients
What this measures

Share of patients whose medications were reviewed at the start of care and, each time a medication problem was found, the doctor-recommended action was completed with timely follow-up.

Met expected function at discharge25.7%
Below the Texas averageState average 64.0%U.S. average 71.7%68 of 265 patients
What this measures

Share of patients whose ability to move and care for themselves at discharge met or beat what was expected for them.

Medication list sent to the next provider95.8%
Better than the Texas averageState average 81.5%U.S. average 81.2%137 of 143 patients
What this measures

Share of patients whose current medication list was sent in a timely way to the next doctor or facility at transfer or discharge.

Medication list given to the patient99.6%
Better than the Texas averageState average 90.7%U.S. average 92.2%251 of 252 patients
What this measures

Share of patients given their current medication list in a timely way when discharged to a home or similar setting.

Preventable readmission within 30 days · lower is betterNot reported

The number of patient episodes for this measure is too small to report.

What this measures

Share of patients readmitted to a hospital within 30 days of leaving home health for a problem good care might have prevented, adjusted for how sick patients were. Lower is better.

Medicare spending per episode1.01

1% above the national average

What patients said

No survey results are available for this period.

Medicare payment

Cohort

Larger-volume

Total performance score

49.0 of 100

Cohort average 32.2

Payment adjustment

+2.7%

Payment year 2026

How it's calculated
MeasureWeightAchievementImprovementCounted
Potentially preventable hospitalization0.00%———
Discharge to community16.67%0.02.72.7
Improvement in dyspnea16.67%8.68.48.6
Improvement in oral medications16.67%3.85.55.5
Improvement in mobility25.00%1.04.04.0
Improvement in self-care25.00%1.94.44.4
ED use0.00%———
Care of patients0.00%———
Communication0.00%———
Specific care issues0.00%———
Overall rating0.00%———
Willingness to recommend0.00%———

About the agency

Services
Nursing, physical therapy, occupational therapy, home health aide
Ownership
For-profit
Certified since
1996
Address
8558 Katy Fwy Ste 117, Houston, TX 77024
ZIP codes served
77003, 77004, 77006, 77007, 77008, 77009, 77011, 77012, 77014, 77015, 77016, 77017
All 98 ZIP codes

77003, 77004, 77006, 77007, 77008, 77009, 77011, 77012, 77014, 77015, 77016, 77017, 77018, 77019, 77020, 77021, 77022, 77023, 77024, 77026, 77027, 77028, 77029, 77030, 77033, 77034, 77035, 77037, 77039, 77040, 77041, 77042, 77043, 77045, 77046, 77047, 77048, 77049, 77051, 77053, 77054, 77055, 77057, 77060, 77061, 77064, 77065, 77066, 77067, 77069, 77070, 77071, 77072, 77073, 77075, 77076, 77077, 77078, 77079, 77080, 77081, 77082, 77083, 77084, 77085, 77086, 77087, 77088, 77089, 77090, 77091, 77092, 77093, 77095, 77096, 77099, 77375, 77377, 77379, 77388, 77396, 77401, 77429, 77433, 77447, 77449, 77450, 77459, 77478, 77489, 77493, 77494, 77502, 77503, 77504, 77581, 77584, 77587

Data from CMS Care Compare, released 2026-07-15. This is CMS data, not a Logicly rating.

Better, about and below compare the agency with the state average. That is Logicly's reading of CMS numbers, not a CMS rating.

  • Average Medicare spending associated with an agency's home health episodes compared with all home health episodes nationally - agency score: January 01, 2023-December 31, 2024
  • Average Medicare spending associated with an agency's home health episodes compared with all home health episodes nationally - count: January 01, 2023-December 31, 2024
  • Changes in skin integrity post-acute care: pressure ulcer/injury: October 01, 2024-September 30, 2025
  • Discharge Function Score: October 01, 2024-September 30, 2025
  • How often a patient had one or more falls with a major injury: October 01, 2024-September 30, 2025
  • How often home health patients, who have had a recent hospital stay, had a preventable hospital readmission within 30 days of discharge from home health: January 01, 2022-December 31, 2024
  • How often patients got better at bathing: October 01, 2024-September 30, 2025
  • How often patients got better at getting in and out of bed: October 01, 2024-September 30, 2025
  • How often patients got better at taking their drugs correctly by mouth: October 01, 2024-September 30, 2025
  • How often patients got better at walking or moving around: October 01, 2024-September 30, 2025
  • How often patients remained at home within 31 days of being discharged from home health: January 01, 2023-December 31, 2024
  • How often patients were admitted to the hospital for a potentially-preventable condition while receiving home health care: January 01, 2024-December 31, 2024
  • How often patients' breathing improved: October 01, 2024-September 30, 2025
  • How often the home health team began their patients' care in a timely manner: October 01, 2024-September 30, 2025
  • How often the home health team checked patients' medications and got doctor's orders for medication issues in a timely manner: October 01, 2024-September 30, 2025
  • How often the home health team made sure that their patients have received a flu shot for the current flu season: October 01, 2024-September 30, 2025
  • Transfer of Health Information to the Patient: October 01, 2024-September 30, 2025
  • Transfer of Health Information to the Provider: October 01, 2024-September 30, 2025