Screener / 155364

BYRON HEALTH CENTER

snfIN

1661 BEACON STREET, FORT WAYNE, IN 46805 · CCN 155364 · chain HENDRICKS COUNTY HOSPITAL

Composite

72.8 / 100 percentile

Peer group

snf n = 14,684

Evidence depth

deep

Certified beds

120

Model

v1.2

Reads as: riskier than 72.8% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.

Score model4 Components15 CHOW radar1 Distress radar1 Staffing16 Penalties1 Deficiencies15 Licensure0 Ownership32 Related party5 Transactions1 Comps12 Market rent35

Composite explanation

Component	Percentile	Raw	Weight	Weight share	Contribution	Counts
regulatory risk	65.6	58.6	0.30	0.3000	19.68	in index
staffing risk	78.4	78.4	0.25	0.2500	19.60	in index
financial risk	46.3	43.3	0.30	0.3000	13.89	in index
chow risk	26.5	25.5	0.15	0.1500	3.98	in index

weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

Component scores and registry models

Score type	Score	Grade	Model	Status	Registry model notes
chow risk	25.0	B	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.
chow risk	25.9	B	v0.6	default · in composite
financial risk	43.3	B	v0.5	default · in composite	R18.
p adverse action 12m	0.1	—	v0.1	default · in composite	R23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m	0.0	—	v0.1	default · in composite	R22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk	58.6	C	v0.3	default · in composite	Deficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk	78.4	D	v0.3	default · in composite	Cost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk	40.8	B	v0.1	superseded	Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk	20.8	A	v0.2	superseded	Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk	51.6	C	v0.3	superseded	Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk	46.1	C	v0.4	superseded	Pre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk	58.4	C	v0.1	superseded	Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk	58.4	C	v0.2	superseded	Pre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk	78.4	D	v0.1	superseded	Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk	78.4	D	v0.2	superseded	Pre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.

Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →

p(CHOW, 12m)

0.0%

model v0.1 · computed 2026-07-29

Percentile among SNFs

1.1

100 = most likely to sell

Holdout AUC

0.874

evaluated before shipping, never refit

Driver	Value	Pull on odds
Never sold on record	0.00	-1.62
Current owner tenure (years)	5.99	-1.26
For-profit ownership	0.00	-1.24
No PBJ staffing report	0.00	+0.42
Occupancy	0.83	-0.39
Chain size (log)	3.43	+0.33
Ownership changes, last 5 years	0.00	+0.20
Contract staffing share	0.02	-0.07

p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →

p(termination, 12m)

0.1%

model v0.1 · computed 2026-07-29

Percentile among SNFs

56.1

100 = most likely to lose certification

Holdout AUC

0.971

top decile caught 95% of actual exits

Driver	Value	Pull on odds
For-profit ownership	0.00	+1.62
Chain size (log)	3.43	-0.80
No PBJ staffing report	0.00	+0.39
Occupancy	0.83	-0.35
Deficiencies, last 12 months	6.00	+0.32
Never sold on record	0.00	-0.28
Current owner tenure (years)	5.99	-0.20
Fine amount, 12m (log)	0.00	+0.18

Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

2025Q4 HPRD	This facility	IN median	National median	National p25–p75
Total nurse	2.83	2.85	3.28	2.90–3.77
RN	0.30	0.40	0.39	0.25–0.58
Weekend total	2.53	2.71	3.11	—
Weekday total	2.95	2.90	3.35	—

Quarter	Days	Avg census	Total HPRD	RN	LPN	CNA	Weekend	Contract %
2025Q4	92	99.8	2.83	0.30	0.56	1.97	2.53	1.6%
2025Q3	92	103.1	2.60	0.31	0.44	1.86	2.22	0.5%
2025Q2	91	97.6	2.68	0.33	0.43	1.92	2.31	2.3%
2025Q1	90	94.0	2.57	0.33	0.43	1.80	2.43	1.4%
2024Q4	92	99.3	2.53	0.32	0.39	1.81	2.37	0.3%
2024Q3	92	101.5	2.59	0.23	0.40	1.95	2.36	2.4%
2024Q2	91	101.2	2.22	0.14	0.38	1.70	1.98	2.2%
2024Q1	91	101.8	2.28	0.15	0.38	1.76	2.01	3.5%
2023Q4	92	104.2	2.00	0.22	0.35	1.43	1.67	1.4%
2023Q3	92	103.3	2.17	0.22	0.32	1.63	1.95	1.4%
2023Q2	91	99.9	2.31	0.23	0.36	1.73	1.97	6.4%
2023Q1	90	94.2	2.38	0.28	0.40	1.70	2.03	4.0%
2022Q4	92	87.7	2.27	0.29	0.38	1.61	1.97	0.7%
2022Q3	92	88.8	2.03	0.28	0.39	1.36	1.52	2.0%
2022Q2	91	87.2	1.95	0.29	0.45	1.21	1.58	0.0%
2022Q1	90	87.2	1.97	0.30	0.56	1.10	1.72	0.0%

HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

Date	Type	Fine	Source
2025-05-19	Fine	$12,740	CMS provider data

Total fines on record: $12,740

Deficiencies

D × 11E × 1F × 2J × 1

deficiencies by survey year

Survey	Type	Tag	Deficiency	Scope	Corrected
2026-03-31	Health	F0688	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	2026-04-06
2026-03-31	Health	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2026-04-06
2026-03-31	Health	F0742	Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.	D	2026-04-06
2026-03-31	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	2026-04-06
2026-03-31	Health	F0867	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.	F	2026-04-06
2026-03-31	Health	F0880	Provide and implement an infection prevention and control program.	D	2026-04-06
2025-06-18	Health · complaint	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	2025-06-19
2025-05-19	Health	F0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	2025-06-19
2025-05-19	Health	F0583	Keep residents' personal and medical records private and confidential.	D	2025-06-19
2025-05-19	Health	F0628	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	2025-06-19
2025-05-19	Health	F0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	2025-06-19
2025-05-19	Health	F0695	Provide safe and appropriate respiratory care for a resident when needed.	D	2025-06-19
2025-05-19	Health	F0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	2025-06-19
2025-02-21	Health · complaint	F0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	2025-03-06
2024-02-19	Health · complaint	F0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.	D	2024-02-01

scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

Owner	Role	Pct	From	Status	Source
BROUNTS, LIONEL	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	current	pecos_ownership
BROWN, THERESE	ADP OF THE SNF	—	2020-08-01	current	pecos_ownership
CLARK, CHARLES	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	current	pecos_ownership
EAKIN, JOHN	ADP OF THE SNF	—	2020-08-01	current	pecos_ownership
ENGELS, ERIN	MANAGING CONTROL - GOVERNING BODY	—	2012-10-12	current	pecos_ownership
FENOUGHTY, DEANNA	OPERATIONAL/MANAGERIAL CONTROL	—	2023-07-10	current	pecos_ownership
GENTRY, MARK	MANAGING CONTROL - GOVERNING BODY	—	2022-01-12	current	pecos_ownership
GUY, AUDRA	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	current	pecos_ownership
HENDRICKS COUNTY HOSPITAL	DIRECT OWNERSHIP INTEREST	—	2020-08-01	current	pecos_ownership
KATTMAN, DODD	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	current	pecos_ownership
LAMBERT, DEBRA	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	current	pecos_ownership
MARTIN, KRISTINA	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	current	pecos_ownership
RECOVERY HEALTH SERVICES, INC	ADP OF THE SNF	—	2020-08-01	current	pecos_ownership
STARCHER, SARAH	ADP OF THE SNF	—	2020-08-01	current	pecos_ownership
STARKEY, TYLER	TRUSTEE OF THE SNF	—	2020-08-01	current	pecos_ownership
WAITE, JOHN	MANAGING CONTROL - GOVERNING BODY	—	2020-08-01	current	pecos_ownership
WHICKER, TIMOTHY	TRUSTEE OF THE SNF	—	2022-01-12	current	pecos_ownership
AUDRA GUY	ADP OF THE SNF	—	2020-08-01	ended 2026-05-18	pecos_ownership
CHARLES CLARK	ADP OF THE SNF	—	2020-08-01	ended 2026-05-18	pecos_ownership
DEANNA FENOUGHTY	MANAGING CONTROL - GOVERNING BODY	—	2023-07-10	ended 2026-05-18	pecos_ownership
DEBRA LAMBERT	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	ended 2026-05-18	pecos_ownership
DODD KATTMAN	ADP OF THE SNF	—	2020-08-01	ended 2026-05-18	pecos_ownership
ERIN ENGELS	TRUSTEE OF THE SNF	—	2012-10-12	ended 2026-05-18	pecos_ownership
JOHN EAKIN	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	ended 2026-05-18	pecos_ownership
JOHN WAITE	TRUSTEE OF THE SNF	—	2020-08-01	ended 2026-05-18	pecos_ownership
KRISTINA MARTIN	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	ended 2026-05-18	pecos_ownership
LIONEL BROUNTS	ADP OF THE SNF	—	2020-08-01	ended 2026-05-18	pecos_ownership
MARK GENTRY	TRUSTEE OF THE SNF	—	2022-01-12	ended 2026-05-18	pecos_ownership
SARAH STARCHER	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	ended 2026-05-18	pecos_ownership
THERESE BROWN	OPERATIONAL/MANAGERIAL CONTROL	—	2020-08-01	ended 2026-05-18	pecos_ownership
TIMOTHY WHICKER	TRUSTEE OF THE SNF	—	2022-01-12	ended 2026-05-18	pecos_ownership
TYLER STARKEY	TRUSTEE OF THE SNF	—	2020-08-01	ended 2026-05-18	pecos_ownership

PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Related-party costs

FY end	Total allowable	Rent	Home office	Therapy	Staffing	Counterparties	PropCo
2024-12-31	$2,215,553	—	—	—	—	4	—
2023-12-31	$2,209,285	—	—	—	—	5	—
2022-12-31	$2,359,243	—	—	—	—	4	—
2021-12-31	$2,227,770	—	—	—	—	4	—
2020-12-31	$634,630	—	—	—	—	4	—

Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.

Transactions

Close date	Price	Buyer	Seller	Evidence
2020-08-01	—	HENDRICKS COUNTY HOSPITAL	RECOVERY HEALTH SERVICES, INC	chow

Comparable trades — IN snf

Close	Facility	Price	$/bed	Cap rate	Beds	Buyer
2025-01-08	HEALTHWIN HEALTH & REHABILITATION	—	—	—	145	PULASKI MEMORIAL HOSPITAL
2025-01-01	ENVIVE OF LIBERTY	—	—	—	60	ADAMS COUNTY MEMORIAL HOSPITAL
2025-01-01	ENVIVE OF MUNCIE	—	—	—	60	ADAMS COUNTY MEMORIAL HOSPITAL
2024-08-01	FAIRWAY VILLAGE	—	—	—	53	HENRY COUNTY MEMORIAL HOSPITAL
2024-07-01	ASBURY TOWERS HEALTH CARE CENTER	—	—	—	48	PULASKI MEMORIAL HOSPITAL
2024-07-01	PILGRIM MANOR	—	—	—	78	ADAMS COUNTY MEMORIAL HOSPITAL
2024-07-01	CHASE CENTER	—	—	—	101	ADAMS COUNTY MEMORIAL HOSPITAL
2024-06-01	IGNITE MEDICAL RESORT CHESTERTON	—	—	—	70	IGNITE MEDICAL RESORT CHESTERTON LLC
2024-01-01	BRIARCLIFF HEALTH & REHABILITATION CENTER	—	—	—	131	PULASKI MEMORIAL HOSPITAL
2024-01-01	SOUTH SHORE HEALTH & REHABILITATION CENTER	—	—	—	100	PULASKI MEMORIAL HOSPITAL
2024-01-01	EVANSVILLE PROTESTANT HOME	—	—	—	49	HENRY COUNTY MEMORIAL HOSPITAL
2023-12-01	ROLLING HILLS HEALTHCARE CENTER	—	—	—	115	ADAMS COUNTY MEMORIAL HOSPITAL

Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

Geo	Kind	BR	Amount	As of	Source
county 18003	acs median gross	0	$867	2024-12-31	CENSUS_ACS5
county 18003	fmr	0	$892	2025-10-01	HUD_USER_FMR
county 18003	acs median gross	1	$854	2024-12-31	CENSUS_ACS5
county 18003	fmr	1	$916	2025-10-01	HUD_USER_FMR
county 18003	acs median gross	2	$1,052	2024-12-31	CENSUS_ACS5
county 18003	fmr	2	$1,113	2025-10-01	HUD_USER_FMR
county 18003	acs median gross	3	$1,157	2024-12-31	CENSUS_ACS5
county 18003	fmr	3	$1,381	2025-10-01	HUD_USER_FMR
county 18003	acs median gross	4	$1,301	2024-12-31	CENSUS_ACS5
county 18003	fmr	4	$1,512	2025-10-01	HUD_USER_FMR
county 18003	acs median gross	5	$1,265	2024-12-31	CENSUS_ACS5
county 18003	acs median gross		$1,021	2024-12-31	CENSUS_ACS5
county 18003	acs recent mover gross		$1,142	2024-12-31	CENSUS_ACS5
zcta 46805	acs median gross	0	$555	2024-12-31	CENSUS_ACS5
zcta 46805	acs median gross	1	$720	2024-12-31	CENSUS_ACS5
zcta 46805	acs median gross	2	$1,020	2024-12-31	CENSUS_ACS5
zcta 46805	acs median gross	3	$1,176	2024-12-31	CENSUS_ACS5
zcta 46805	acs median gross	5	$1,475	2024-12-31	CENSUS_ACS5
zcta 46805	acs median gross		$925	2024-12-31	CENSUS_ACS5
zcta 46805	acs recent mover gross		$949	2024-12-31	CENSUS_ACS5
zip 46805	payment standard 110	0	$858	2025-10-01	HUD_USER_SAFMR
zip 46805	payment standard 90	0	$702	2025-10-01	HUD_USER_SAFMR
zip 46805	safmr	0	$780	2025-10-01	HUD_USER_SAFMR
zip 46805	payment standard 110	1	$891	2025-10-01	HUD_USER_SAFMR
zip 46805	payment standard 90	1	$729	2025-10-01	HUD_USER_SAFMR
zip 46805	safmr	1	$810	2025-10-01	HUD_USER_SAFMR
zip 46805	payment standard 110	2	$1,078	2025-10-01	HUD_USER_SAFMR
zip 46805	payment standard 90	2	$882	2025-10-01	HUD_USER_SAFMR
zip 46805	safmr	2	$980	2025-10-01	HUD_USER_SAFMR
zip 46805	payment standard 110	3	$1,342	2025-10-01	HUD_USER_SAFMR
zip 46805	payment standard 90	3	$1,098	2025-10-01	HUD_USER_SAFMR
zip 46805	safmr	3	$1,220	2025-10-01	HUD_USER_SAFMR
zip 46805	payment standard 110	4	$1,463	2025-10-01	HUD_USER_SAFMR
zip 46805	payment standard 90	4	$1,197	2025-10-01	HUD_USER_SAFMR
zip 46805	safmr	4	$1,330	2025-10-01	HUD_USER_SAFMR

ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.