10445 DUPONT OAKS BLVD, FORT WAYNE, IN 46845 · CCN 155809 · chain MAJOR HOSPITAL
Composite
65.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
100
Model
v1.2
Reads as: riskier than 65.2% 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.
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.
ML signals — parallel engine
3
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
47 chains
FORVIS MAZARS LLP
251 facilities
connection
Owner fleet risk far above national
+25.0 vs natl
MAJOR HOSPITAL
11 facilities
connection
Owner fleet risk far above national
+24.2 vs natl
CLAXTON RYAN
23 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
16
2025Q4 HPRD
This facility
IN median
National median
National p25–p75
Total nurse
2.91
2.85
3.28
2.90–3.77
RN
0.36
0.40
0.39
0.25–0.58
Weekend total
2.94
2.71
3.11
—
Weekday total
2.89
2.90
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
85.4
2.91
0.36
0.62
1.93
2.94
18.0%
2025Q3
92
81.8
2.70
0.39
0.59
1.72
2.57
6.2%
2025Q2
91
82.9
2.50
0.39
0.52
1.59
2.48
0.0%
2025Q1
90
87.4
2.41
0.35
0.45
1.61
2.40
0.0%
2024Q4
92
88.3
2.63
0.38
0.52
1.73
2.55
0.0%
2024Q3
92
90.8
2.71
0.39
0.52
1.80
2.36
0.0%
2024Q2
91
89.0
2.80
0.24
0.59
1.97
2.60
0.0%
2024Q1
91
90.5
2.69
0.36
0.50
1.82
2.42
0.0%
2023Q4
92
91.3
2.81
0.46
0.55
1.80
2.61
0.0%
2023Q3
92
88.1
2.81
0.50
0.47
1.84
2.51
0.0%
2023Q2
91
85.6
2.88
0.33
0.52
2.03
2.65
0.0%
2023Q1
90
90.7
2.79
0.34
0.63
1.83
2.65
1.1%
2022Q4
92
89.3
2.72
0.44
0.65
1.62
2.41
0.9%
2022Q3
92
86.6
2.73
0.43
0.51
1.79
2.39
0.5%
2022Q2
91
83.6
2.81
0.42
0.43
1.96
2.51
0.0%
2022Q1
90
77.2
3.26
0.48
0.63
2.15
2.97
0.3%
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.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2025-11-06
2025-10-24
Health · complaint
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2025-11-06
2025-08-22
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2025-10-17
2025-08-22
Health
F0656
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
D
2025-10-17
2025-08-22
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-10-17
2025-04-30
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
J
2025-05-04
2025-03-31
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2025-04-18
2025-02-25
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2025-03-10
2025-02-25
Health · complaint
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2025-03-10
2024-12-06
Health · complaint
F0609
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
D
2024-12-27
2024-12-06
Health · complaint
F0610
Respond appropriately to all alleged violations.
D
2024-12-27
2024-10-15
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2024-10-16
2024-09-23
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-10-22
2024-09-23
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2024-10-22
2024-09-23
Health · complaint
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2024-10-22
2024-09-23
Health
F0755
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
D
2024-10-22
2024-01-25
Health · complaint
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
G
2024-02-15
2023-08-16
Health
F0554
Allow residents to self-administer drugs if determined clinically appropriate.
D
2023-09-22
2023-08-16
Health
F0583
Keep residents' personal and medical records private and confidential.
D
2023-09-22
2023-08-16
Health
F0625
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
E
2023-09-22
2023-08-16
Health · complaint
F0677
Provide care and assistance to perform activities of daily living for any resident who is unable.
D
2023-09-22
2023-08-16
Health
F0684
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
2023-09-22
2023-08-16
Health
F0690
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
2023-09-22
2023-08-16
Health · complaint
F0692
Provide enough food/fluids to maintain a resident's health.
D
2023-09-22
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
0
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
16
Owner
Role
Pct
From
Status
Source
LTC III
Corporation, partnership or other organization has financial interest in provider
50%
2023-01-01
current
hcris_a_8_1
LTC III
Corporation, partnership or other organization has financial interest in provider
50%
2024-01-01
current
hcris_a_8_1
BALTES, CHRISTOPHER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-05-12
current
pecos_ownership
CLAXTON, RYAN
CORPORATE OFFICER
—
2025-03-27
current
pecos_ownership
FORT WAYNE HEALTHCARE GROUP, LLC
ADP OF THE SNF
—
2025-08-21
current
pecos_ownership
FORT WAYNE HEALTHCARE GROUP, LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
FORVIS MAZARS LLP
OPERATIONAL/MANAGERIAL CONTROL
—
2023-06-01
current
pecos_ownership
FORVIS MAZARS LLP
ADP OF THE SNF
—
2025-06-19
current
pecos_ownership
GARDNER, MACKENZIE
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-30
current
pecos_ownership
LONG TERM CARE INVESTMENTS III, LLC
ADP OF THE SNF
—
2015-01-01
current
pecos_ownership
MAJOR HOSPITAL
ADP OF THE SNF
—
2025-06-19
current
pecos_ownership
MAJOR HOSPITAL
OPERATIONAL/MANAGERIAL CONTROL
—
2015-01-01
current
pecos_ownership
LTC III
Corporation, partnership or other organization has financial interest in provider
50%
2022-01-01
ended 2022-12-31
hcris_a_8_1
CHRISTOPHER BALTES
ADP OF THE SNF
—
2025-05-12
ended 2026-05-18
pecos_ownership
MACKENZIE GARDNER
OPERATIONAL/MANAGERIAL CONTROL
—
2025-06-30
ended 2026-05-18
pecos_ownership
RYAN CLAXTON
OPERATIONAL/MANAGERIAL CONTROL
—
2025-03-27
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
5
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$1,875,396
—
—
$438,808
$59,533
6
propco
2023-12-31
$1,711,979
—
—
$425,003
$10,883
6
propco
2022-12-31
$1,842,198
—
—
$477,504
$7,455
6
propco
2021-12-31
$1,732,231
$915,684
—
$378,519
$1,156
4
—
2020-12-31
$1,820,736
$915,684
—
$433,875
$9,566
4
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
Transactions
0
No transactions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
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
36
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 46845
acs median gross
0
$980
2024-12-31
CENSUS_ACS5
zcta 46845
acs median gross
1
$1,307
2024-12-31
CENSUS_ACS5
zcta 46845
acs median gross
2
$1,462
2024-12-31
CENSUS_ACS5
zcta 46845
acs median gross
3
$1,593
2024-12-31
CENSUS_ACS5
zcta 46845
acs median gross
4
$1,520
2024-12-31
CENSUS_ACS5
zcta 46845
acs median gross
5
$1,475
2024-12-31
CENSUS_ACS5
zcta 46845
acs median gross
$1,398
2024-12-31
CENSUS_ACS5
zcta 46845
acs recent mover gross
$1,257
2024-12-31
CENSUS_ACS5
zip 46845
payment standard 110
0
$1,397
2025-10-01
HUD_USER_SAFMR
zip 46845
payment standard 90
0
$1,143
2025-10-01
HUD_USER_SAFMR
zip 46845
safmr
0
$1,270
2025-10-01
HUD_USER_SAFMR
zip 46845
payment standard 110
1
$1,430
2025-10-01
HUD_USER_SAFMR
zip 46845
payment standard 90
1
$1,170
2025-10-01
HUD_USER_SAFMR
zip 46845
safmr
1
$1,300
2025-10-01
HUD_USER_SAFMR
zip 46845
payment standard 110
2
$1,738
2025-10-01
HUD_USER_SAFMR
zip 46845
payment standard 90
2
$1,422
2025-10-01
HUD_USER_SAFMR
zip 46845
safmr
2
$1,580
2025-10-01
HUD_USER_SAFMR
zip 46845
payment standard 110
3
$2,156
2025-10-01
HUD_USER_SAFMR
zip 46845
payment standard 90
3
$1,764
2025-10-01
HUD_USER_SAFMR
zip 46845
safmr
3
$1,960
2025-10-01
HUD_USER_SAFMR
zip 46845
payment standard 110
4
$2,365
2025-10-01
HUD_USER_SAFMR
zip 46845
payment standard 90
4
$1,935
2025-10-01
HUD_USER_SAFMR
zip 46845
safmr
4
$2,150
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.