2365 Nashville Road, Bowling Green, KY 42101 · CCN 185048 · chain ENCORE INVESTORS LLC
Composite
43.3 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
48
Model
v1.2
Reads as: riskier than 43.3% 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
12 chains
KEYBANK NATIONAL ASSOCIATION
43 facilities
connection
Owner spans multiple chains
8 chains
FISCHEL MAYER
45 facilities
connection
Owner spans multiple chains
7 chains
RUBENSTEIN DAVID
31 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
KY median
National median
National p25–p75
Total nurse
3.37
3.11
3.28
2.90–3.77
RN
0.70
0.41
0.39
0.25–0.58
Weekend total
3.19
3.01
3.11
—
Weekday total
3.44
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
44.7
3.37
0.70
0.46
2.20
3.19
0.0%
2025Q3
92
44.0
3.48
0.74
0.41
2.33
3.23
0.0%
2025Q2
91
43.3
3.46
0.74
0.41
2.31
3.25
0.0%
2025Q1
90
44.6
3.38
0.73
0.40
2.25
3.18
0.0%
2024Q4
92
44.8
3.18
0.69
0.40
2.09
3.12
0.0%
2024Q3
92
44.9
2.96
0.50
0.46
2.00
2.90
0.0%
2024Q2
91
46.4
2.65
0.59
0.45
1.62
2.34
0.0%
2024Q1
91
43.3
2.66
0.61
0.55
1.51
2.50
0.0%
2023Q4
92
41.9
2.71
0.55
0.59
1.56
2.46
0.0%
2023Q3
92
44.1
2.74
0.60
0.63
1.50
2.49
0.0%
2023Q2
91
44.1
2.83
0.63
0.65
1.56
2.58
0.0%
2023Q1
90
44.5
2.67
0.61
0.66
1.40
2.51
0.0%
2022Q4
92
45.0
2.81
0.61
0.62
1.58
2.62
9.6%
2022Q3
92
44.5
2.85
0.51
0.50
1.85
2.63
28.2%
2022Q2
91
43.5
3.19
0.71
0.44
2.04
3.00
46.7%
2022Q1
90
39.3
3.31
0.90
0.41
2.00
3.02
49.9%
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-05-15
2026-04-24
Health · complaint
F0726
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
D
2026-05-15
2024-01-27
Health
F0550
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
D
2024-02-23
2024-01-27
Health
F0577
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
C
2024-02-23
2024-01-27
Health
F0578
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
F
2024-02-23
2024-01-27
Health
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
G
2024-02-23
2024-01-27
Health
F0655
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
G
2024-02-23
2024-01-27
Health
F0657
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
2024-02-23
2024-01-27
Health
F0660
Plan the resident's discharge to meet the resident's goals and needs.
D
2024-02-23
2024-01-27
Health
F0676
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
D
2024-02-23
2024-01-27
Health
F0686
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
G
2024-02-23
2024-01-27
Health
F0725
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
F
2024-02-23
2024-01-27
Health
F0880
Provide and implement an infection prevention and control program.
E
2024-02-23
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
24
Owner
Role
Pct
From
Status
Source
ENCORE INVESTORS LLC
5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
2024-02-01
current
pecos_ownership
FISCHEL, MAYER
5% OR GREATER INDIRECT OWNERSHIP INTEREST
58%
2024-02-01
current
pecos_ownership
GRINSPAN, ELI
5% OR GREATER INDIRECT OWNERSHIP INTEREST
15%
2024-02-01
current
pecos_ownership
RUBENSTEIN, DAVID
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2024-02-01
current
pecos_ownership
GRINSPAN, ISAAC
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-02-01
current
pecos_ownership
2365 NASHVILLE ROAD REALTY LLC
5% OR GREATER MORTGAGE INTEREST
—
2024-02-01
current
pecos_ownership
BLOOM, DAVID
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
ENCORE HEALTH PARTNERS 2 LLC
ADP OF THE SNF
—
2025-03-17
current
pecos_ownership
ENCORE HEALTH PARTNERS 2 LLC
OPERATIONAL/MANAGERIAL CONTROL
—
2024-02-01
current
pecos_ownership
ENCORE REALTY 2 LLC
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
HENDERSON, STEPHANIE
ADP OF THE SNF
—
2022-12-01
current
pecos_ownership
KEYBANK NATIONAL ASSOCIATION
5% OR GREATER MORTGAGE INTEREST
—
2024-02-01
current
pecos_ownership
LAWRENCE, LINDA
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
REDDY, KARUNA
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
ZOBERMAN, SARAH
ADP OF THE SNF
—
2024-02-01
current
pecos_ownership
ELI GRINSPAN
OPERATIONAL/MANAGERIAL CONTROL
100%
2024-02-01
ended 2026-05-18
pecos_ownership
MAYER FISCHL
CORPORATE OFFICER
100%
2024-02-01
ended 2026-05-18
pecos_ownership
DAVID RUBENSTEIN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
13%
2024-02-01
ended 2026-05-18
pecos_ownership
ISAAC GRINSPAN
5% OR GREATER INDIRECT OWNERSHIP INTEREST
8%
2024-02-01
ended 2026-05-18
pecos_ownership
DAVID BLOOM
5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
2024-02-01
ended 2026-05-18
pecos_ownership
SARAH ZOBERMAN
INDIRECT OWNERSHIP INTEREST
3%
2024-02-01
ended 2026-05-18
pecos_ownership
KARUNA REDDY
ADP OF THE SNF
—
2024-02-01
ended 2026-05-18
pecos_ownership
LINDA LAWRENCE
ADP OF THE SNF
—
2024-02-01
ended 2026-05-18
pecos_ownership
STEPHANIE HENDERSON
OPERATIONAL/MANAGERIAL CONTROL
—
2022-12-01
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
6
FY end
Total allowable
Rent
Home office
Therapy
Staffing
Counterparties
PropCo
2024-12-31
$547,680
$246,084
—
—
—
2
—
2024-01-31
$45,950
—
$21,246
$21,764
—
5
—
2023-12-31
$674,531
—
$254,946
$369,690
$18,930
5
—
2022-12-31
$1,887,797
—
$312,005
$330,376
$1,227,020
5
—
2021-12-31
$1,376,435
—
$264,921
$307,203
$785,915
5
—
2020-12-31
$561,865
—
$214,868
$326,712
$1,889
5
—
Cost-report related-party spend by fiscal year. has_propco flags real-estate counterparties.
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 21227
acs median gross
0
$852
2024-12-31
CENSUS_ACS5
county 21227
fmr
0
$889
2025-10-01
HUD_USER_FMR
county 21227
acs median gross
1
$840
2024-12-31
CENSUS_ACS5
county 21227
fmr
1
$985
2025-10-01
HUD_USER_FMR
county 21227
acs median gross
2
$1,000
2024-12-31
CENSUS_ACS5
county 21227
fmr
2
$1,153
2025-10-01
HUD_USER_FMR
county 21227
acs median gross
3
$1,154
2024-12-31
CENSUS_ACS5
county 21227
fmr
3
$1,384
2025-10-01
HUD_USER_FMR
county 21227
acs median gross
4
$1,525
2024-12-31
CENSUS_ACS5
county 21227
fmr
4
$1,806
2025-10-01
HUD_USER_FMR
county 21227
acs median gross
5
$2,221
2024-12-31
CENSUS_ACS5
county 21227
acs median gross
$1,002
2024-12-31
CENSUS_ACS5
county 21227
acs recent mover gross
$1,062
2024-12-31
CENSUS_ACS5
zcta 42101
acs median gross
0
$761
2024-12-31
CENSUS_ACS5
zcta 42101
acs median gross
1
$755
2024-12-31
CENSUS_ACS5
zcta 42101
acs median gross
2
$974
2024-12-31
CENSUS_ACS5
zcta 42101
acs median gross
3
$1,132
2024-12-31
CENSUS_ACS5
zcta 42101
acs median gross
4
$1,350
2024-12-31
CENSUS_ACS5
zcta 42101
acs median gross
5
$2,206
2024-12-31
CENSUS_ACS5
zcta 42101
acs median gross
$950
2024-12-31
CENSUS_ACS5
zcta 42101
acs recent mover gross
$1,038
2024-12-31
CENSUS_ACS5
zip 42101
payment standard 110
0
$946
2025-10-01
HUD_USER_SAFMR
zip 42101
payment standard 90
0
$774
2025-10-01
HUD_USER_SAFMR
zip 42101
safmr
0
$860
2025-10-01
HUD_USER_SAFMR
zip 42101
payment standard 110
1
$1,056
2025-10-01
HUD_USER_SAFMR
zip 42101
payment standard 90
1
$864
2025-10-01
HUD_USER_SAFMR
zip 42101
safmr
1
$960
2025-10-01
HUD_USER_SAFMR
zip 42101
payment standard 110
2
$1,232
2025-10-01
HUD_USER_SAFMR
zip 42101
payment standard 90
2
$1,008
2025-10-01
HUD_USER_SAFMR
zip 42101
safmr
2
$1,120
2025-10-01
HUD_USER_SAFMR
zip 42101
payment standard 110
3
$1,474
2025-10-01
HUD_USER_SAFMR
zip 42101
payment standard 90
3
$1,206
2025-10-01
HUD_USER_SAFMR
zip 42101
safmr
3
$1,340
2025-10-01
HUD_USER_SAFMR
zip 42101
payment standard 110
4
$1,925
2025-10-01
HUD_USER_SAFMR
zip 42101
payment standard 90
4
$1,575
2025-10-01
HUD_USER_SAFMR
zip 42101
safmr
4
$1,750
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.