1561 Newton Avenue, Bowling Green, KY 42104 · CCN 185224
Composite
66.2 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
66
Model
v1.2
Reads as: riskier than 66.2% 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
2
Kind
Finding
Signal
Subject
First seen
connection
Owner spans multiple chains
15 chains
CIBC BANK USA
155 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
2.56
3.11
3.28
2.90–3.77
RN
0.36
0.41
0.39
0.25–0.58
Weekend total
2.62
3.01
3.11
—
Weekday total
2.53
3.16
3.35
—
Quarter
Days
Avg census
Total HPRD
RN
LPN
CNA
Weekend
Contract %
2025Q4
92
57.4
2.56
0.36
0.49
1.70
2.62
2.9%
2025Q3
92
56.5
2.76
0.25
0.56
1.95
2.61
0.2%
2025Q2
91
56.6
2.69
0.23
0.56
1.90
2.57
3.2%
2025Q1
90
58.9
2.80
0.36
0.47
1.97
2.81
0.0%
2024Q4
92
55.7
2.73
0.36
0.47
1.90
2.74
0.0%
2024Q3
92
55.7
2.51
0.31
0.57
1.63
2.39
0.0%
2024Q2
91
57.0
2.51
0.35
0.60
1.56
2.44
0.0%
2024Q1
91
56.1
2.40
0.28
0.64
1.48
2.38
0.0%
2023Q4
92
56.3
2.29
0.31
0.65
1.33
2.24
0.0%
2023Q3
92
59.2
1.94
0.30
0.72
0.93
2.01
0.0%
2023Q2
91
55.5
2.33
0.21
0.86
1.26
2.35
0.0%
2023Q1
90
55.3
2.24
0.13
0.85
1.25
2.27
0.0%
2022Q4
92
56.0
2.18
0.13
0.84
1.21
2.12
0.0%
2022Q3
92
54.6
2.56
0.11
1.06
1.38
2.40
0.0%
2022Q2
91
55.3
2.70
0.13
1.05
1.52
2.55
0.0%
2022Q1
90
57.1
2.73
0.23
0.88
1.61
2.62
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
0
No penalties on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.
Deficiencies
6
D × 6
deficiencies by survey year
Survey
Type
Tag
Deficiency
Scope
Corrected
2025-12-20
Health
F0689
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
2026-01-08
2024-11-07
Health
F0637
Assess the resident when there is a significant change in condition
D
2024-12-06
2024-11-07
Health
F0756
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
D
2024-12-06
2024-10-03
Health · complaint
F0600
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
D
2024-10-26
2024-10-03
Health · complaint
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
2024-10-26
2024-02-29
Health · complaint
F0602
Protect each resident from the wrongful use of the resident's belongings or money.
D
2023-06-25
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
PLATSCHEK, GOLDIE
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2018-09-01
current
pecos_ownership
PLATSCHEK, ALEXANDER
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2018-09-01
current
pecos_ownership
RUBENSTEIN, DAVID
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2018-09-01
current
pecos_ownership
BLAIR, AMY
OPERATIONAL/MANAGERIAL CONTROL
—
2024-12-30
current
pecos_ownership
CIBC BANK USA
5% OR GREATER SECURITY INTEREST
—
2018-09-01
current
pecos_ownership
KELMAN, MOSHE
OPERATIONAL/MANAGERIAL CONTROL
—
2018-09-01
current
pecos_ownership
MEDCO BOWLING GREEN RE, LLC
5% OR GREATER SECURITY INTEREST
—
2018-09-01
current
pecos_ownership
METROPOLITAN COMMERCIAL BANK
5% OR GREATER SECURITY INTEREST
—
2018-09-01
current
pecos_ownership
RAYMER, NATALIE
W-2 MANAGING EMPLOYEE
—
2024-08-08
current
pecos_ownership
BENJAMIN LANDA
5% OR GREATER DIRECT OWNERSHIP INTEREST
44%
2018-09-01
ended 2026-05-18
pecos_ownership
MOSHE KELMAN
OPERATIONAL/MANAGERIAL CONTROL
33%
2018-09-01
ended 2026-05-18
pecos_ownership
NATALIE RAYMER
W-2 MANAGING EMPLOYEE
33%
2024-08-08
ended 2026-05-18
pecos_ownership
GOLDIE PLATSCHEK
5% OR GREATER DIRECT OWNERSHIP INTEREST
25%
2018-09-01
ended 2026-05-18
pecos_ownership
ALEXANDER PLATSCHEK
5% OR GREATER DIRECT OWNERSHIP INTEREST
15%
2018-09-01
ended 2026-05-18
pecos_ownership
DAVID RUBENSTEIN
5% OR GREATER DIRECT OWNERSHIP INTEREST
7%
2018-09-01
ended 2026-05-18
pecos_ownership
AMY BLAIR
ADP OF THE SNF
—
2024-12-30
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
$1,887,340
$1,084,029
—
$484,387
—
0
—
2023-12-31
$1,202,926
$539,631
—
$494,292
—
0
—
2022-12-31
$1,149,928
$461,283
—
$528,639
—
0
—
2021-12-31
$1,238,344
$435,350
—
$634,991
—
0
—
2020-12-31
$1,171,075
$427,995
—
$621,190
—
0
—
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
34
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 42104
acs median gross
1
$894
2024-12-31
CENSUS_ACS5
zcta 42104
acs median gross
2
$999
2024-12-31
CENSUS_ACS5
zcta 42104
acs median gross
3
$1,180
2024-12-31
CENSUS_ACS5
zcta 42104
acs median gross
4
$1,851
2024-12-31
CENSUS_ACS5
zcta 42104
acs median gross
$1,029
2024-12-31
CENSUS_ACS5
zcta 42104
acs recent mover gross
$1,134
2024-12-31
CENSUS_ACS5
zip 42104
payment standard 110
0
$1,012
2025-10-01
HUD_USER_SAFMR
zip 42104
payment standard 90
0
$828
2025-10-01
HUD_USER_SAFMR
zip 42104
safmr
0
$920
2025-10-01
HUD_USER_SAFMR
zip 42104
payment standard 110
1
$1,111
2025-10-01
HUD_USER_SAFMR
zip 42104
payment standard 90
1
$909
2025-10-01
HUD_USER_SAFMR
zip 42104
safmr
1
$1,010
2025-10-01
HUD_USER_SAFMR
zip 42104
payment standard 110
2
$1,309
2025-10-01
HUD_USER_SAFMR
zip 42104
payment standard 90
2
$1,071
2025-10-01
HUD_USER_SAFMR
zip 42104
safmr
2
$1,190
2025-10-01
HUD_USER_SAFMR
zip 42104
payment standard 110
3
$1,573
2025-10-01
HUD_USER_SAFMR
zip 42104
payment standard 90
3
$1,287
2025-10-01
HUD_USER_SAFMR
zip 42104
safmr
3
$1,430
2025-10-01
HUD_USER_SAFMR
zip 42104
payment standard 110
4
$2,046
2025-10-01
HUD_USER_SAFMR
zip 42104
payment standard 90
4
$1,674
2025-10-01
HUD_USER_SAFMR
zip 42104
safmr
4
$1,860
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.