Above average — CMS composite of the measures below.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Signature Healthcare Of Bowling Green during CMS and state inspections, most recent first.
A resident’s medical information was left visible on an unattended medication cart computer while a CNA was in a resident room and people were walking in the hall. The resident had COPD, anxiety disorder, and depression. Facility policy required privacy and confidentiality of resident information, and the CNA acknowledged the computer should have been closed when unattended.
The facility failed to maintain infection control practices for two residents. A resident on contact precautions for ESBL in the urine was observed with the AD inside the room without the required gown and gloves, despite a posted sign directing PPE use before entry. In a separate event, a CNA did not perform hand hygiene before or after resident contact while preparing and administering medications to another resident, and stated she saw no problem entering another resident’s room without washing or sanitizing her hands.
The facility failed to provide three residents with estimated costs for continued therapy services after their Medicare benefits were exhausted. The SNF ABN Form CMS-10055 lacked the necessary cost information, preventing informed decision-making. The Business Office Manager was unaware of the requirement to include estimated costs on the form.
The facility failed to ensure accurate MDS assessments for two residents. One resident's hospice designation was not reflected in their assessments, despite being in hospice care. Another resident, who communicated using an iPad, was incorrectly assessed as having no speech. MDS coordinators acknowledged these oversights.
Unattended Medication Cart Computer Exposed Resident Information
Penalty
Summary
The facility failed to ensure confidentiality of medical records for one resident, R83, when staff left the medication cart computer screen open and unattended while displaying the resident’s medical information. During observation of medication pass, CNA1 was in a resident room while the medication cart and computer remained unattended, and at least two people were seen walking in the hall while the information was visible. R83’s face sheet showed diagnoses including chronic obstructive pulmonary disease, anxiety disorder, and depression. Facility policy stated residents have the right to privacy and confidentiality and prohibited unauthorized release, access, or disclosure of resident information. CNA1 stated she normally closes the computer fully when it is unattended and acknowledged that leaving it open was inappropriate because anyone walking by could read the information displayed. The Administrator stated the expectation was that nurses and medication technicians close the computer when stepping away from the medication cart to protect residents’ privacy.
Infection Control Lapses With PPE and Hand Hygiene
Penalty
Summary
The facility failed to maintain an infection prevention and control program for two residents reviewed for infection control. One resident was admitted with diagnoses including chronic kidney disease, pyuria, and klebsiella pneumoniae/ESBL in the urine. A urine culture confirmed klebsiella pneumoniae/ESBL, and the resident was placed on contact precautions by physician order. The resident’s care plan also identified infection control precautions related to ESBL in the urine and included the use of PPE as indicated. Observation of the resident’s room showed a contact precautions sign posted on the door stating that a gown and gloves were to be donned before entering the room, and PPE was available on a cart in the hallway. Despite this, the Admissions Director was observed inside the room without PPE while giving the resident a beverage and adjusting the resident’s pillow. During interview, the Admissions Director stated she had entered only to check on the resident and did not think PPE was necessary because she was not providing direct care, but later acknowledged she should have worn a gown and gloves before entering the room. A separate observation during medication pass showed a CNA leaving one resident’s room without performing hand hygiene, then preparing and administering medications to another resident without washing or sanitizing hands before or after resident contact. The CNA stated she did not perform hand hygiene before preparing or administering the medications and did not immediately wash her hands after leaving the room because it was easier to do so in the next room. She also stated she saw no problem with exiting one resident’s room and entering another without washing or sanitizing her hands.
Failure to Provide Estimated Costs for Continued Therapy Services
Penalty
Summary
The facility failed to provide three residents with an estimated cost for services when their Medicare therapy services were terminated due to exhaustion of Medicare benefit days. This deficiency was identified during a survey where the facility's Beneficiary Notice of Medicare Non-Coverage policy was requested but not provided. The residents involved were not given the opportunity to make informed decisions about continuing therapy services because the Skilled Nursing Facility Advance Beneficiary Notification of Non-coverage (SNF ABN) Form CMS-10055 did not include the estimated cost for services. The residents affected were admitted to the facility on different dates and had their skilled therapy services discontinued after exhausting their Medicare benefits. The Business Office Manager admitted during an interview that she was unaware of the requirement to fill in the estimated cost on the SNF ABN Form CMS-10055. She mentioned that the residents chose an option where they were not responsible for paying, and she did not think she had ever filled in the cost on the forms.
Inaccurate Resident Assessments in MDS
Penalty
Summary
The facility failed to ensure accurate assessments for two residents, which could lead to their needs not being appropriately addressed. For one resident, identified as R88, the facility did not accurately reflect the resident's hospice designation in the Minimum Data Set (MDS) assessments. Despite being admitted to hospice care on May 20, 2023, this status was not recorded in the Quarterly MDS Assessment dated February 20, 2024, nor in the Annual MDS Assessment dated May 22, 2024. During an interview, MDS coordinators acknowledged the oversight, stating that Section O should have been coded for hospice services. Another resident, identified as R58, was admitted with cerebral palsy and communication deficits, being deaf and nonverbal. The Annual MDS Assessment dated August 22, 2023, and the Quarterly MDS Assessment dated May 14, 2024, both indicated that the resident had no speech. However, the resident communicated using an iPad, a fact that was not captured in the communication section of the MDS assessments. MDS coordinators admitted that the assessments were incorrectly coded, as the resident was able to make his needs known through the provided communication tool.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Bowling Green
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Bowling Green Nursing And Rehabilitation Center | 1.3 mi | ★★★★★ | 4 | 0 |
| Christian Health Center | 2.2 mi | ★★★★★ | 9 | 0 |
| Colonial Nursing And Rehabilitation Center | 2.7 mi | ★★★★★ | 2 | 0 |
| Magnolia Village Nursing And Rehabilitation Center | 2.7 mi | ★★★★★ | 0 | 0 |
| Greenwood Rehabilitation And Healthcare Center | 4.7 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.