Bowling Green, OH

Bowling Green Manor

4-star overall rating with 3-star inspections with 9 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

1021 W Poe Rd, Bowling Green, OH

(419) 352-4694

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

5 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

99

Certified beds

Average residents

98

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Hcf Management

Operator or chain grouping

Approved since

1976-08-27

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

22 facilities

Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.49

Registered nurse staffing · state 0.63 · national 0.68

LPN hours / resident day

0.90

Licensed practical nurse staffing · state 0.96 · national 0.87

Aide hours / resident day

2.12

Nurse aide staffing · state 2.14 · national 2.35

Total nurse hours

3.51

All reported nurse hours · state 3.72 · national 3.89

Licensed hours

1.39

RN + LPN hours · state 1.59 · national 1.54

Weekend hours

3.10

Weekend nurse staffing · state 3.29 · national 3.43

Weekend RN hours

0.21

Weekend registered nurse coverage · state 0.41 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.52

CMS adjusted RN staffing hours

Adjusted total hours

3.76

CMS adjusted total nurse staffing hours

Case-mix index

1.28

Higher values indicate more complex resident acuity

RN turnover

23%

Annual RN turnover · state 47% · national 45%

Total nurse turnover

28%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

4,316

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

40.43

Composite VBP score used to determine payment impact.

Payment multiplier

0.9934

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

2.44

Baseline 17.72% · Performance 20.30% · Measure score 2.44 · Achievement 2.44 · Improvement 0

Healthcare-associated infections

2.58

Baseline 5.63% · Performance 7.06% · Measure score 2.58 · Achievement 2.58 · Improvement 0

Total nurse turnover

8.84

Baseline 23.68% · Performance 27.55% · Measure score 8.84 · Achievement 8.84 · Improvement 0

Adjusted total nurse staffing

2.31

Baseline 3.55 hours · Performance 3.74 hours · Measure score 2.31 · Achievement 2.31 · Improvement 0.32

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.39%
10.72%
0.3 pts better
No Different than the National Rate · Eligible stays 124 · Observed rate 8.06% · Lower 95% interval 7.46%
Discharge to community 58.19%
50.57%
7.6 pts better
No Different than the National Rate · Eligible stays 117 · Observed rate 62.39% · Lower 95% interval 50.06%
Medicare spending per beneficiary 0.71
1.02
0.3 pts better
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 55 · Denominator 55
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 55
Discharge self-care score 80.43%
53.69%
26.7 pts better
Numerator 37 · Denominator 46
Discharge mobility score 89.13%
50.94%
38.2 pts better
Numerator 41 · Denominator 46
Pressure ulcers or injuries, new or worsened 1.82%
2.29%
0.5 pts better
Numerator 1 · Denominator 55 · Adjusted rate 2.24%
Healthcare-associated infections requiring hospitalization 7.06%
7.12%
0.1 pts better
No Different than the National Rate · Eligible stays 68 · Observed rate 5.88% · Lower 95% interval 3.76%
Staff COVID-19 vaccination coverage 100%
8.2%
91.8 pts better
Numerator 116 · Denominator 116
Staff flu vaccination coverage 96.93%
42%
54.9 pts better
Numerator 158 · Denominator 163
Discharge function score 82.61%
56.45%
26.2 pts better
Numerator 38 · Denominator 46
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 8 · Too few residents or stays to report publicly.
Transfer of health information to patient 100%
96.28%
3.7 pts better
Numerator 42 · Denominator 42
Resident COVID-19 vaccinations up to date 0%
25.2%
25.2 pts worse
Numerator 0 · Denominator 28

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 1.2
1.8
0.6 pts better
1.9
0.7 pts better
Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 3.2 · Expected 4.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 1.6
1.8
0.2 pts better
1.8
0.2 pts better
Long Stay · 20240701-20250630 · Adjusted 1.6 · Observed 2.4 · Expected 2.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 99.4%
92.4%
7 pts better
93.4%
6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 97.5% · 4Q avg 99.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.8%
94.5%
4.3 pts better
95.5%
3.3 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 98.8%
Percentage of long-stay residents experiencing one or more falls with major injury 0.3%
3.3%
3 pts better
3.3%
3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.3% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.3% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 4.4%
26.1%
21.7 pts better
11.4%
7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 1.4% · Q3 8.2% · Q4 5.1% · 4Q avg 4.4%
Percentage of long-stay residents who lose too much weight 3.8%
6.2%
2.4 pts better
5.4%
1.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.5% · Q3 4.2% · Q4 7.9% · 4Q avg 3.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 28.5%
25.4%
3.1 pts worse
19.6%
8.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 33.8% · Q2 22.4% · Q3 26.8% · Q4 30.3% · 4Q avg 28.5%
Percentage of long-stay residents who received an antipsychotic medication 14.1%
11.5%
2.6 pts worse
16.7%
2.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 12.7% · Q3 17.7% · Q4 13.2% · 4Q avg 14.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 6.0%
7.7%
1.7 pts better
16.3%
10.3 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 8.3% · Q3 8.2% · Q4 2.5% · 4Q avg 6.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 6.4%
6.2%
0.2 pts worse
14.9%
8.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 5.9% · Q2 3.3% · Q3 7.7% · Q4 8.5% · 4Q avg 6.4% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
0.2%
0.2 pts better
1.0%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.6%
0.5%
1.1 pts worse
1.7%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 2.5% · Q2 1.4% · Q3 1.3% · Q4 1.2% · 4Q avg 1.6% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 28.0%
21.7%
6.3 pts worse
19.8%
8.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 28.4% · Q2 27.7% · Q3 27.8% · Q4 28.1% · 4Q avg 28.0%
Percentage of long-stay residents with pressure ulcers 7.5%
3.7%
3.8 pts worse
5.1%
2.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.1% · Q2 9.4% · Q3 10.2% · Q4 7.5% · 4Q avg 7.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 95.7%
78.1%
17.6 pts better
81.7%
14 pts better
Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 78.7% · 4Q avg 95.7%
Percentage of short-stay residents who had an outpatient emergency department visit 10.6%
12.5%
1.9 pts better
12.0%
1.4 pts better
Short Stay · 20240701-20250630 · Adjusted 10.6% · Observed 10.6% · Expected 11.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.9%
1.2%
0.7 pts worse
1.6%
0.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.2% · Q3 2.5% · Q4 3.0% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 58.1%
75.6%
17.5 pts worse
79.7%
21.6 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 58.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 25.8%
25.1%
0.7 pts worse
23.9%
1.9 pts worse
Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 23.4% · Expected 21.6% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-18 · Fire 2025-02-18

9 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

7 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Cycle 2 Health 2022-09-29 · Fire 2022-09-29

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2019-10-03 · Fire 2019-10-03

3 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-02-18

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-18

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-18

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-18

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-18

K915 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper power supply for life support equipment.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-03-07

F · Potential for more than minimal harm 2022-09-29

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2022-10-21

Inspection history

Recent health citations

F · Potential for more than minimal harm 2025-02-18

F868 · Administration Deficiencies

Health

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-18

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-18

F805 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-18

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-02-18

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-02-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-02-18

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-02-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-03-07

D · Potential for more than minimal harm 2025-02-18

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-03-07

D · Potential for more than minimal harm 2022-09-29

F637 · Resident Assessment and Care Planning Deficiencies

Health

Assess the resident when there is a significant change in condition

Corrected 2022-10-21

D · Potential for more than minimal harm 2022-09-29

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2022-10-21

D · Potential for more than minimal harm 2022-09-29

F791 · Quality of Life and Care Deficiencies

Health

Provide or obtain dental services for each resident.

Corrected 2022-10-21

F · Potential for more than minimal harm 2019-10-03

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2019-12-10

D · Potential for more than minimal harm 2019-10-03

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2019-12-10

D · Potential for more than minimal harm 2019-10-03

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2019-12-10

Penalties and ownership

What sits behind the stars

Ownership

Hcf Operations, Inc

5% Or Greater Direct Ownership Interest · Organization

100% 22 facilities 2004-01-01
Hcf Management, Inc.

Operational/Managerial Control · Organization

0% 23 facilities 2004-01-01
Hcf, Inc

5% Or Greater Indirect Ownership Interest · Organization

0% 22 facilities 2004-01-01
Hemminger, Brandon

Operational/Managerial Control · Individual

0% 1 facilities 2023-02-06
Hemminger, Brandon

Corporate Director · Individual

0% 1 facilities 2023-02-06
Joann C. Unverferth 11-29-04 Revocable Trust Fbo Kendra M. Unverferth

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-05-01
Joann C. Unverferth 11-29-04 Revocable Trust Fbo Kevan R. Unverferth

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-05-01
Joann C. Unverferth 12-29-04 Revocable Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 22 facilities 2025-05-01
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2025-05-01
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri A. Ro

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2025-05-01
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2025-05-01
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S.

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2025-05-01
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv

5% Or Greater Indirect Ownership Interest · Organization

0% 20 facilities 2025-05-01
Kerri A. Romes 11-28-18 Business Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-05-01
Kimmel, Lacy

Operational/Managerial Control · Individual

0% 2 facilities 2025-10-31
Kimmel, Lacy

Corporate Officer · Individual

0% 2 facilities 2025-10-31
Kristen S. Stechschulte 02-21-20 Business Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-05-01
Kyle J. Unverferth 02-21-20 Business Trust

5% Or Greater Indirect Ownership Interest · Organization

0% 3 facilities 2025-05-01
Langhals, Luke

Operational/Managerial Control · Individual

0% 2 facilities 2025-10-31
Langhals, Luke

Corporate Director · Individual

0% 2 facilities 2025-10-31
Langhals, Luke

Corporate Officer · Individual

0% 2 facilities 2025-10-31
Romes, Kerri

Operational/Managerial Control · Individual

0% 22 facilities 2019-11-01
Romes, Kerri

Corporate Director · Individual

0% 22 facilities 2019-03-29
Romes, Kerri

Corporate Officer · Individual

0% 22 facilities 2019-11-01
Shaw, Anthony

Operational/Managerial Control · Individual

0% 22 facilities 2016-01-01
Shaw, Anthony

Corporate Officer · Individual

0% 22 facilities 2016-01-01
Wojciechowski, Thomas

Operational/Managerial Control · Individual

0% 1 facilities 2016-07-01

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Staffing
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Fines
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