Cycle 1
Health 2024-08-23 · Fire 2024-08-23
3 health deficiencies
Top issue: Pharmacy Service (1 deficiency)
6 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Bowling Green, KY
Christian Health Center
4-star overall rating with 4-star inspections with 3 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle
1800 Westen Avenue, Bowling Green, KY
(270) 796-6643
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
3 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
45
Certified beds
Average residents
40
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
Christian Care Communities
Operator or chain grouping
Approved since
1996-01-19
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
5 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
0.58
Registered nurse staffing · state 0.77 · national 0.68
LPN hours / resident day
0.96
Licensed practical nurse staffing · state 0.81 · national 0.87
Aide hours / resident day
3.67
Nurse aide staffing · state 2.43 · national 2.35
Total nurse hours
5.21
All reported nurse hours · state 4.01 · national 3.89
Licensed hours
1.55
RN + LPN hours · state 1.58 · national 1.54
Weekend hours
4.64
Weekend nurse staffing · state 3.50 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.52 · national 0.47
Physical therapist
0.08
Reported PT staffing · state 0.06 · national 0.07
Adjusted RN hours
0.60
CMS adjusted RN staffing hours
Adjusted total hours
5.39
CMS adjusted total nurse staffing hours
Case-mix index
1.32
Higher values indicate more complex resident acuity
RN turnover
60%
Annual RN turnover · state 43% · national 45%
Total nurse turnover
69%
Annual nurse turnover · state 47% · national 46%
SNF VBP
Value-based purchasing
Program rank
3,980
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
41.87
Composite VBP score used to determine payment impact.
Payment multiplier
0.9948
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
2.74
Baseline 20.42% · Performance 20.16% · Measure score 2.74 · Achievement 2.74 · Improvement 0.27
Healthcare-associated infections
9.10
Baseline 5.68% · Performance 5.12% · Measure score 9.10 · Achievement 9.10 · Improvement 7.73
Total nurse turnover
0.91
Baseline 76.14% · Performance 68.92% · Measure score 0.91 · Achievement 0 · Improvement 0.91
Adjusted total nurse staffing
4
Baseline 5.26 hours · Performance 4.22 hours · Measure score 4 · Achievement 4 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 9.13% |
10.72%
1.6 pts better
|
No Different than the National Rate · Eligible stays 264 · Observed rate 6.82% · Lower 95% interval 6.75% |
| Discharge to community | 63.7% |
50.57%
13.1 pts better
|
Better than the National Rate · Eligible stays 242 · Observed rate 60.33% · Lower 95% interval 58.45% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 99.42% |
95.27%
4.2 pts better
|
Numerator 172 · Denominator 173 |
| Falls with major injury | 0.58% |
0.77%
0.2 pts better
|
Numerator 1 · Denominator 173 |
| Discharge self-care score | 39.67% |
53.69%
14 pts worse
|
Numerator 48 · Denominator 121 |
| Discharge mobility score | 52.89% |
50.94%
2 pts better
|
Numerator 64 · Denominator 121 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 172 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 5.12% |
7.12%
2 pts better
|
No Different than the National Rate · Eligible stays 157 · Observed rate 1.91% · Lower 95% interval 3.04% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 149 |
| Staff flu vaccination coverage | 24.31% |
42%
17.7 pts worse
|
Numerator 53 · Denominator 218 |
| Discharge function score | 47.93% |
56.45%
8.5 pts worse
|
Numerator 58 · Denominator 121 |
| Transfer of health information to provider | 100% |
95.95%
4 pts better
|
Numerator 116 · Denominator 116 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 40 · Denominator 40 |
| Resident COVID-19 vaccinations up to date | 3.57% |
25.2%
21.6 pts worse
|
Numerator 3 · Denominator 84 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.9 |
1.9
About the same
|
1.9
About the same
|
Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.6 · Expected 1.6 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.1 |
2.2
1.1 pts better
|
1.8
0.7 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.4 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.4% |
94.3%
0.1 pts better
|
93.4%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 96.7% · Q2 100.0% · Q3 96.2% · Q4 86.2% · 4Q avg 94.4% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
96.2%
3.8 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.0% |
3.8%
3.8 pts better
|
3.3%
3.3 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 who have depressive symptoms | 0.0% |
15.2%
15.2 pts better
|
11.4%
11.4 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 who lose too much weight | 10.5% |
6.7%
3.8 pts worse
|
5.4%
5.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 8.7% · Q4 15.4% · 4Q avg 10.5% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 35.2% |
29.6%
5.6 pts worse
|
19.6%
15.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 38.1% · Q3 34.8% · Q4 34.6% · 4Q avg 35.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.2% |
17.6%
2.4 pts better
|
16.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q3 19.0% · Q4 13.6% · 4Q avg 15.2% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 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 need for help with daily activities has increased | 9.2% |
15.6%
6.4 pts better
|
14.9%
5.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 15.0% · Q3 4.3% · Q4 0.0% · 4Q avg 9.2% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 3.8% |
0.7%
3.1 pts worse
|
1.0%
2.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 4.4% · Q3 3.6% · Q4 4.0% · 4Q avg 3.8% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 4.7% |
1.7%
3 pts worse
|
1.7%
3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.4% · Q2 9.1% · Q3 3.8% · Q4 3.4% · 4Q avg 4.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 12.2% |
19.8%
7.6 pts better
|
19.8%
7.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q3 4.1% · Q4 4.0% · 4Q avg 12.2% |
| Percentage of long-stay residents with pressure ulcers | 7.8% |
5.5%
2.3 pts worse
|
5.1%
2.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 7.6% · Q2 10.5% · Q3 6.9% · Q4 7.0% · 4Q avg 7.8% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 57.8% |
83.8%
26 pts worse
|
81.7%
23.9 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 68.4% · Q2 64.0% · Q3 59.6% · Q4 40.2% · 4Q avg 57.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 9.0% |
13.9%
4.9 pts better
|
12.0%
3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 9.0% · Observed 8.3% · Expected 10.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.4% |
1.8%
0.6 pts worse
|
1.6%
0.8 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 2.9% · Q3 0.0% · Q4 3.8% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 75.7% |
83.6%
7.9 pts worse
|
79.7%
4 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 75.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 35.6% |
24.5%
11.1 pts worse
|
23.9%
11.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 35.6% · Observed 29.6% · Expected 19.9% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2019-08-29 · Fire 2019-08-29
0 health deficiencies
No concentrated health issue counts in this cycle.
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2018-06-01 · Fire 2018-06-01
1 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
2024-08-23
E29 · Emergency Preparedness Deficiencies
Fire Safety
Develop a communication plan.
Corrected 2024-09-19
F · Potential for more than minimal harm
2024-08-23
K133 · Construction Deficiencies
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-09-19
F · Potential for more than minimal harm
2024-08-23
K921 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2024-09-28
E · Potential for more than minimal harm
2024-08-23
K325 · Smoke Deficiencies
Fire Safety
Have properly installed hallway dispensers for alcohol-based hand rub.
Corrected 2024-09-19
E · Potential for more than minimal harm
2024-08-23
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2024-09-19
E · Potential for more than minimal harm
2024-08-23
K781 · Miscellaneous Deficiencies
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2024-09-19
Inspection history
Recent health citations
D · Potential for more than minimal harm
2026-01-15
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 2026-02-13
D · Potential for more than minimal harm
2026-01-15
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 2026-02-13
D · Potential for more than minimal harm
2024-08-23
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-09-28
F · Potential for more than minimal harm
2018-06-01
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 2018-06-14
Penalties and ownership
What sits behind the stars
Ownership
Christian Care Communities, Inc
5% Or Greater Direct Ownership Interest · Organization
Bell, Jill
Corporate Director · Individual
Calloway, Nicole
Corporate Director · Individual
Christian Care Communities, Inc
Operational/Managerial Control · Organization
Hughes, Jennifer
Corporate Director · Individual
Minnich, Chris
Operational/Managerial Control · Individual
Spalding, Mary
Corporate Officer · Individual
Stanley, David
Corporate Director · Individual
Woods, Jamie
Corporate Officer · Individual
Nearby options
Other facilities in reach
#1
Magnolia Village Nursing and Rehabilitation Center
Bowling Green, KY
4-star overall rating with 5-star inspections with 2 fire-safety deficiencies in the latest cycle
#2
Bowling Green Nursing and Rehabilitation Center
Bowling Green, KY
3-star overall rating with 4-star inspections with 1 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
#3
Colonial Nursing and Rehabilitation Center
Bowling Green, KY
2-star overall rating with 2-star inspections with $56,814 in total fines
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