22 health deficiencies
Top issue: Resident Assessment and Care Planning (5 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Bowling Green, MO
1-star overall rating with 1-star inspections with abuse icon flag with $132,664 in total fines with 22 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
2106 West Main, Bowling Green, MO
(573) 324-2216
Overall
1 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
1 / 5
Resident outcomes and process measures
Quick facts
Beds
60
Certified beds
Average residents
39
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Community Care Centers
Operator or chain grouping
Approved since
1990-02-06
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
8 facilities
Chain averages 3 overall / 3 health / 2 staffing / 2 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
RN hours / resident day
0.36
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.73
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.94
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
3.03
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.09
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
2.87
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.29
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.02
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.43
CMS adjusted RN staffing hours
Adjusted total hours
3.59
CMS adjusted total nurse staffing hours
Case-mix index
1.15
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
79%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Program rank
8,205
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
27.50
Composite VBP score used to determine payment impact.
Payment multiplier
0.9846
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
4.61
Performance 19.29% · Measure score 4.61 · Achievement 4.61 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
5.46
Performance 6.20% · Measure score 5.46 · Achievement 5.46 · This facility did not have sufficient data to calculate a baseline period measure result.
Total nurse turnover
0
Baseline 77.08% · Performance 76.74% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
0.92
Baseline 3.85 hours · Performance 3.34 hours · Measure score 0.92 · Achievement 0.92 · Improvement 0
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.14% |
10.72%
1.4 pts worse
|
No Different than the National Rate · Eligible stays 65 · Observed rate 18.46% · Lower 95% interval 8.42% |
| Discharge to community | 33.71% |
50.57%
16.9 pts worse
|
Worse than the National Rate · Eligible stays 35 · Observed rate 20% · Lower 95% interval 22.7% |
| Medicare spending per beneficiary | 0.57 |
1.02
0.5 pts better
|
|
| Drug regimen review with follow-up | 92.59% |
95.27%
2.7 pts worse
|
Numerator 25 · Denominator 27 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 27 |
| Discharge self-care score | 20% |
53.69%
33.7 pts worse
|
Numerator 4 · Denominator 20 |
| Discharge mobility score | 25% |
50.94%
25.9 pts worse
|
Numerator 5 · Denominator 20 |
| Pressure ulcers or injuries, new or worsened | 3.7% |
2.29%
1.4 pts worse
|
Numerator 1 · Denominator 27 · Adjusted rate 3.1% |
| Healthcare-associated infections requiring hospitalization | 6.2% |
7.12%
0.9 pts better
|
No Different than the National Rate · Eligible stays 35 · Observed rate 2.86% · Lower 95% interval 3.55% |
| Staff COVID-19 vaccination coverage | 7.14% |
8.2%
1.1 pts worse
|
Numerator 4 · Denominator 56 |
| Staff flu vaccination coverage | 91.07% |
42%
49.1 pts better
|
Numerator 51 · Denominator 56 |
| Discharge function score | 30% |
56.45%
26.5 pts worse
|
Numerator 6 · Denominator 20 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | Not Available |
96.28%
|
Numerator Not Available · Denominator 4 · Too few residents or stays to report publicly. |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 12 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
2.1
0.2 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 3.1 · Expected 2.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 3.7 |
2.3
1.4 pts worse
|
1.8
1.9 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 3.7 · Observed 4.6 · Expected 2.1 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 87.3% |
84.8%
2.5 pts better
|
93.4%
6.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 97.4% · Q2 82.5% · Q3 75.0% · Q4 94.4% · 4Q avg 87.3% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% |
90.9%
6.7 pts better
|
95.5%
2.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 6.7% |
4.1%
2.6 pts worse
|
3.3%
3.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.6% · Q2 2.5% · Q3 8.3% · Q4 13.9% · 4Q avg 6.7% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 1.5% |
14.7%
13.2 pts better
|
11.4%
9.9 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 3.0% · 4Q avg 1.5% |
| Percentage of long-stay residents who lose too much weight | 11.3% |
5.5%
5.8 pts worse
|
5.4%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 19.4% · Q3 18.2% · Q4 3.4% · 4Q avg 11.3% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 17.2% |
25.3%
8.1 pts better
|
19.6%
2.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 23.5% · Q2 11.8% · Q3 14.7% · Q4 18.8% · 4Q avg 17.2% |
| Percentage of long-stay residents who received an antipsychotic medication | 15.0% |
25.0%
10 pts better
|
16.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q2 14.3% · Q3 19.2% · Q4 12.5% · 4Q avg 15.0% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.0%
About the same
|
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 | 23.5% |
20.3%
3.2 pts worse
|
16.3%
7.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 23.5% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.3% |
19.8%
2.5 pts worse
|
14.9%
7.4 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 35.3% · Q2 30.3% · Q3 12.5% · Q4 9.7% · 4Q avg 22.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.3% |
1.4%
0.9 pts worse
|
1.0%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.7% · Q4 4.8% · 4Q avg 2.3% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.7% |
2.6%
1.9 pts better
|
1.7%
1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 2.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 24.6% |
18.1%
6.5 pts worse
|
19.8%
4.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 15.4% · Q2 14.2% · Q3 33.5% · Q4 37.9% · 4Q avg 24.6% |
| Percentage of long-stay residents with pressure ulcers | 11.0% |
5.0%
6 pts worse
|
5.1%
5.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 12.4% · Q3 10.1% · Q4 9.8% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 58.1% |
66.4%
8.3 pts worse
|
81.7%
23.6 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 66.7% · Q2 63.6% · Q3 39.3% · Q4 64.5% · 4Q avg 58.1% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 13.2% |
13.4%
0.2 pts better
|
12.0%
1.2 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 13.2% · Observed 13.3% · Expected 11.3% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 4.0% |
2.2%
1.8 pts worse
|
1.6%
2.4 pts worse
|
Short Stay · 2024Q4-2025Q3 · 4Q avg 4.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 60.9% |
63.5%
2.6 pts worse
|
79.7%
18.8 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 60.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 24.8% |
25.3%
0.5 pts better
|
23.9%
0.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 24.8% · Observed 30.0% · Expected 28.8% · Used in QM five-star |
Survey summary
Top issue: Resident Assessment and Care Planning (5 deficiencies)
12 fire-safety deficiencies
Top issue: Emergency Preparedness (5 deficiencies)
Top issue: Resident Rights (12 deficiencies)
13 fire-safety deficiencies
Top issue: Emergency Preparedness (6 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
5 fire-safety deficiencies
Top issue: Emergency Preparedness (3 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-01-15
Fire Safety
Establish roles under a Waiver declared by secretary.
Corrected 2024-01-15
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2024-01-15
Fire Safety
Establish staff and initial training requirements.
Corrected 2024-01-15
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-01-15
Fire Safety
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-01-15
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-01-15
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-01-15
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-01-15
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-01-15
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 2024-01-15
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-01-15
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-01-01
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2022-01-01
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2022-01-01
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2022-01-01
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-01-01
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2022-01-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-01-01
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2022-01-01
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-01-01
Fire Safety
Use approved construction type or materials.
Corrected 2022-01-01
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-01-01
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2022-01-01
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-01-01
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2020-02-28
Fire Safety
Provide primary/alternate means for communication.
Corrected 2020-02-28
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2020-02-28
Fire Safety
Use approved construction type or materials.
Corrected 2020-02-28
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2020-02-28
Inspection history
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-01-05
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-09-05
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-07-01
Health
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected 2025-07-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-07-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-11
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-04-11
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2025-04-11
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2024-11-08
Health
Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Corrected 2024-11-08
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2024-11-08
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-11-08
Health
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2024-06-04
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2024-01-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-01-15
Health
Provide and implement an infection prevention and control program.
Corrected 2024-01-15
Health
Honor the resident's right to manage his or her financial affairs.
Corrected 2024-01-15
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-01-15
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-01-15
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-01-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-01-15
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-01-15
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2024-01-15
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-01-15
Health
Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training.
Corrected 2024-01-15
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2024-01-15
Health
Ensure that residents are free from significant medication errors.
Corrected 2024-01-15
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-01-15
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-01-15
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2024-01-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-30
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-06-30
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-06-30
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-05-30
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2023-05-30
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2022-01-01
Health
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2022-01-01
Health
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2022-01-01
Health
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected 2022-01-01
Health
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2022-01-01
Health
Ensure residents have reasonable access to and privacy in their use of communication methods.
Corrected 2022-01-01
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-01-01
Health
Provide activities to meet all resident's needs.
Corrected 2022-01-01
Health
Ensure the activities program is directed by a qualified professional.
Corrected 2022-01-01
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 2022-01-01
Health
Provide and implement an infection prevention and control program.
Corrected 2022-01-01
Health
Implement a program that monitors antibiotic use.
Corrected 2022-01-01
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2022-01-01
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2022-01-01
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2022-01-01
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2022-03-01
Health
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2022-01-01
Health
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2022-01-01
Health
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Corrected 2022-01-01
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2020-02-28
Health
Provide and implement an infection prevention and control program.
Corrected 2020-02-28
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2020-02-28
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2020-02-28
Health
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2020-02-28
Health
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Corrected 2020-02-28
Health
Assess the resident when there is a significant change in condition
Corrected 2020-02-28
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2020-02-28
Penalties and ownership
Fine · fine $70,479
Fine
Payment Denial · denial start 2025-07-09 · 58 days
58 day denial
Fine · fine $62,185
Fine
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Mortgage Interest · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Nearby options
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