Show Inspection Reports
Total health inspections
3
Kentucky average 2.9
Last Health inspection on Sep 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Signature Healthcare of Bowling Green
Memory Care in Bowling Green
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Signature Healthcare of Bowling Green
Memory Care in Bowling Green
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Overview of Signature Healthcare of Bowling Green
Signature Healthcare of Bowling Green is a home that embodies the charm of Kentucky while providing exceptional clinical services. With an amazing staff and a variety of life enrichment avenues, this home prioritizes the physical and emotional well-being of seniors. Conveniently located near the medical center of Bowling Green, transitioning between care settings is effortless, and service excellence is guaranteed. Here, the care coverage is available 24 hours a day, seven days a week, ensuring that residents receive round-the-clock support.
With a focus on comprehensive rehabilitation services, including physical, occupational, and speech therapies, they empower seniors to achieve their maximum functioning and potential. The facility is equipped with Wi-Fi, allowing residents to stay connected with their loved ones and the wider world. Moreover, the outdoor spaces, such as the patio and outdoor courtyard, provide serene settings for relaxation and socialization. A dedicated team of nutritionists, therapists, dietitians, specialists, and nurses work together to deliver comprehensive care, adhering to the highest nursing home quality measures, ensuring residents receive the support they need to thrive.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 16m per day
vs Kentucky avg
-5%
Standout metric
Physical Therapist is +25% above state avg
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 36m per day | ▼ 22% State avg: 46m per day · National avg: 41m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 22m per day | ■ Avg State avg: 2h 25m per day · National avg: 2h 21m per day |
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 16m per day | ▼ 6% State avg: 3h 29m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 5m per day | ▲ 25% State avg: 4m per day · National avg: 4m per day |
|
RN (Weekend)
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 21m per day | ▼ 32% State avg: 31m per day · National avg: 29m per day |
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
176
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
70.8%
Avg. Length of Stay
87 days
Occupancy rate
70.8%
Avg. Length of Stay
87 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Flexible care needs
Breakdown by payment type
Medicare
30% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
56% of new residents, often for short stays.
Typical stay
26 days
Medicaid
15% of new residents, often for long-term daily care.
Typical stay
1 years
Finances and operations
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$17.6M
Operating loss
-$1.1M
Privately-owned community
Operated by a partnership between two or more business owners.
Home revenue
$17.6M
Operating loss
-$1.1M
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$14.1M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$18.6M
176-bed community
A large-scale community that may provide a wide range of amenities, services, and structured programs.
9 years in operation
An established community with some operational experience and growing routines.
Walk Score: 64 / 100
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
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About this community
Facility TypeLong Term Care (nursing Facility)
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2026
CountyWarren
License Number100410
Signature Healthcare of Bowling Green is legally operated by Lp Bowling Green, Llc, and administrated by Devin Ashley.
NF (Nursing Facility)
176 units
Total beds
176 units
Staffing
Key information about the people who lead and staff this community.
ContactMr. Steph Lindsey, CEO
Inspection History
In Kentucky, the Cabinet for Health and Family Services, Office of Inspector General is the regulatory authority that conducts inspections and investigates complaints in all long-term care homes.
3 visits/inspections
Inspections are mandatory, regular evaluations conducted by state health departments or regulatory agencies. They ensure the community provides safe, compliant care, covering areas like resident health, staff and management.
Latest inspection
Date
September 5, 2025
Routine13 deficiencies
Deficiencies indicate regulatory issues. A higher number implies the facility had several areas requiring improvement.
Kentucky average: 6 deficiencies
Inspection Report Summary for Signature Healthcare of Bowling Green
The most recent inspection on September 5, 2025, identified deficiencies related to resident privacy and infection control, including failure to keep medical records confidential and lapses in PPE use and hand hygiene. Earlier inspections showed a mixed record, with prior issues involving resident assessment accuracy and notification of Medicare/Medicaid coverage in June 2024, as well as multiple deficiencies in resident care, supervision, documentation, and food safety noted in 2019. Inspectors cited main themes around confidentiality, infection prevention, resident assessment accuracy, and care planning. There were no fines, immediate jeopardy findings, or enforcement actions listed in the available reports, and no substantiated complaint investigations were noted. The pattern suggests some ongoing challenges with regulatory compliance, particularly in infection control and documentation, with no clear trend of improvement or worsening over time.
Health Inspection History
Inspections
Total health citations
13
Kentucky average 13.5
Citations per inspection
4.33
Kentucky average 4.4
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 13 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
0
100% better than Kentucky averageKentucky average: 1.1
Serious Health citations
0
0
100% better than Kentucky averageKentucky average: 0.6
0 critical citations
0 serious citations
13 moderate citations
0 minor citations
Citations history (last 3 years)
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 05, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
Sep 05, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 05, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 05, 2025
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 27, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Jun 27, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 27, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Jun 27, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Memory Care around Bowling Green The information below is reported by the Kentucky Cabinet for Health and Family Services, Office of Inspector General.
Filter by care type
| Signature Healthcare of Bowling Green |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bowling Green | 176 | No | 64 | NF (Nursing Facility) (176) | 9 | A+ | 3 |
| Greenwood Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bowling Green | 128 | No | 43 | NF (Nursing Facility) (128) | - | - | 3 |
| Fern Terrace of Bowling Green |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bowling Green | 114 | No | 72 | - | - | - | 0 |
| Morningside of Bowling Green |
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Bowling Green (Eastland Park) | - | No | 38 | - | 23 | - | 0 |
Financial Assistance for
Memory Care in Kentucky
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Places of interest near Signature Healthcare of Bowling Green
3.1 miles from city center
Estimated distance in miles from Bowling Green's city center to Signature Healthcare of Bowling Green's address, calculated via Google Maps.
— 0.23 miles to nearest hospital (Med Center Health - Corporate Office)
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
196
Employees
191
Contractors
5
Staff to resident ratio
1.43:1
18% worse than Kentucky averageKentucky average ratio: 1.75:1
Avg staff/day
65
Average shift
8.7 hours
0% compared with Kentucky averageKentucky average: 8.5 hours
Total staff hours (quarter)
51,502
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
17
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.7 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
99
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
0.3%
153 contractor hours this quarter
Occupational Therapy Assistant: 2
Registered Nurse: 1
Physical Therapy Aide: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 99 | 0 | 99 | 24,402 | 91 | 100% | 9.2 |
| Licensed Practical Nurse | 19 | 0 | 19 | 6,721 | 91 | 100% | 9.7 |
| Registered Nurse | 16 | 1 | 17 | 5,039 | 91 | 100% | 9.3 |
| Medication Aide/Technician | 11 | 0 | 11 | 3,049 | 91 | 100% | 8.7 |
| Clinical Nurse Specialist | 10 | 0 | 10 | 2,023 | 66 | 73% | 8 |
| RN Director of Nursing | 3 | 0 | 3 | 1,503 | 66 | 73% | 8.1 |
| Respiratory Therapy Technician | 6 | 0 | 6 | 1,413 | 83 | 91% | 7 |
| Physical Therapy Aide | 5 | 1 | 6 | 1,054 | 81 | 89% | 7.5 |
| Mental Health Service Worker | 3 | 0 | 3 | 991 | 70 | 77% | 7.9 |
| Physical Therapy Assistant | 3 | 0 | 3 | 982 | 69 | 76% | 6.6 |
| Qualified Social Worker | 4 | 0 | 4 | 907 | 73 | 80% | 6.9 |
| Other Dietary Services Staff | 5 | 0 | 5 | 877 | 87 | 96% | 6.4 |
| Speech Language Pathologist | 3 | 0 | 3 | 754 | 64 | 70% | 6.8 |
| Dietitian | 1 | 0 | 1 | 566 | 69 | 76% | 8.2 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 66% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 411 | 51 | 56% | 8.1 |
| Qualified Activities Professional | 1 | 0 | 1 | 203 | 29 | 32% | 7 |
| Occupational Therapy Assistant | 0 | 2 | 2 | 80 | 19 | 21% | 4.2 |
| Medical Director | 0 | 1 | 1 | 48 | 12 | 13% | 4 |
99 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
17 Registered Nurse
% of Days
100%
11 Medication Aide/Technician
% of Days
100%
10 Clinical Nurse Specialist
% of Days
73%
3 RN Director of Nursing
% of Days
73%
6 Respiratory Therapy Technician
% of Days
91%
6 Physical Therapy Aide
% of Days
89%
3 Mental Health Service Worker
% of Days
77%
3 Physical Therapy Assistant
% of Days
76%
4 Qualified Social Worker
% of Days
80%
5 Other Dietary Services Staff
% of Days
96%
3 Speech Language Pathologist
% of Days
70%
1 Dietitian
% of Days
76%
1 Administrator
% of Days
66%
1 Nurse Practitioner
% of Days
56%
1 Qualified Activities Professional
% of Days
32%
2 Occupational Therapy Assistant
% of Days
21%
1 Medical Director
% of Days
13%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
137
Medicare
19
13.9% of residents
Medicaid
96
70.1% of residents
Private pay or other
22
16.1% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.1
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.1
51% better than Kentucky averageKentucky average: 10.5
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
9.9
48% better than Kentucky averageKentucky average: 18.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
8.2%
Percent of long-stay residents whose need for help with daily activities has increased
8.2%
51% better than Kentucky averageKentucky average: 16.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
4.0%
Percent of long-stay residents whose ability to move independently worsened
4.0%
80% better than Kentucky averageKentucky average: 19.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.4%
15% better than Kentucky averageKentucky average: 20.5%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
Percent of long-stay residents experiencing one or more falls with major injury
3.5%
8% better than Kentucky averageKentucky average: 3.8%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
5.3%
Percent of long-stay high risk residents with pressure ulcers
5.3%
8% better than Kentucky averageKentucky average: 5.8%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.0%
Percent of long-stay residents with a urinary tract infection
1.0%
44% better than Kentucky averageKentucky average: 1.9%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
4.5%
Percent of long-stay residents who lose too much weight
4.5%
34% better than Kentucky averageKentucky average: 6.8%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
7.7%
Percent of long-stay residents who have depressive symptoms
7.7%
46% better than Kentucky averageKentucky average: 14.3%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
4.6%
Percent of long-stay residents who received an antipsychotic medication
4.6%
70% better than Kentucky averageKentucky average: 15.6%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
6% better than Kentucky averageKentucky average: 93.9%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
99.1%
In line with Kentucky averageKentucky average: 96.2%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.57
Number of hospitalizations per 1,000 long-stay resident days.
1.57
16% better than Kentucky averageKentucky average: 1.87
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.68
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.68
23% better than Kentucky averageKentucky average: 2.19
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
17% better than Kentucky averageKentucky average: 83.7%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Kentucky averageKentucky average: 1.9%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.8%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
89.8%
7% better than Kentucky averageKentucky average: 83.6%
Re-hospitalized after SNF stay
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
19.6%
20% better than Kentucky averageKentucky average: 24.5%
Emergency department visits
Percentage of short-stay residents who had an outpatient emergency department visit.
15.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
15.5%
12% worse than Kentucky averageKentucky average: 13.9%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.7%
16% better than Kentucky averageKentucky average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
52.9%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.9%
In line with Kentucky averageKentucky average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
43.9%
Rate of successful return to home or community from a skilled nursing facility.
43.9%
13% worse than Kentucky averageKentucky average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Financial Trends
Historical financial and operational data for Signature Healthcare of Bowling Green based on CMS SNF Cost Reports.
Occupancy Rate
70.8%
↑ 2.8pp vs 2022
Net Income
-$1.1M
↑ ~$713.2K vs 2022
Total Payroll
$6.5M
↑ ~$712.3K vs 2022
Profit Margin
-6.0%
↑ 5.5pp vs 2022
Loading trend charts...
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