Signature Healthcare of Bowling Green

Name: Signature Healthcare of Bowling Green
Address: 550 High Street, Bowling Green, KY, 42101, US
Telephone: 2708433296

550 High Street, Bowling Green, KY 42101 · Warren County · 176 certified beds · avg 139 residents/day · certified since Oct 22, 1969

Part of chain: SIGNATURE HEALTHCARE (67 facilities, chain avg rating 3.1★)

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.24

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (13)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Sep 5, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential.
Sep 5, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 27, 2024	E · Potential for harm, repeated	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Jun 27, 2024	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Feb 21, 2019	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Feb 21, 2019	E · Potential for harm, repeated	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Feb 21, 2019	E · Potential for harm, repeated	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Feb 21, 2019	D · Potential for harm, one-off	The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights.
Feb 21, 2019	D · Potential for harm, one-off	The facility did not reassess a resident after a significant change in their condition, such as a sudden decline in health. A full new assessment is required when a resident's condition changes in a major way.
Feb 21, 2019	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Feb 21, 2019	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Feb 21, 2019	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Feb 21, 2019	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (2 → 2).

Year	Citations	Worst severity that year
2019	9	F
2024	2	E
2025	2	D

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Kentucky avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.24	3.71	3.95	bottom 39% in Kentucky; bottom 24% in the U.S.
Registered Nurse hours	0.53	0.74	0.69	bottom 35% in Kentucky; bottom 43% in the U.S.
Weekend total nurse staffing	2.92	3.27	3.50	bottom 44% in Kentucky; bottom 27% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.37	0.53	0.48	bottom 36% in Kentucky; bottom 47% in the U.S.
Total nursing staff turnover (%)	52.2	46.4	45.8	bottom 27% in Kentucky; bottom 31% in the U.S.
RN turnover (%)	38.9	41.8	42.9	bottom 50% in Kentucky; top 45% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.69, RN 0.61, weekend 3.32. Staffing rating: 2/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Asbr Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	05/01/2018
Jjla LLC	Organization	5% or Greater Indirect Ownership Interest	—	04/01/2014
LPSNF LLC	Organization	5% or Greater Indirect Ownership Interest	—	04/01/2014
SHC Ky Holdings LLC	Organization	5% or Greater Direct Ownership Interest	100%	04/01/2014
SHC LP Holdings LLC	Organization	5% or Greater Indirect Ownership Interest	—	04/01/2014
Steier III, Elmer	Individual	5% or Greater Indirect Ownership Interest	—	04/01/2014
Wheaten LLC	Organization	5% or Greater Indirect Ownership Interest	—	04/01/2014
Dame, Devin	Individual	W-2 Managing Employee	NOT APPLICABLE	04/27/2017
Harrison, John	Individual	Corporate Officer	NOT APPLICABLE	04/01/2014

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
"Who completes resident assessments here, and how do you check them for accuracy?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"Can you show me an example care plan, and how are families included when it's created and updated?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Bowling Green Nursing and Rehabilitation Center	1.3 mi	Bowling Green, KY	★★★★☆	4/5
Christian Health Center	2.2 mi	Bowling Green, KY	★★★★☆	4/5
Colonial Nursing and Rehabilitation Center	2.8 mi	Bowling Green, KY	★★★★☆	4/5
Magnolia Village Nursing and Rehabilitation Center	2.8 mi	Bowling Green, KY	★★★★★	5/5
Greenwood Rehabilitation and Healthcare Center	4.7 mi	Bowling Green, KY	★★☆☆☆	2/5
Hopkins Nursing and Rehabilitation Center	12.0 mi	Woodburn, KY	★★★★★	4/5
Edmonson Nursing and Rehabilitation Center	16.8 mi	Brownsville, KY	★★★★★	5/5
Auburn Nursing and Rehabilitation Center	17.7 mi	Auburn, KY	★☆☆☆☆	1/5
Franklin-Simpson Nursing and Rehabilitation Center	19.7 mi	Franklin, KY	★★★☆☆	4/5

Compare this facility with the 3 closest →

All facilities in Bowling Green →

Facility data as of CMS processing date 2026-08-01. CCN 185089.

The Care File

Visit checklist — Signature Healthcare of Bowling Green

550 High Street, Bowling Green, KY 42101 · 2708433296

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Before any service that isn't covered by Medicare or Medicaid, how will you notify us and get our agreement?"
☐ "Who completes resident assessments here, and how do you check them for accuracy?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can you show me an example care plan, and how are families included when it's created and updated?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 185089 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)