What is Bowling Green Manor's Medicare star rating?

CMS rates Bowling Green Manor 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).

How many deficiencies did Bowling Green Manor get at its last inspection?

9 health deficiencies at the standard inspection on February 18, 2025. The Ohio average is 10.5.

Has Bowling Green Manor been fined?

CMS lists no fines in the last three years.

Does Bowling Green Manor accept Medicaid?

It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.

Who owns Bowling Green Manor?

CMS lists 32 owners and managers, and links the home to Hcf Management. Legal business name: HCF OF BOWLING GREEN, INC..

Bowling Green Manor: Inspections, Staffing & Ratings

The record in brief

At its most recent standard inspection, on February 18, 2025, inspectors cited 9 health deficiencies (the Ohio average is 10.5, the national average 9.2).

None of its 15 health citations since October 2019 was rated as actual harm or immediate jeopardy.

CMS lists no fines against this home in the last three years.

Nurses and nurse aides worked 3.72 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.57 of those hours.

35.0% of nursing staff left within the year CMS measured (Ohio average 48.7%).

CMS links it to Hcf Management, an affiliated group of 22 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

310/19

309/22

902/25

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 15 health citations on file.

Severity

Isolated

Pattern

Widespread

Immediate jeopardy

Actual harm

Potential for more than minimal harm

10D

Potential for minimal harm

February 18, 2025Standard inspection · 9 citations

F

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

F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) March 7, 2025

Inspectors wroteBased of review of the Quality Assessment and Assurance (QAA) committee meeting sign in sheets, staff interview and review of facility policy, the facility failed to ensure the required personnel were in attendance at the quarterly QAA meetings and further failed to maintain documentation of personnel in attendance at all QAA meetings This had the potential to affect all residents. The facility census was 93.
E

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

F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 7, 2025

Inspectors wroteBased on observation, resident interview, staff interview and review of facility policy, the facility failed to ensure resident meals were palatable. This affected all residents, except 31(#6, #8, #10, #18, #22, #24, #25, #26, #35, #39, #40, #44, #49, #52, #58, #61, #65, #67, #71, #75, #77, #84, #90, #92, #95, #148, #152, #245, #246, #247, #248) residents the facility identified as not being served French fries. Additionally, the facility failed to ensure recipes for pureed diets were followed to maintain nutritive value. This affected four (#8, #39, #61 and #90) of four residents identified by the facility as receiving pureed meals. The facility census was 93.
E

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

F805 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 7, 2025

Inspectors wroteBased on observation, staff interview, review of the pureed food recipe and review of facility policy, the facility failed to ensure pureed foods were prepared to an appropriate consistency. This affected four (#8, #39, #61, and #90) of four residents identified by the facility as receiving pureed food. The facility census was 93.
E

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) March 7, 2025

Inspectors wroteBased on observation, staff interview and review of facility policy, the facility failed to ensure food was properly labeled and dated and further failed to remove items from stock when expired. Additionally, the facility failed to ensure kitchen staff performed adequate hand hygiene. This had the potential to affect all residents, except one (#248) resident identified by the facility as receiving no nutrition from the kitchen. Lastly, the facility failed to ensure meals were distributed in a manner that protected against contamination. This affected three (#32, #57, and #69) of 17 residents who received meal trays on the B Hall. The facility census was 93.
D

Ensure each resident receives an accurate assessment.

F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025

Inspectors wroteBased on medical record review and staff interview, the facility failed to ensure resident assessments were completed accurately. This affected one (#73) of 19 residents reviewed for assessments. The facility census was 93.
D

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

F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025

Inspectors wroteBased on observation, resident interview, medical record review, staff interview and review of facility policy, the facility failed to ensure resident care plans were comprehensive and included care needs related to smoking for two (#38 and #88) residents and for one (#61) resident for edema care. This affected three residents (#38, #88 and #61) of 19 residents reviewed for comprehensive care planning. The facility census was 93.
D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025

Inspectors wroteBased on medical record review, staff interview and review of the facility's bowel protocol, the facility failed to ensure residents at risk for constipation had bowel interventions implemented as directed. This affected one (#64) of one resident reviewed for constipation. The facility census was 93.
D

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

F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025

Inspectors wroteBased on observation, resident interview, medical record review, staff interview and review of the facility admission Agreement, the facility failed to maintain safe smoking practices. This affected two residents (#38 and #88) of two residents reviewed for smoking. The facility census was 93.
D

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

F697 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) March 7, 2025

Inspectors wroteBased on medical record review, staff interview and review of the facility's skills competency for pain management document, the facility failed to ensure pain assessments were completed with the administration of narcotic pain medications. This affected one (#73) of five residents reviewed for unnecessary medications. The facility census was 93.

September 29, 2022Standard inspection · 3 citations

D

Assess the resident when there is a significant change in condition

F637 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2022

Inspectors wroteBased on medical record review, staff interview and policy review, the facility failed to complete a comprehensive assessment after a significant change. This affected one (#78) of two residents reviewed for hospice services. The facility census was 82.
D

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

F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2022

Inspectors wroteBased on medical record review, observations, resident and staff interviews and policy review, the facility failed to accurately monitor fluid intake for a resident receiving dialysis services. This affected one (#385) of one residents reviewed for dialysis. The facility census was 82.
D

Provide or obtain dental services for each resident.

F791 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 21, 2022

Inspectors wroteBased on medical record review, observation, resident and staff interview and review of facility policy, the facility failed to ensure dental services were provided timely for residents with dental concerns. This affected one (#76) of one residents reviewed for dental services. The facility census was 82. Findings Include: Review of Resident #76's medical record revealed an admission date of 07/01/20. Diagnoses included hemiplegia, pseudobulbar affect, dysphagia, type II diabetes, major depressive disorder, anxiety disorder, peripheral vascular disease, and psychosis. Review of Resident #76's Minimum Data Set (MDS) dated [DATE] revealed a Brief Interview for Mental Status (BIMS) score of nine out of 15 indicating Resident #76 was moderately cognitively impaired. [...]

October 3, 2019Standard inspection · 3 citations

F

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

F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) December 10, 2019

Inspectors wroteBased on observation, staff interview and review of facility policy, the facility failed to ensure food was stored in a safe and sanitary manner. This had the potential to affect all 81 residents who received food from the kitchen.
D

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

F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2019

Inspectors wroteBased on medical record review, observation, resident interview, staff interview, and review of facility policy, the facility failed to ensure residents with indwelling catheters had their catheters managed in a dignified manner. This affected two residents (#174 and #224) of the three reviewed for dignity. The facility census was 81.
D

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

F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) December 10, 2019

Inspectors wroteBased on medical record review, resident interview, and staff interview, the facility failed to ensure a resident at risk for constipation had regular bowel movements. This affected one resident (#19) of one reviewed for constipation. The facility census was 81.

Fire safety inspections

8 fire safety citations on file: 7 on February 18, 2025, 1 on September 29, 2022.

Every fire safety citation8 citations

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

K 321 · February 18, 2025 · Corrected (the home has a date of correction)
E
Keep aisles, corridors, and exits free of obstruction in case of emergency.

K 211 · February 18, 2025 · Corrected (the home has a date of correction)
E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

K 372 · February 18, 2025 · Corrected (the home has a date of correction)
E
Install smoke barrier doors that can resist smoke for at least 20 minutes.

K 374 · February 18, 2025 · Corrected (the home has a date of correction)
E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

K 914 · February 18, 2025 · Corrected (the home has a date of correction)
E
Have proper power supply for life support equipment.

K 915 · February 18, 2025 · Corrected (the home has a date of correction)
E
Have generator or other power source capable of supplying service within 10 seconds.

K 918 · February 18, 2025 · Corrected (the home has a date of correction)
F
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.

K 222 · September 29, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

Measure	This home	Ohio	United States
All nursing staff (RN, LPN and aides)	3.72	3.69	3.86
Registered nurses	0.57	0.64	0.69
All nursing staff on weekends	3.43	3.28	3.42
Nurse aides	2.26
Licensed practical nurses	0.90
Nursing staff turnover (share who left in a year)	35.0%	48.7%	45.8%
Registered nurse turnover	35.7%	43.9%	42.9%
Administrators who left	0

CMS expects 3.92 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.84 on weekdays and 3.43 on weekends, 11% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.55 in April to June 2025 to 3.72 in January to March 2026.

Quarter	All nursing staff	Registered nurses	Weekdays	Weekends	Contract staff share	Days with no RN hours	Residents a day
Jan to Mar 2026	3.72	0.57	3.84	3.43	0.1%	0 of 90	96
Oct to Dec 2025	3.62	0.48	3.73	3.34	0.2%	0 of 92	96
Jul to Sep 2025	3.51	0.49	3.67	3.10	0.2%	0 of 92	98
Apr to Jun 2025	3.55	0.49	3.69	3.21	0.2%	1 of 91	95
United States, Jan to Mar 2026	3.75	0.62	3.92	3.33	5.3%	0.5% of days
Ohio, Jan to Mar 2026	3.64	0.60	3.80	3.24	4.6%	0.4% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

Measure	This home	Ohio	US
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1	6.4	5.3	13.9
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1	0.0	0.2	0.8
Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1	0.6	0.5	1.6
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1	0.6	3.2	3.2
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1	2.5	1.2	1.6
Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1	7.2	6.1	14.1
Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1	6.6	3.4	4.6
Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1	15.5	8.8	15.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231	20.9	24.9	23.8
Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231	4.7	12.9	12.0
Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231	1.1	1.7	1.9
Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231	0.8	1.8	1.8

Owners and operators

Legal business name: HCF OF BOWLING GREEN, INC.. CMS links this home to Hcf Management, a group of 22 nursing homes averaging 3 stars overall.

Name	Role	Type	Share	Since
Joann C. Unverferth 11-29-04 Revocable Trust Fbo Kendra M. Unverferth	5% or greater indirect ownership interest	Organization	6%	04/29/2026
Joann C. Unverferth 11-29-04 Revocable Trust Fbo Kevan R. Unverferth	5% or greater indirect ownership interest	Organization	6%	04/29/2026
Joann C. Unverferth 12-29-04 Revocable Trust	5% or greater indirect ownership interest	Organization	8%	04/29/2026
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kendra M. U	5% or greater indirect ownership interest	Organization	10%	04/29/2026
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kerri a. Ro	5% or greater indirect ownership interest	Organization	10%	04/29/2026
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kevan R. Un	5% or greater indirect ownership interest	Organization	10%	04/29/2026
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kristen S.	5% or greater indirect ownership interest	Organization	10%	04/29/2026
Joann C. Unverferth 12-31-12 Irrevocable Grantor Trust Fbo Kyle J. Unv	5% or greater indirect ownership interest	Organization	10%	04/29/2026
Kerri a. Romes 11-28-18 Business Trust	5% or greater indirect ownership interest	Organization	6%	04/29/2026
Kristen S. Stechschulte 02-21-20 Business Trust	5% or greater indirect ownership interest	Organization	6%	04/29/2026
Kyle J. Unverferth 02-21-20 Business Trust	5% or greater indirect ownership interest	Organization	6%	04/29/2026
Langhals, Luke	Corporate director	Individual		10/31/2025
Miller, Riley	Corporate director	Individual		05/18/2026
Romes, Kerri	Corporate director	Individual		03/29/2019
Kimmel, Lacy	Corporate officer	Individual		10/31/2025
Langhals, Luke	Corporate officer	Individual		10/31/2025
Romes, Kerri	Corporate officer	Individual		11/01/2019
Shaw, Anthony	Corporate officer	Individual		01/01/2016
Hcf Management, Inc.	Operational/managerial control	Organization		01/01/2004
Kimmel, Lacy	Operational/managerial control	Individual		10/31/2025
Langhals, Luke	Operational/managerial control	Individual		10/31/2025
Miller, Riley	Operational/managerial control	Individual		05/18/2026
Romes, Kerri	Operational/managerial control	Individual		11/01/2019
Shaw, Anthony	Operational/managerial control	Individual		01/01/2016
Wojciechowski, Thomas	Operational/managerial control	Individual		07/01/2016
Hcf Management, Inc.	Adp of the SNF	Organization		01/01/2004
Kimmel, Lacy	Adp of the SNF	Individual		10/31/2025
Langhals, Luke	Adp of the SNF	Individual		10/31/2025
Miller, Riley	Adp of the SNF	Individual		05/18/2026
Romes, Kerri	Adp of the SNF	Individual		11/01/2019
Shaw, Anthony	Adp of the SNF	Individual		01/01/2016
Wojciechowski, Thomas	Adp of the SNF	Individual		07/01/2016

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 6 problems in this area, most recently on February 18, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 4 problems in this area, most recently on February 18, 2025: "Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature."
When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on February 18, 2025: "Ensure each resident receives an accurate assessment."
Who is the administrator and director of nursing, and how long have they been in the job?Inspectors cited 1 problem in this area, most recently on February 18, 2025: "Have the Quality Assessment and Assurance group have the required members and meet at least quarterly"

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Astoria Place of Waterville
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Ayden Healthcare of Waterville
Waterville, 7.8 mi · 3 of 5 stars · 39 citations
St. Clare Commons
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Grand Rapids Care Center
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Three Meadows Post Acute
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Avalon by Otterbein at Perrysburg
Perrysburg, 11.4 mi · 3 of 5 stars · 39 citations

Ohio contacts for a concern about a nursing home

These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.

Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.

Common questions

What is Bowling Green Manor's Medicare star rating?: CMS rates Bowling Green Manor 4 out of 5 stars overall, with 3 for health inspections, 3 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Bowling Green Manor get at its last inspection?: 9 health deficiencies at the standard inspection on February 18, 2025. The Ohio average is 10.5.
Has Bowling Green Manor been fined?: CMS lists no fines in the last three years.
Does Bowling Green Manor accept Medicaid?: It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Bowling Green Manor?: CMS lists 32 owners and managers, and links the home to Hcf Management. Legal business name: HCF OF BOWLING GREEN, INC..

Sources

Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
Owners: CMS Ownership. Penalties: CMS Penalties.
Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.