The most recent inspection on file for Brookdale Bowling Green took place on October 23, 2025. Across the 9 inspections published by the Ohio Department of Health, surveyors cited 10 deficiencies.
A deficiency is a rule the surveyor found the facility was not meeting. Ohio inspects against two rule books at once, so most findings carry a federal code and an Ohio code for the same problem; each is counted once here, the way the state counts it. Correction dates are the state's confirmation that the issue was fixed.
This report reproduces what Ohio publishes and nothing else. Of the 9 inspections listed, the state publishes the surveyor's written findings for 4; for the other 5 it publishes only the date, the type of visit and the number of deficiencies - 5 of which found none.
Facility Details
Inspections
9 on file · 10 deficienciesOctober 23, 2025Licensure survey2 deficiencies▼
R-0559Procure, store, prepare, distribute and serve foods▼
Based on observation, staff interview and policy review, the facility failed to ensure foods were properly stored and cooked foods were served and maintained at safe temperatures. Additionally, the facility failed to ensure proper sanitation of dishware used for resident meals. This had the potential to affect all 71 residents residing in the facility. The facility census was 71.
Findings include:
1. Observation on 10/23/25 at 8:19 A.M. of the Claire Bridge (memory care) unit kitchen revealed an unattended steam table holding French toast, scrambled eggs, sausage, and bacon. The food items were uncovered. Concurrent interview with Health and Wellness Coordinator (HWC) #200 revealed the food on the steam table had been brought to the unit from the main kitchen at approximately 7:30 A.M. HWC #200 verified the scrambled eggs, sausage, French toast, and bacon were uncovered on the steam table and the staff served the meal as residents were ready to eat. HWC #200 confirmed that the food should have been covered to maintain its quality and temperature, as well as avoid contamination. HWC #200 stated dietary staff ensured foods were prepared to safe temperatures prior to delivery to the unit, but she was unaware if staff monitored food temperatures during the open meal service to ensure safe holding temperatures.
Continued observation revealed the dishwasher was a chemical sanitation, low temperature dishwasher. The bottle of sanitizer was empty. Further observation of the Temperature Log- Low Temp Dish Machine log, hanging on the wall near the dishwasher, revealed no evidence the dishwasher water temperature or sanitizer levels were monitored from 10/03/25 through 10/23/25. Concurrent interview with HWC #200 confirmed the dishwasher was used by staff to wash the dishware used by the residents. HWC #200 verified the dishwasher sanitizer bottle was empty and the dish machine temperature and sanitizer logs had not been completed from 10/03/25 through 10/23/25.
Additional observation of the refrigerator revealed a plate with a pulled pork sandwich and a plate with scrambled eggs and oatmeal that were both wrapped, but undated. Further observation revealed an opened, undated container of cranberry juice and an undated pitcher of an unknown liquid. Concurrent interview with HWC #200 confirmed the undated plates of pulled pork sandwich and scrambled eggs and oatmeal, and the undated containers of cranberry juice and unknown liquid. HWC #200 verified the items should have been dated. HWC #200 discarded the items. Observation of the Temperature Log-Equipment log revealed refrigerator temperatures were not documented from 10/10/25 through 10/23/25. Concurrent interview with HWC #200 confirmed the logs were used to monitor the refrigerators to ensure they maintained appropriate temperatures for holding food. HWC #200 verified the logs had not been completed from 10/10/25 through 10/23/25.
Observation of the kitchen on the Claire Bridge unit on 10/23/25 at 8:50 A.M. revealed the scrambled eggs, French toast, sausage, and bacon continued to be uncovered while being held in the steam table. Concurrent interview with Kitchen Manager (KM) #300 revealed that food items should be covered while being held on the steam table to ensure quality and temperature. KM #300 confirmed the food temperatures should be monitored throughout the meal service and the temperatures documented on a log. KM #300 removed a binder from a shelf in the kitchen and confirmed there were no food temperature logs maintained by staff. KM #300 stated the aides were responsible for serving and monitoring food temperatures on the Claire Bridge unit and this was not a concern when dietary staff performed those services on the unit. KM #300 obtained a temperature of the scrambled eggs, which revealed a temperature of 122 degrees Fahrenheit (F). KM #300 looked around the kitchen for alcohol swabs to clean the thermometer in order to test the other food items. KM #300 confirmed she was unable to locate any alcohol swabs to clean the thermometer to proceed with checking the other food temperatures. KM #300 verified the scrambled eggs were not at a safe holding temperature of 135 degrees F.
Further observation of the kitchen revealed an open container of peanut butter on a shelf with a use by date of 9/17/25. Concurrent interview with KM #300 confirmed that the open container of peanut butter was sitting on the shelf in kitchen and was past the use by date of 09/17/25. KM #300 disposed of peanut butter.
Review of the facility policy titled, Food and Beverage Temperature Controls, dated December 2024, revealed that food temperatures should be taken at the beginning of meal service and every 30 minutes into service, temperatures were to be logged using the Food and Beverage Temperature Log to ensure all food and beverage holding temperatures were monitored and recorded. Further review revealed if any temperature was not within the acceptable range, the food or beverage must either be reheated or discarded.
Review of the facility policy titled, Washing and Sanitizing Dishes, dated December 2024, revealed low and high temperature dish machine temperatures must be taken and recorded on the temperature log.
2. Observation of the main kitchen walk-in refrigerator on 10/23/25 at 8:45 A.M. revealed a tray containing seven bowls of diced pears that were uncovered and undated. Concurrent interview with KM #300 confirmed the seven bowls of uncovered and undated diced pears were stored in the refrigerator. KM #300 stated the diced pears were from the previous evening meal. KM #300 disposed of the diced pears.
Continued observation of the walk-in freezer revealed a freezer bag with an item inside that was covered in ice crystals. The bag was labeled as a ham bone and included two dates, 11/27/24 and 05/27/25. Concurrent interview with KM #300 confirmed the food item in the freezer bag was freezer burned and identified two different dates the item was frozen. KM #300 disposed of the bag.
Review of the facility policy titled Food Storage, dated June 2024, revealed that all foods must be stored in a manner that maximized nutrient retention, quality and food safety.
R-0623Annual staff training on fire prevention▼
Based on record review and staff interview, the facility failed to ensure staff were provided annual fire prevention training by the state fire marshal or township, municipal, or legally constituted fire department. This had the potential to affect all 71 residents residing in the facility. The facility census was 71.
Findings include:
Review of the staff training documents revealed no evidence of annual fire prevention training by the state fire marshal or township, municipal, or legally constituted fire department.
Interview on 10/23/25 at approximately 1:45 P.M. with Maintenance Manager (MM) #400 revealed he was unaware of the requirement for annual fire prevention training and verified it had not been completed.
December 23, 2024Licensure survey · listed in Ohio's index; no findings report publishedNo deficiencies▼
December 10, 2024Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼
August 13, 2024Complaint survey · listed in Ohio's index; no findings report publishedNo deficiencies▼
June 18, 2024Complaint survey1 deficiency▼
R-0712Adequate and appropriate treatment and care▼
Based on medical record review, staff interview, and review of a facility policy, the facility failed to ensure an injury of unknown origin was investigated. This affected one (#11) of three residents reviewed for injuries. The facility census was 71. Findings include: Review of the medical record for Resident #11 revealed an admission date of 03/12/24 with a diagnosis of dementia. Review of the Personal Service Plan dated 03/12/24 revealed Resident #11 was not always oriented to time or place. Review of a progress note dated 05/08/24, written by Health and Wellness Coordinator (HWC) #301, revealed Resident #11 had small abrasions to both knees with no reports of falls. Further review of the medical record revealed no skin assessments documenting abrasions to Resident #11's knees. An interview with Resident #11 was attempted on 06/18/24 at 9:12 A.M.; however, the resident was not able to answer questions due to cognitive impairment. Telephone interview on 06/18/24 at 3:01 P.M. with HWC #301 revealed she and Program Coordinator (PC) #300 completed a skin assessment on Resident #11 on 05/07/24. HWC #301 stated there were no injuries to Resident #11's knees were identified during the skin assessment completed on 05/07/24. HWC #301 confirmed she documented the observation of abrasions to both knees on Resident #11 in the progress note written on 05/08/24. Upon identification of the abrasions on both of Resident #11's knees, HWC #301 stated she spoke with PC #300 who stated she observed scratches on Resident #11's knees during the skin assessment completed 05/07/24. HWC #301 stated the facility did not investigate the cause of the abrasions to Resident #11's knees because HWC #301 believed the abrasions were previously identified by PC #300. Telephone interview on 06/18/24 at 3:27 P.M. with PC #300 revealed she was not a nurse, but coordinated activities on the secured unit and assisted in providing cares to residents at times. PC #300 confirmed she assisted HWC #301 during Resident #11's skin assessment on 05/07/24. PC #300 stated she saw what appeared to be scratches on Resident #11's right knee. PC #300 stated it appeared as if Resident #11 had been scratching his right knee. PC #300 did not see anything on Resident #11's left knee. Review of a policy titled, Incident ReportBased on medical record review, staff interview, and review of a facility policy, the facility failed to ensure an injury of unknown origin was investigated. This affected one (#11) of three residents reviewed for injuries. The facility census was 71.
Findings include:
Review of the medical record for Resident #11 revealed an admission date of 03/12/24 with a diagnosis of dementia.
Review of the Personal Service Plan dated 03/12/24 revealed Resident #11 was not always oriented to time or place.
Review of a progress note dated 05/08/24, written by Health and Wellness Coordinator (HWC) #301, revealed Resident #11 had small abrasions to both knees with no reports of falls. Further review of the medical record revealed no skin assessments documenting abrasions to Resident #11's knees.
An interview with Resident #11 was attempted on 06/18/24 at 9:12 A.M.; however, the resident was not able to answer questions due to cognitive impairment.
Telephone interview on 06/18/24 at 3:01 P.M. with HWC #301 revealed she and Program Coordinator (PC) #300 completed a skin assessment on Resident #11 on 05/07/24. HWC #301 stated there were no injuries to Resident #11's knees were identified during the skin assessment completed on 05/07/24. HWC #301 confirmed she documented the observation of abrasions to both knees on Resident #11 in the progress note written on 05/08/24. Upon identification of the abrasions on both of Resident #11's knees, HWC #301 stated she spoke with PC #300 who stated she observed scratches on Resident #11's knees during the skin assessment completed 05/07/24. HWC #301 stated the facility did not investigate the cause of the abrasions to Resident #11's knees because HWC #301 believed the abrasions were previously identified by PC #300.
Telephone interview on 06/18/24 at 3:27 P.M. with PC #300 revealed she was not a nurse, but coordinated activities on the secured unit and assisted in providing cares to residents at times. PC #300 confirmed she assisted HWC #301 during Resident #11's skin assessment on 05/07/24. PC #300 stated she saw what appeared to be scratches on Resident #11's right knee. PC #300 stated it appeared as if Resident #11 had been scratching his right knee. PC #300 did not see anything on Resident #11's left knee.
Review of a policy titled, Incident Report