CCN 495297 · Caroline County, Virginia
Bowling Green Health & Rehabilitation Center
120 Anderson Avenue, Bowling Green, VA 22427
Bowling Green Health & Rehabilitation Center is a 120-bed for-profit nursing home in Bowling Green, Virginia, first certified for Medicare or Medicaid in 1995. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 112.9 residents a day, about 94% of its certified beds. HUD's healthcare database shows an FHA-insured Section 232 loan for a project matching this facility, most recently $1.8 million in July 2012 (223(f) refinance or purchase), and none of them appears in HUD's active-loan file.
Facility facts
- Certified beds
- 120
- Average residents per day
- 112.9 (94.1% of beds)
- Ownership type
- For profit - Individual
- Certification
- Medicare and Medicaid
- Legal business name
- Bowling Green SNF LLC
- Certified since
- Jan 1, 1995
- Chain or affiliated group
- Lifeworks Rehab (64 facilities, chain average 2.1 stars)
- Location
- Rural
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Virginia median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 60 at 1, 60 at 2, 54 at 3, 55 at 4, 57 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 5 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 3.38 | 3.45 | 3.68 |
| RN hours per resident per day | 0.49 | 0.53 | 0.58 |
| Weekend nurse hours per resident per day | 3.00 | ||
| Nursing staff turnover | 44.0% | 48.3% | 44.9% |
| Occupancy (residents / beds) | 94.1% | 91.8% | 85.7% |
| Fines reported by CMS | 1 totaling $8,278 | ||
| Health deficiencies, latest standard survey | 8 (Mar 28, 2024) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Bowling Green Health & Rehabilitation Center meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Bowling Green Holdings I LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Charles 1994 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Edward 1998 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Ek 2005 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Fay 2014 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Fay 2014 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Ll 2013 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Mms 2008 Family TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Mzr East LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Saul 2012 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Silverstone East LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Sol 2000 Family Grantor TrustOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Sol 2000 LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
| Stevens 3920 & Family LLCOrganization | Indirect Ownership Interest | n/a | 05/28/2021 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| May 28, 2021 | Bowling Green SNF LLC | Medical Facilities of America Xl |
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jul 26, 2012 | 223(f) refinance or purchaseHUD project name: MFA3-Bowling Green Health & Rehab Center, 120 beds. Lender at endorsement: Lancaster Pollard Mtge Co | $1,804,600 | Ended Jun 1, 2021Prepayment | 05122083 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.