Elder Care Record

Missouri › St. Louis County › Valley Park

Big Bend Woods Healthcare Center

110 Highland Avenue, Valley Park, MO 63088

CCN 265130 · For-profit, individual · 135 certified beds

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 135 beds, Big Bend Woods Healthcare Center serves Valley Park in St. Louis County, Missouri and has taken Medicare and Medicaid residents since 1977.

CMS gives it 1 of 5 stars overall, below the Missouri median of 2; the health inspection rating is 3, staffing 1 and quality measures 1.

Inspectors recorded 57 health deficiencies across the three most recent survey cycles (9, 20, 28 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 42.2 per 100 beds, more than the state median of 32.1.

CMS lists 2 penalties in the period covered: fines totalling $85K and 1 payment denial.

Reported nurse staffing is 2.8 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 67.0%.

57health deficiencies, 3 survey cycles3 at actual harm or worse
$85Kfines listed by CMS2 penalties in period
2.8nurse hours per resident per daystate median 3.4
66%occupancy (residents ÷ beds)89 residents a day

Compared with county, state and nation

MeasureThis facilitySt. Louis Co. medianMissouri medianUS average
Overall star rating1223.0
Health citations, 3 cycles57463128.7
Citations per 100 beds42.238.332.126.8
Total nurse hours per resident day2.83.53.43.9
RN hours per resident day0.20.30.40.7
Nursing staff turnover67.0%60.7%56.1%45.8%
Fines listed$85,176$14,433$0—

County and state figures are medians across facilities (69 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)9
Cycle 220
Cycle 328

Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 12 Sep 2025, 8 Feb 2024.

Severity mix: K ×1 G ×2 D ×22 E ×29 F ×1 C ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
12 Sep 2025F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint investigation6 Oct 2025
12 Sep 2025F0759Ensure medication error rates are not 5 percent or greater.EComplaint investigation6 Oct 2025
12 Sep 2025F0880Provide and implement an infection prevention and control program.EStandard survey6 Oct 2025
12 Sep 2025F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey6 Oct 2025
12 Sep 2025F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint investigation6 Oct 2025
12 Sep 2025F0558Reasonably accommodate the needs and preferences of each resident.DStandard survey6 Oct 2025
12 Sep 2025F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey6 Oct 2025
12 Sep 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation6 Oct 2025
12 Sep 2025F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard survey6 Oct 2025
19 Mar 2025F0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint investigation11 Mar 2025
8 Feb 2024F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.GStandard survey16 Mar 2024
8 Feb 2024F0801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard survey16 Mar 2024
8 Feb 2024F0568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard survey16 Mar 2024
8 Feb 2024F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey16 Mar 2024
8 Feb 2024F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey16 Mar 2024
8 Feb 2024F0679Provide activities to meet all resident's needs.EStandard survey16 Mar 2024
8 Feb 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey16 Mar 2024
8 Feb 2024F0804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard survey16 Mar 2024
8 Feb 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey16 Mar 2024
8 Feb 2024F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard survey16 Mar 2024
8 Feb 2024F0583Keep residents' personal and medical records private and confidential.DStandard survey16 Mar 2024
8 Feb 2024F0584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard survey16 Mar 2024
8 Feb 2024F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey27 Mar 2024
8 Feb 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey16 Mar 2024
8 Feb 2024F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DStandard survey16 Mar 2024
8 Feb 2024F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard survey16 Mar 2024
8 Feb 2024F0880Provide and implement an infection prevention and control program.DStandard survey16 Mar 2024
8 Feb 2024F0577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard survey16 Mar 2024
8 Feb 2024F0623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard survey16 Mar 2024
6 Dec 2023F0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint investigation22 Dec 2023
24 May 2021F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KStandard survey3 Jul 2021
24 May 2021F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard survey23 Jul 2021
24 May 2021F0569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard survey3 Jul 2021
24 May 2021F0570Assure the security of all personal funds of residents deposited with the facility.EStandard survey3 Jul 2021
24 May 2021F0585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EStandard survey3 Jul 2021
24 May 2021F0607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard survey3 Jul 2021
24 May 2021F0677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard survey3 Jul 2021
24 May 2021F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey3 Jul 2021
24 May 2021F0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard survey3 Jul 2021
24 May 2021F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard survey3 Jul 2021
24 May 2021F0700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard survey3 Jul 2021
24 May 2021F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard survey3 Jul 2021
24 May 2021F0730Observe each nurse aide's job performance and give regular training.EStandard survey3 Jul 2021
24 May 2021F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey3 Jul 2021
24 May 2021F0759Ensure medication error rates are not 5 percent or greater.EStandard survey20 Jul 2021
24 May 2021F0761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard survey3 Jul 2021
24 May 2021F0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard survey3 Jul 2021
24 May 2021F0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard survey3 Jul 2021
24 May 2021F0909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EStandard survey3 Jul 2021
24 May 2021F0919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard survey3 Jul 2021
24 May 2021F0583Keep residents' personal and medical records private and confidential.DStandard survey3 Jul 2021
24 May 2021F0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard survey3 Jul 2021
24 May 2021F0609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard survey3 Jul 2021
24 May 2021F0658Ensure services provided by the nursing facility meet professional standards of quality.DStandard survey3 Jul 2021
24 May 2021F0692Provide enough food/fluids to maintain a resident's health.DStandard survey3 Jul 2021
24 May 2021F0693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard survey3 Jul 2021
24 May 2021F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard survey3 Jul 2021

Penalties

DateTypeAmountDetail
8 Feb 2024Payment denial—12 days
8 Feb 2024Fine$85,176

Staffing

Total nursing2.84 h
Nurse aides1.99 h
LPN0.63 h
RN0.23 h
Weekend total2.52 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 67.0%, RNs 60.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMissouri medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay5.3%17.6%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.3%0.6%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.3%1.6%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.0%3.6%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.4%1.3%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay4.2%16.1%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay3.6%4.1%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay21.1%21.0%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: for-profit, individual.

OrganisationRole in the CMS recordInterestSince
Bbw Acquistion Group, LLC5% or greater security interestNOT APPLICABLE12/01/2014
Greystone Servicing Company, LLC, A Delaware Limited Liability Company5% or greater security interestNOT APPLICABLE12/04/2014

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in St. Louis County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Aberdeen HeightsKirkwood38555923.7—15 Aug 2025
Bethesda SouthgateSaint Louis1305541511.5—1 May 2025
Christian Extended Care & RehabilitationSaint Louis605521220.0—28 Mar 2025
Delmar Gardens of Meramec ValleyFenton1905522211.6—5 Dec 2025
Friendship Village ChesterfieldChesterfield985452121.4—3 Apr 2026
Lutheran Convalescent HomeWebster Groves25154593.6—7 Nov 2024
Lutheran Senior Services At Meramec BluffsBallwin32555825.0—29 Dec 2025
Mason Pointe Care CenterChesterfield635541727.0—22 Aug 2024

All 69 facilities in St. Louis County

Questions and answers

How many deficiencies has Big Bend Woods Healthcare Center been cited for?

57 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.

Has Big Bend Woods Healthcare Center been fined?

Yes. CMS lists fines totalling $85K in the period covered, plus 1 payment denial.

How does staffing at Big Bend Woods Healthcare Center compare?

Reported total nurse staffing is 2.8 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.

Who operates Big Bend Woods Healthcare Center?

Ownership type is for-profit, individual. Individual owners and managers are not listed on this site.

When was Big Bend Woods Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 12 Sep 2025; the most recent standard health survey was 12 Sep 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.