Big Spring Care Center for Rehab and HealthcareCMS ratings, inspections and fines
- Address
- 202 East Mill Street, Humansville, MO 65674
- CCN
- 265573
- Ownership type
- For-profit, limited liability company
- Certified beds
- 60
- Chain
- None in the CMS record
- Residents per day
- 38
- CMS flags
- None in the CMS record
The watch list stays in this browser. After each CMS update, it shows the values that changed at the homes on the list.
CMS gives Big Spring Care Center for Rehab and Healthcare an overall rating of 1 of 5 stars. The last standard survey was on 31 Jan 2025. The latest survey cycle has 20 health citations. The median for nursing homes in Missouri is 9. CMS lists no fines for this home in its penalties file.
Facilities may see a change in their overall rating for a number of reasons. Since the overall rating is based on three individual domains, a change in any one of the domains can affect the overall rating. Any new data for a nursing home could potentially change a star rating domain.
Centers for Medicare & Medicaid Services, Five-Star Quality Rating System: Technical Users' Guide, July 2026. CMS processed this record on .
Since the last CMS update
The site has no recorded change for this home. In each CMS update, the site compares the ratings, the penalties and the citations of each home.
Ratings
CMS gives each home 1 to 5 stars for health inspections, for staffing and for quality measures, and one overall rating.
| Rating (1 to 5 stars) | This home | Polk County median | Missouri median | US average (CMS) |
|---|---|---|---|---|
| Overall rating | 1 | 2.0 | 2.0 | 3.0 |
| Health inspection rating | 1 | 3.0 | 3.0 | 2.8 |
| Staffing rating | 1 | 3.0 | 2.0 | 2.9 |
| Quality measure rating | 1 | 3.0 | 3.0 | 3.6 |
A median is the middle value of the homes in the group: 4 homes in the county, 487 homes in the state. What the CMS star ratings measure
Citations by survey cycle
CMS keeps the last three cycles, and cycle 1 is the latest. A cycle has one standard survey. Citations from complaint and infection control inspections go into cycles of 12 months.
| Survey cycle | Standard survey | Citations | Missouri median |
|---|---|---|---|
| Cycle 1 (latest) | 31 Jan 2025 | 20 | 9 |
| Cycle 2 | 14 Apr 2023 | 13 | 10 |
| Cycle 3 | No date | 4 | 9 |
Health citations
The record of one deficiency in an inspection. One inspection can give many citations.
Scope and severity. A letter from A to L on each citation. Scope is the number of residents that the deficiency affected. Severity is the level of harm.
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy to resident health or safety | J0 | K0 | L0 |
| Actual harm that is not immediate jeopardy | G0 | H0 | I0 |
| No actual harm, potential for more than minimal harm | |||
| No actual harm, potential for minimal harm | A0 | B0 | C0 |
Survey cycle 1 (latest): 20 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 4 Mar 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint investigation | 16 Mar 2026 |
| 19 Nov 2025 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Complaint investigation | 3 Jan 2026 |
| 19 Nov 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Complaint investigation | 3 Jan 2026 |
| 5 Aug 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint investigation | 16 Sep 2025 |
| 31 Jan 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0567 | Honor the resident's right to manage his or her financial affairs. | E | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0584 | Honor 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. | E | Complaint investigation | 17 Mar 2025 |
| 31 Jan 2025 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Mar 2025 |
| 31 Jan 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Complaint investigation | 17 Mar 2025 |
| 31 Jan 2025 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0699 | Provide care or services that was trauma informed and/or culturally competent. | D | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | F | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 17 Mar 2025 |
| 31 Jan 2025 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 17 Mar 2025 |
Survey cycle 2: 13 citations
Standard survey of this cycle: .
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 27 Mar 2025 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 28 Mar 2025 |
| 14 Apr 2023 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0700 | Try 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. | E | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | Standard survey | 28 May 2023 |
| 14 Apr 2023 | F0922 | Have enough backup water supply for essential areas of the nursing home. | F | Standard survey | 28 May 2023 |
Survey cycle 3: 4 citations
The CMS provider file has no standard survey date for this cycle.
| Survey date | F-tag | Requirement (CMS text) | Scope and severity | Survey type | Corrected |
|---|---|---|---|---|---|
| 23 Oct 2023 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Complaint investigation | 30 Nov 2023 |
| 19 Dec 2019 | F0693 | Ensure 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. | D | Standard survey | 31 Jan 2020 |
| 19 Dec 2019 | F0700 | Try 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. | D | Standard survey | 31 Jan 2020 |
| 19 Dec 2019 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 31 Jan 2020 |
The requirement text is the CMS summary of the F-tag. It is not the report of the surveyor. How to read an inspection report
Penalties
A fine, or a payment denial: a period in which Medicare or Medicaid does not pay for new admissions. The CMS penalties file holds three years.
CMS lists no fine and no payment denial for this home in its penalties file.
Staffing
Hours per resident per day. The nurse hours for one resident on an average day. CMS calculates the figure from the hours that the home reports for a quarter.
| Staff | This home | Missouri median | Missouri average (CMS) |
|---|---|---|---|
| All nurse staff | 3.35 | 3.40 | 3.43 |
| Registered nurses (RN) | 0.47 | 0.40 | 0.46 |
| Licensed practical nurses (LPN) | 0.52 | 0.68 | |
| Nurse aides | 2.36 | 2.29 | |
| All nurse staff, weekends | 3.02 | 2.90 | 3.02 |
- Nurse staff turnover in a year
- 76.3%
- Nurse staff turnover, Missouri median
- 56.1%
- RN turnover in a year
- 80.0%
- Administrators who left in a year
- 2
Homes report the hours to CMS in the Payroll-Based Journal.
Quality measures
A figure that CMS calculates from the assessments of residents. One example is the percentage of long-stay residents with a fall and a major injury.
| Measure (CMS text) | Residents | This home | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 30.2% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.8% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 5.6% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 30.8% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.1% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 37.9% | 21.0% | 13.4% |
For each measure in this table, CMS gives more points in the quality measure rating for a lower percentage. The site calculates the medians from the CMS file. What the CMS star ratings measure
Ownership
An organisation in the CMS ownership file. CMS records its role, for example an ownership interest, operational or managerial control, or a mortgage interest.
- Ownership type
- For-profit, limited liability company
- Legal business name
- Humansville SNF Operations LLC
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Humansville SNF Operations LLC | Direct ownership interest | 1 Jul 2025 | |
| Tide Health Group LLC | Indirect ownership interest | 1 Jul 2025 | |
| Humansville SNF Operations LLC | Operational/managerial control | 1 Jul 2025 | |
| 202 E Mill Street LLC | Adp of the snf | 1 Jul 2025 | |
| Humansville SNF Operations LLC | Adp of the snf | 1 Jul 2025 | |
| Strawberry Fields Realty LP | Adp of the snf | 1 Jul 2025 | |
| Strawberry Fields REIT Inc | Adp of the snf | 1 Jul 2025 | |
| Strawberry Fields REIT Ltd | Adp of the snf | 1 Jul 2025 |
The site shows organisations only. It does not show the names of persons.
Other homes in Polk County
| Nursing home | City | Overall rating | Citations, latest cycle | Fines | Last standard survey | |
|---|---|---|---|---|---|---|
| Northwood Hills Care Center | Humansville | 2 of 5 | 15 | $0 | 18 Nov 2024 | |
| Parkview Health Care Facility | Bolivar | 4 of 5 | 7 | $0 | 22 Nov 2024 | |
| Citizens Memorial Healthcare Facility | Bolivar | 2 of 5 | 11 | $0 | 22 Dec 2025 |
Official channels
- Care Compare record of this nursing homeMedicare.gov. The official CMS record of this home.
- Contact information for State Survey AgenciesCMS. The web address and the telephone number of the State Survey Agency of each state. These agencies investigate complaints about nursing homes.
- Filing a complaintMedicare.gov. The page names the State Survey Agency as the place for a complaint about nursing home care or facility conditions.
- Eldercare LocatorAdministration for Community Living. A public service that connects older adults and their families to local services. Telephone: 1-800-677-1116.
Cite this page
Centers for Medicare & Medicaid Services, Care Compare. Record of Big Spring Care Center for Rehab and Healthcare (CCN 265573). Data processed 1 Aug 2026. Elder Care Record, https://eldercarerecord.com/facility/big-spring-care-center-for-rehab-and-healthcare-humansville-mo-265573/
Provenance
- Licence
- US government work, public domain
- CMS processed the data on
A program makes this page from the CMS files, and the same files always give the same text. How the site makes the figures. Report an error.
Questions
- When was Big Spring Care Center for Rehab and Healthcare last inspected?
- The latest inspection with a citation in the CMS record was on 4 Mar 2026. It was a complaint investigation. It gave 1 citation. The standard survey before the last one was on 14 Apr 2023.
- Who operates Big Spring Care Center for Rehab and Healthcare?
- The CMS record gives the ownership type as for-profit, limited liability company. CMS lists no chain for the home. The CMS ownership file names Humansville SNF Operations LLC for operational or managerial control. This site does not show the names of persons.
- Is Big Spring Care Center for Rehab and Healthcare a Special Focus Facility?
- No. The CMS provider file lists no Special Focus status for this home. CMS lists 3 homes in Missouri as Special Focus Facilities and 15 as candidates.
- Where does the data on this page come from?
- The data comes from the CMS Care Compare files for nursing homes. CMS processed the files on 1 Aug 2026. The Care Compare record on Medicare.gov is the official record of the home.