Texas › Howard County › Big Spring
Big Spring Center For Skilled Care
3701 Wasson Rd, Big Spring, TX 79720
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.
Big Spring Center For Skilled Care is a For-profit, corporation nursing home in Big Spring, Texas, certified for 120 beds and caring for about 61 residents a day.
CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 4, staffing 1 and quality measures 3.
Inspectors recorded 27 health deficiencies across the three most recent survey cycles (4, 8, 15 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 22.5 per 100 beds, about the same as the state median of 22.5.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 3.4 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 91.7%.
Compared with county, state and nation
| Measure | This facility | Howard Co. median | Texas median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 27 | 22 | 25 | 28.7 |
| Citations per 100 beds | 22.5 | 15.4 | 22.5 | 26.8 |
| Total nurse hours per resident day | 3.4 | 3.5 | 3.3 | 3.9 |
| RN hours per resident day | 0.3 | 0.3 | 0.4 | 0.7 |
| Nursing staff turnover | 91.7% | 57.6% | 52.1% | 45.8% |
| Fines listed | $8,184 | $8,184 | $16,801 | — |
County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 24 Apr 2026, 27 Feb 2025.
Severity mix: G ×1 D ×14 E ×12
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 24 Apr 2026 | F0813 | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | Standard survey | 6 Jun 2026 |
| 24 Apr 2026 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 6 Jun 2026 |
| 24 Apr 2026 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 6 Jun 2026 |
| 24 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 Jun 2026 |
| 31 Mar 2025 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 30 Apr 2025 |
| 31 Mar 2025 | 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. | D | Complaint investigation | 30 Apr 2025 |
| 27 Feb 2025 | F0585 | Honor 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. | E | Standard survey | 2 Apr 2025 |
| 27 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 2 Apr 2025 |
| 27 Feb 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 2 Apr 2025 |
| 27 Feb 2025 | F0645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard survey | 2 Apr 2025 |
| 11 Oct 2024 | F0585 | Honor 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. | D | Complaint investigation | 12 Oct 2024 |
| 11 Oct 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 12 Oct 2024 |
| 14 May 2024 | F0760 | Ensure that residents are free from significant medication errors. | G | Complaint investigation | 18 Jun 2024 |
| 14 May 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Complaint investigation | 18 Jun 2024 |
| 14 May 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 18 Jun 2024 |
| 19 Mar 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint investigation | 20 Mar 2024 |
| 19 Mar 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint investigation | 20 Mar 2024 |
| 19 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint investigation | 20 Mar 2024 |
| 25 Jan 2024 | F0576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard survey | 26 Jan 2024 |
| 25 Jan 2024 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 26 Jan 2024 |
| 25 Jan 2024 | F0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | Standard survey | 26 Jan 2024 |
| 25 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Jan 2024 |
| 25 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 26 Jan 2024 |
| 25 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 26 Jan 2024 |
| 25 Jan 2024 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard survey | 26 Jan 2024 |
| 25 Jan 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 26 Jan 2024 |
| 25 Jan 2024 | F0761 | Ensure 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. | D | Standard survey | 26 Jan 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 May 2024 | Fine | $8,184 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 91.7%, RNs 88.9%; 3 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Texas median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.9% | 14.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 0.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.1% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 3.5% | 0.7% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 15.4% | 12.4% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 9.5% | 3.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 15.4% | 8.3% | 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, corporation. Legal business name: Big Spring I Enterprises, Llc. Chain: Creative Solutions In Healthcare (149 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Creative Solutions In Healthcare Inc | Operational/managerial control | NOT APPLICABLE | 10/01/2014 |
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 Howard County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Lamun-Lusk-Sanchez Texas State Veterans Home | Big Spring | 160 | 5 | 3 | 5 | 22 | 13.8 | $21K | 7 Aug 2025 |
| Parkview Skilled Care and Rehabilitation | Big Spring | 117 | 4 | 4 | 2 | 18 | 15.4 | — | 12 Jun 2025 |
All 3 facilities in Howard County
Questions and answers
How many deficiencies has Big Spring Center For Skilled Care been cited for?
27 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.
Has Big Spring Center For Skilled Care been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Big Spring Center For Skilled Care compare?
Reported total nurse staffing is 3.4 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.
Who operates Big Spring Center For Skilled Care?
It is part of the Creative Solutions In Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Creative Solutions In Healthcare Inc. Individual owners and managers are not listed on this site.
When was Big Spring Center For Skilled Care last inspected?
The most recent survey or investigation in the CMS record is dated 24 Apr 2026; the most recent standard health survey was 24 Apr 2026.
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.