Big Bend Woods Healthcare Center
110 Highland Avenue · Valley Park, MO · 63088 · 6362255144
135 certified beds For profit - Individual
Why this verdict
- Staffing levels are well below research benchmarks for safe care.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
RN staffing in the bottom 10% nationally
0.27 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
Total nurse staffing below 3.0 hours per resident-day
2.81 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
69% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 2.81 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.27 | 0.55–0.75 |
| Weekend hours / resident-day | 2.47 | ≈ weekday level |
| Nursing turnover / year | 69% | median 45% |
| Fines (3-yr window) | 1 · $85,176 |
Inspection citations (64 in the current record)
-
Potential for harm · D September 12, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected October 6, 2025 · Resident Rights
-
Potential for harm · D September 12, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected October 6, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D September 12, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected October 6, 2025 · Nutrition and Dietary
-
Potential for harm · E September 12, 2025
Provide and implement an infection prevention and control program.
Corrected October 6, 2025 · Infection Control
-
Potential for harm · E September 12, 2025
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected October 6, 2025 · Environmental
-
Potential for harm · D September 12, 2025 · found via complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected October 6, 2025 · Resident Rights
-
Potential for harm · E September 12, 2025 · found via complaint
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.
Corrected October 6, 2025 · Resident Rights
-
Potential for harm · D September 12, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected October 6, 2025 · Quality of Life and Care
-
Potential for harm · E September 12, 2025 · found via complaint
Ensure medication error rates are not 5 percent or greater.
Corrected October 6, 2025 · Pharmacy Service
-
Potential for harm · D March 19, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 11, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Actual harm · G February 8, 2024
Provide 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.
Corrected March 16, 2024 · Quality of Life and Care
-
Potential for harm · E February 8, 2024
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected March 16, 2024 · Resident Rights
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Potential for harm · D February 8, 2024
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected March 16, 2024 · Resident Rights
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Potential for harm · D February 8, 2024
Keep residents' personal and medical records private and confidential.
Corrected March 16, 2024 · Resident Rights
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Potential for harm · D February 8, 2024
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.
Corrected March 16, 2024 · Resident Rights
-
Potential for harm · E February 8, 2024
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.
Corrected March 16, 2024 · Resident Rights
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Potential for harm · E February 8, 2024
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected March 16, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D February 8, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · D February 8, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 16, 2024 · Quality of Life and Care
-
Potential for harm · E February 8, 2024
Provide activities to meet all resident's needs.
Corrected March 16, 2024 · Quality of Life and Care
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Potential for harm · E February 8, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 16, 2024 · Quality of Life and Care
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Potential for harm · D February 8, 2024
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.
Corrected March 16, 2024 · Pharmacy Service
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Potential for harm · F February 8, 2024
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.
Corrected March 16, 2024 · Nutrition and Dietary
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Potential for harm · E February 8, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected March 16, 2024 · Nutrition and Dietary
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Potential for harm · E February 8, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 16, 2024 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 8, 2024 | Fine | $85,176 |
| February 8, 2024 | Payment Denial | 12 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265130 · certified since May 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.