Big Spring Care Center for Rehab and Healthcare
202 East Mill Street, Humansville, MO 65674 · Polk County · 60 certified beds · avg 38 residents/day · certified since Jun 3, 1994
1/5
Health inspection rating (on-site)
0
Serious findings on record
$0
Fines, last 3 years
3.26
Nurse hours/resident/day (adjusted)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (37)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 4, 2026 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Nov 19, 2025 | E · Potential for harm, repeated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint |
| Nov 19, 2025 | D · Potential for harm, one-off | The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint |
| Aug 5, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · from a complaint |
| Mar 27, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 31, 2025 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Jan 31, 2025 | F · Potential for harm, facility-wide | The facility did not have enough support staff to safely and effectively run its food and nutrition service. |
| Jan 31, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Jan 31, 2025 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. |
| Jan 31, 2025 | F · Potential for harm, facility-wide | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jan 31, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jan 31, 2025 | E · Potential for harm, repeated | The facility did not honor residents' right to manage their own money and financial affairs. |
| Jan 31, 2025 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Jan 31, 2025 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jan 31, 2025 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| Jan 31, 2025 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| Jan 31, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jan 31, 2025 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · from a complaint |
| Jan 31, 2025 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Jan 31, 2025 | D · Potential for harm, one-off | The facility did not provide care that took into account residents' past trauma or their cultural backgrounds. Care is supposed to be sensitive to what residents have lived through and where they come from. |
| Jan 31, 2025 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Oct 23, 2023 | F · Potential for harm, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Apr 14, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 14, 2023 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Apr 14, 2023 | F · Potential for harm, facility-wide | The facility did not have enough backup water supply for essential areas of the building. |
| Apr 14, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. |
| Apr 14, 2023 | E · Potential for harm, repeated | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Apr 14, 2023 | E · Potential for harm, repeated | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Apr 14, 2023 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| Apr 14, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Apr 14, 2023 | E · Potential for harm, repeated | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Apr 14, 2023 | D · Potential for harm, one-off | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. |
| Apr 14, 2023 | D · Potential for harm, one-off | The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes. |
| Apr 14, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Dec 19, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 19, 2019 | D · Potential for harm, one-off | The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. |
| Dec 19, 2019 | D · Potential for harm, one-off | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (12 → 16).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 3 | 0 | F |
| 2023 | 13 | 0 | F |
| 2025 | 20 | 0 | F |
| 2026 | 1 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Missouri avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.26 | 3.66 | 3.95 | bottom 34% in Missouri; bottom 24% in the U.S. |
| Registered Nurse hours | 0.46 | 0.49 | 0.69 | top 42% in Missouri; bottom 31% in the U.S. |
| Weekend total nurse staffing | 2.94 | 3.22 | 3.50 | bottom 40% in Missouri; bottom 28% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.31 | 0.33 | 0.48 | top 39% in Missouri; bottom 34% in the U.S. |
| Total nursing staff turnover (%) | 76.3 | 56.0 | 45.8 | bottom 8% in Missouri; bottom 3% in the U.S. |
| RN turnover (%) | 80.0 | 47.8 | 42.9 | bottom 10% in Missouri; bottom 6% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.35, RN 0.47, weekend 3.02. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bruce, Leland | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Gaytan, Lucy | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Hixson, Brooke | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Humansville SNF Operations LLC | Organization | Direct Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Ramos, Brian | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Thuet, Daniel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| Tide Health Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 07/01/2025 |
| 202 E Mill Street LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Bean, Alicia | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Bean, Alicia | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Harris, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Harris, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Humansville SNF Operations LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Humansville SNF Operations LLC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Ramos, Brian | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2025 |
| Ramos, Brian | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Strawberry Fields Realty LP | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Strawberry Fields Reit INC | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
| Strawberry Fields Reit LTD | Organization | ADP of the SNF | NOT APPLICABLE | 07/01/2025 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you keep residents' medical records accurate, complete, and secure?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "How is your kitchen staffed, and have meals ever been delayed because of staffing?"
- "What were the findings behind this administration citation, and what has leadership changed since?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Northwood Hills Care Center | 0.9 mi | Humansville, MO | ★★☆☆☆ | 2/5 | |
| Parkview Health Care Facility | 14.5 mi | Bolivar, MO | ★★★★☆ | 4/5 | |
| Lake Stockton Healthcare Facility | 14.6 mi | Stockton, MO | ★★★★☆ | 4/5 | |
| Citizens Memorial Healthcare Facility | 14.7 mi | Bolivar, MO | ★★☆☆☆ | 3/5 | |
| Hermitage Nursing & Rehab | 17.7 mi | Hermitage, MO | ★★★☆☆ | 2/5 | abuse |
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Facility data as of CMS processing date 2026-08-01. CCN 265573.