Big Spring Care Center for Rehab and Healthcare

202 East Mill Street, Humansville, MO 65674

Open in maps See this home on CMS Care Compare

Big Spring Care Center for Rehab and Healthcare is a nursing home in Humansville, Missouri. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.

At a glance

CMS overall star rating1 of 5
Last standard health inspectionJanuary 31, 2025 (1 year ago)
Health citations since December 19, 201939 (Missouri average 36)
Fines in the past three yearsNone listed by CMS
CMS flagsNone listed by CMS

This page uses data from the Centers for Medicare & Medicaid Services (CMS), published on October 28, 2026. CMS updates its data about once a month.

Get an email when CMS publishes something new about this home

One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.

CMS flags

CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.

Inspections, fines and changes

This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.

CMS update of October 28, 2026
- Star rating
  The CMS quality measures star rating changed from 1 of 5 to 2 of 5.
CMS update of July 29, 2026
- Star rating
  The CMS staffing star rating changed from 4 of 5 to 1 of 5.
- Name
  CMS lists a new legal business name for this home.
- Ownership
  CMS no longer lists a chain for this home.
- Staffing
  Total nurse staffing reported to CMS went from 5.9 to 3.3 hours per resident per day.
Health inspection on July 22, 2026
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- Citation F0580. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  CMS lists it as corrected on August 27, 2026.
  CMS has cited this home for F0580 2 times since 2025.
- Citation F0678. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  CMS lists it as corrected on August 27, 2026.
  CMS has cited this home for F0678 2 times since 2023.
See this home on CMS Care Compare
CMS update of June 24, 2026
- Name
  CMS lists a new legal business name for this home.
CMS update of April 29, 2026
- Star rating
  The CMS staffing star rating changed from 1 of 5 to 4 of 5.
Health inspection on March 4, 2026
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0812. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on March 16, 2026.
  CMS has cited this home for F0812 4 times since 2019.
See this home on CMS Care Compare
CMS update of December 15, 2025
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 1 of 5.
CMS update of November 20, 2025
- Star rating
  The CMS health inspection star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
- Staffing
  Total nurse staffing reported to CMS went from 2.8 to 2.4 hours per resident per day.
Health inspection on November 19, 2025
2 citations
CMS lists this as a complaint inspection.
Show the 2 citations
- Citation F0580. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
  CMS lists it as corrected on January 3, 2026.
- Citation F0842. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  CMS lists it as corrected on January 3, 2026.
See this home on CMS Care Compare
Health inspection on August 5, 2025
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0755. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  CMS lists it as corrected on September 16, 2025.
  CMS has cited this home for F0755 2 times since 2025.
See this home on CMS Care Compare
CMS update of July 30, 2025
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 30, 2025
- Star rating
  The CMS health inspection star rating changed from 3 of 5 to 2 of 5.
Health inspection on March 27, 2025
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0609. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on March 28, 2025.
  CMS has cited this home for F0609 2 times since 2025.
See this home on CMS Care Compare
Health inspection on January 31, 2025
16 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 16 citations
- Citation F0801. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: 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.
  CMS lists it as corrected on March 17, 2025.
- Citation F0802. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
  CMS lists it as corrected on March 17, 2025.
- Citation F0812. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on March 17, 2025.
- Citation F0835. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  CMS lists it as corrected on March 17, 2025.
  CMS has cited this home for F0835 2 times since 2023.
- Citation F0880. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on March 17, 2025.
  CMS has cited this home for F0880 2 times since 2023.
- Citation F0550. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  CMS lists it as corrected on March 17, 2025.
- Citation F0567. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Honor the resident's right to manage his or her financial affairs.
  CMS lists it as corrected on March 17, 2025.
- Citation F0584. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on March 17, 2025.
- Citation F0755. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  CMS lists it as corrected on March 17, 2025.
- Citation F0604. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  CMS lists it as corrected on March 17, 2025.
- Citation F0609. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  CMS lists it as corrected on March 28, 2025.
- Citation F0658. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Ensure services provided by the nursing facility meet professional standards of quality.
  CMS lists it as corrected on March 17, 2025.
- Citation F0695. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe and appropriate respiratory care for a resident when needed.
  CMS lists it as corrected on March 17, 2025.
- Citation F0698. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide safe, appropriate dialysis care/services for a resident who requires such services.
  CMS lists it as corrected on March 17, 2025.
- Citation F0699. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide care or services that was trauma informed and/or culturally competent.
  CMS lists it as corrected on March 17, 2025.
- Citation F0921. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  CMS lists it as corrected on March 17, 2025.
  CMS has cited this home for F0921 2 times since 2023.
See this home on CMS Care Compare
Fire safety inspection on January 31, 2025
9 citations
CMS lists this as a standard inspection and a complaint inspection.
Show the 9 citations
- Citation K0161. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Use approved construction type or materials.
  CMS lists it as corrected on March 17, 2025.
- Citation K0222. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
  CMS lists it as corrected on March 17, 2025.
- Citation K0321. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  CMS lists it as corrected on March 17, 2025.
  CMS has cited this home for K0321 2 times since 2019.
- Citation K0353. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on March 17, 2025.
  CMS has cited this home for K0353 2 times since 2023.
- Citation K0521. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
  CMS lists it as corrected on March 17, 2025.
- Citation K0712. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have simulated fire drills held at unexpected times.
  CMS lists it as corrected on March 17, 2025.
  CMS has cited this home for K0712 2 times since 2019.
- Citation K0914. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
  CMS lists it as corrected on March 17, 2025.
- Citation K0363. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Install corridor and hallway doors that block smoke.
  CMS lists it as corrected on March 17, 2025.
- Citation K0923. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Have proper medical gas storage and administration areas.
  CMS lists it as corrected on March 17, 2025.
See this home on CMS Care Compare
CMS update of December 20, 2024
- Star rating
  The CMS health inspection star rating changed from 2 of 5 to 3 of 5.
CMS update of October 30, 2024
- Staffing
  Total nurse staffing reported to CMS went from 3.6 to 3.2 hours per resident per day.
CMS update of July 31, 2024
- Star rating
  The CMS overall star rating changed from 2 of 5 to 1 of 5.
- Star rating
  The CMS staffing star rating changed from 3 of 5 to 1 of 5. CMS changed how it scores this rating for many homes at once.
- Star rating
  The CMS quality measures star rating changed from 2 of 5 to 1 of 5.
- Staffing
  Total nurse staffing reported to CMS went from 4.1 to 3.6 hours per resident per day.
CMS update of April 25, 2024
- Star rating
  The CMS quality measures star rating changed from 3 of 5 to 2 of 5.
CMS update of January 31, 2024
- Star rating
  The CMS staffing star rating changed from 2 of 5 to 3 of 5.
Health inspection on October 23, 2023
1 citation
CMS lists this as a complaint inspection.
Show the 1 citation
- Citation F0835. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Administer the facility in a manner that enables it to use its resources effectively and efficiently.
  CMS lists it as corrected on November 30, 2023.
See this home on CMS Care Compare
Health inspection on April 14, 2023
12 citations
CMS lists this as a standard inspection.
Show the 12 citations
- Citation F0812. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on May 28, 2023.
- Citation F0921. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
  CMS lists it as corrected on May 28, 2023.
- Citation F0922. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have enough backup water supply for essential areas of the nursing home.
  CMS lists it as corrected on May 28, 2023.
- Citation F0607. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  CMS lists it as corrected on May 28, 2023.
- Citation F0623. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
  CMS lists it as corrected on May 28, 2023.
- Citation F0625. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 28, 2023.
- Citation F0700. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 28, 2023.
  CMS has cited this home for F0700 2 times since 2019.
- Citation F0880. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Provide and implement an infection prevention and control program.
  CMS lists it as corrected on May 28, 2023.
- Citation F0883. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Develop and implement policies and procedures for flu and pneumonia vaccinations.
  CMS lists it as corrected on May 28, 2023.
- Citation F0655. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  CMS lists it as corrected on May 28, 2023.
- Citation F0678. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  CMS lists it as corrected on May 28, 2023.
- Citation F0758. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on May 28, 2023.
See this home on CMS Care Compare
Fire safety inspection on April 14, 2023
1 citation
CMS lists this as a standard inspection.
Show the 1 citation
- Citation K0353. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Inspect, test, and maintain automatic sprinkler systems.
  CMS lists it as corrected on May 28, 2023.
See this home on CMS Care Compare
Health inspection on December 19, 2019
3 citations
CMS lists this as a standard inspection.
Show the 3 citations
- Citation F0812. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  CMS lists it as corrected on January 31, 2020.
- Citation F0693. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on January 31, 2020.
- Citation F0700. Severity D: potential for more than minimal harm, isolated.
  The rule CMS cited: 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.
  CMS lists it as corrected on January 31, 2020.
See this home on CMS Care Compare
Fire safety inspection on December 19, 2019
7 citations
CMS lists this as a standard inspection.
Show the 7 citations
- Citation K0291. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Install emergency lighting that can last at least 1 1/2 hours.
  CMS lists it as corrected on January 31, 2020.
- Citation K0372. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
  CMS lists it as corrected on January 31, 2020.
- Citation K0712. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Have simulated fire drills held at unexpected times.
  CMS lists it as corrected on January 31, 2020.
- Citation K0921. Severity F: potential for more than minimal harm, widespread.
  The rule CMS cited: Ensure that testing and maintenance of electrical equipment is performed.
  CMS lists it as corrected on January 31, 2020.
- Citation K0321. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
  CMS lists it as corrected on January 31, 2020.
- Citation K0355. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Properly select, install, inspect, or maintain portable fire extinguishes.
  CMS lists it as corrected on January 31, 2020.
- Citation K0911. Severity E: potential for more than minimal harm, pattern.
  The rule CMS cited: Meet requirements for the installation and maintenance of electrical systems.
  CMS lists it as corrected on January 31, 2020.
See this home on CMS Care Compare

CMS star ratings

1 of 5CMS overall star rating
1 of 5CMS health inspection star rating
1 of 5CMS staffing star rating
2 of 5CMS quality measures star rating

Facts from CMS

Phone: (417) 754-8711
Last standard health inspection: January 31, 2025 (1 year ago)
Certified beds: 60
Residents per day, on average: 39.2
Ownership type: For profit - Limited Liability company
Legal business name: Humansville SNF Operations LLC
Chain: Not listed by CMS
Takes part in: Medicare and Medicaid

More health citations than the Missouri average (39 vs 36).

Owners and managers

CMS lists these owners and managers for this home. Names are as CMS writes them.

HUMANSVILLE SNF OPERATIONS LLCDirect ownership interest · not applicable · since 07/01/2025
TIDE HEALTH GROUP LLCIndirect ownership interest · not applicable · since 07/01/2025
BRUCE, LELANDIndirect ownership interest · not applicable · since 07/01/2025
GAYTAN, LUCYIndirect ownership interest · not applicable · since 07/01/2025
HIXSON, BROOKEIndirect ownership interest · not applicable · since 07/01/2025

Show 6 more

RAMOS, BRIANIndirect ownership interest · not applicable · since 07/01/2025
THUET, DANIELIndirect ownership interest · not applicable · since 07/01/2025
HUMANSVILLE SNF OPERATIONS LLCOperational/managerial control · not applicable · since 07/01/2025
BEAN, ALICIAOperational/managerial control · not applicable · since 07/01/2025
HARRIS, MICHAELOperational/managerial control · not applicable · since 07/01/2025
RAMOS, BRIANOperational/managerial control · not applicable · since 07/01/2025

Questions

When was Big Spring Care Center for Rehab and Healthcare last inspected?

CMS lists January 31, 2025 as the date of its most recent standard health inspection.

How many citations (violations) does Big Spring Care Center for Rehab and Healthcare have?

CMS lists 39 health citations since December 19, 2019. CMS also calls these deficiencies.

Has Big Spring Care Center for Rehab and Healthcare been fined?

CMS lists no fines for this home in the past three years.

What is the CMS star rating of Big Spring Care Center for Rehab and Healthcare?

Its CMS overall star rating is 1 of 5.

Is Big Spring Care Center for Rehab and Healthcare a Special Focus Facility?

No. CMS does not list it as a Special Focus Facility or a candidate.

Other nursing homes in Humansville

Northwood Hills Care Center

At a glance

Get an email when CMS publishes something new about this home

Check your email

CMS flags

Inspections, fines and changes

CMS update of October 28, 2026

CMS update of July 29, 2026

Health inspection on July 22, 2026

CMS update of June 24, 2026

CMS update of April 29, 2026

Health inspection on March 4, 2026

CMS update of December 15, 2025

CMS update of November 20, 2025

Health inspection on November 19, 2025

Health inspection on August 5, 2025

CMS update of July 30, 2025

CMS update of April 30, 2025

Health inspection on March 27, 2025

Health inspection on January 31, 2025

Fire safety inspection on January 31, 2025

CMS update of December 20, 2024

CMS update of October 30, 2024

CMS update of July 31, 2024

CMS update of April 25, 2024

CMS update of January 31, 2024

Health inspection on October 23, 2023

Health inspection on April 14, 2023

Fire safety inspection on April 14, 2023

Health inspection on December 19, 2019

Fire safety inspection on December 19, 2019

CMS star ratings

Facts from CMS

Owners and managers

Questions

Other nursing homes in Humansville