Big Spring Care Center for Rehab and Healthcare
202 East Mill Street · Humansville, MO · 65674 · 4177548711
60 certified beds For profit - Limited Liability company Chain: Prime Healthcare Management
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
71% 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: 1 of 5 Inspections: 1 of 5 Staffing: 4 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 5.89 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.62 | 0.55–0.75 |
| Weekend hours / resident-day | 5.46 | ≈ weekday level |
| Nursing turnover / year | 71% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (37 in the current record)
-
Potential for harm · F March 4, 2026 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 16, 2026 · Nutrition and Dietary
-
Potential for harm · E November 19, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 3, 2026 · Resident Rights
-
Potential for harm · D November 19, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected January 3, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D August 5, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 16, 2025 · Pharmacy Service
-
Potential for harm · D March 27, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E January 31, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 17, 2025 · Resident Rights
-
Potential for harm · E January 31, 2025
Honor the resident's right to manage his or her financial affairs.
Corrected March 17, 2025 · Resident Rights
-
Potential for harm · D January 31, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected March 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 31, 2025
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected March 17, 2025 · Resident Assessment and Care Planning
-
Potential for harm · D January 31, 2025
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected March 17, 2025 · Quality of Life and Care
-
Potential for harm · D January 31, 2025
Provide care or services that was trauma informed and/or culturally competent.
Corrected March 17, 2025 · Quality of Life and Care
-
Potential for harm · E January 31, 2025
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected March 17, 2025 · Pharmacy Service
-
Potential for harm · F January 31, 2025
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 17, 2025 · Nutrition and Dietary
-
Potential for harm · F January 31, 2025
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected March 17, 2025 · Nutrition and Dietary
-
Potential for harm · F January 31, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected March 17, 2025 · Nutrition and Dietary
-
Potential for harm · F January 31, 2025
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected March 17, 2025 · Administration
-
Potential for harm · F January 31, 2025
Provide and implement an infection prevention and control program.
Corrected March 17, 2025 · Infection Control
-
Potential for harm · D January 31, 2025
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected March 17, 2025 · Environmental
-
Potential for harm · E January 31, 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 March 17, 2025 · Resident Rights
-
Potential for harm · D January 31, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected March 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D January 31, 2025 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected March 17, 2025 · Quality of Life and Care
-
Potential for harm · F October 23, 2023 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected November 30, 2023 · Administration
-
Potential for harm · E April 14, 2023
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 28, 2023 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E April 14, 2023
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 28, 2023 · Resident Rights
-
Potential for harm · E April 14, 2023
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.
Corrected May 28, 2023 · Resident Rights
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265573 · certified since June 3, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.