Big Spring Care Center for Rehab and Healthcare

Nursing Home · Humansville, MO

CMS overall rating 1/5 For profit - Limited Liability company

CMS certification number265573

Contact & location

202 East Mill Street
Humansville, MO 65674
Polk County
Phone
(417) 754-8711
ZIP code
65674 – all care providers

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Facility details

Certified beds
60
Residents per day
37.6 (63% occupied)
Ownership
For profit - Limited Liability company
Legal name
Humansville SNF Operations LLC
Medicare certified since
June 3, 1994
Participates in
Medicare and Medicaid
Council
Resident council

CMS star ratings

Overall★★★★★ 1/5
State avg 2.5
Health inspections★★★★★ 1/5
State avg 2.8
Staffing★★★★★ 1/5
State avg 2.2
Quality measures★★★★★ 1/5
State avg 2.7
Long-stay quality★★★★★ 1/5
Short-stay quality★★★★★ 1/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing
3.35 (state 3.43 · U.S. 3.86)
Registered nurses (RN)
0.47 (state 0.46 · U.S. 0.69)
Licensed practical nurses
0.52 (state 0.68 · U.S. 0.86)
Nurse aides
2.36 (state 2.29 · U.S. 2.32)
Weekend total
3.02 (state 3.02 · U.S. 3.42)
Nursing staff turnover
76.3 (state 56.0 · U.S. 45.8)%
RN turnover
80.0 (state 47.8 · U.S. 42.9)%
Administrators who left
2 in the last year

Inspections

Last standard inspection
January 31, 2025
Health deficiencies (last cycle)
20.0 (state 11.5 · U.S. 9.3)
From complaints
7
Citations on record (3 years)
37 health · 17 fire safety
DateCitationSeverityStatus
2026-03-04 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2026-03-16
2025-11-19 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
F0580 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2026-01-03
2025-11-19 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
F0842 · Resident Assessment and Care Planning Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2026-01-03
2025-08-05 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-09-16
2025-03-27 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-28
2025-01-31 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.
F0801 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
F0802 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
F0550 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Honor the resident's right to manage his or her financial affairs.
F0567 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 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.
F0584 · Resident Rights Deficiencies · complaint inspection		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
F0755 · Pharmacy Service Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
F0604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-28
2025-01-31 Ensure services provided by the nursing facility meet professional standards of quality.
F0658 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Provide safe and appropriate respiratory care for a resident when needed.
F0695 · Quality of Life and Care Deficiencies · complaint inspection		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Provide safe, appropriate dialysis care/services for a resident who requires such services.
F0698 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Provide care or services that was trauma informed and/or culturally competent.
F0699 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2025-01-31 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2025-03-17
2023-10-23 Administer the facility in a manner that enables it to use its resources effectively and efficiently.
F0835 · Administration Deficiencies · complaint inspection		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-11-30
2023-04-14 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
F0921 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 Have enough backup water supply for essential areas of the nursing home.
F0922 · Environmental Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 Develop and implement policies and procedures to prevent abuse, neglect, and theft.
F0607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
F0623 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 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.
F0625 · Resident Rights Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 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.
F0700 · Quality of Life and Care Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 Provide and implement an infection prevention and control program.
F0880 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 Develop and implement policies and procedures for flu and pneumonia vaccinations.
F0883 · Infection Control Deficiencies		 E
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
F0655 · Resident Assessment and Care Planning Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
F0678 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2023-04-14 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.
F0758 · Pharmacy Service Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2023-05-28
2019-12-19 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F0812 · Nutrition and Dietary Deficiencies		 F
No actual harm, potential for more than minimal harm		 Corrected 2020-01-31
2019-12-19 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.
F0693 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-01-31
2019-12-19 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.
F0700 · Quality of Life and Care Deficiencies		 D
No actual harm, potential for more than minimal harm		 Corrected 2020-01-31

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

No federal fines or payment denials in the last three years.

Ownership & management

NameRoleSince
202 E Mill Street LLC (organization)Administrator · NOT APPLICABLE
Bean, Alicia (individual)Administrator · NOT APPLICABLE
Harris, Michael (individual)Administrator · NOT APPLICABLE
Humansville SNF Operations LLC (organization)Administrator · NOT APPLICABLE
Ramos, Brian (individual)Administrator · NOT APPLICABLE
Strawberry Fields Realty LP (organization)Administrator · NOT APPLICABLE
Strawberry Fields Reit INC (organization)Administrator · NOT APPLICABLE
Strawberry Fields Reit LTD (organization)Administrator · NOT APPLICABLE
Humansville SNF Operations LLC (organization)Direct Ownership Interest · NOT APPLICABLE
Bruce, Leland (individual)Indirect Ownership Interest · NOT APPLICABLE
Gaytan, Lucy (individual)Indirect Ownership Interest · NOT APPLICABLE
Hixson, Brooke (individual)Indirect Ownership Interest · NOT APPLICABLE
Ramos, Brian (individual)Indirect Ownership Interest · NOT APPLICABLE
Thuet, Daniel (individual)Indirect Ownership Interest · NOT APPLICABLE
Tide Health Group LLC (organization)Indirect Ownership Interest · NOT APPLICABLE
Bean, Alicia (individual)Operational/managerial Control · NOT APPLICABLE
Harris, Michael (individual)Operational/managerial Control · NOT APPLICABLE
Humansville SNF Operations LLC (organization)Operational/managerial Control · NOT APPLICABLE
Ramos, Brian (individual)Operational/managerial Control · NOT APPLICABLE

Frequently asked questions

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

Big Spring Care Center for Rehab and Healthcare has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 2.5-star average in Missouri.

How many beds does Big Spring Care Center for Rehab and Healthcare have?

It has 60 certified beds and cares for about 38 residents per day.

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

CMS lists no federal fines or payment denials in the last three years.

What is the phone number of Big Spring Care Center for Rehab and Healthcare?

(417) 754-8711. The facility is located at 202 East Mill Street, Humansville, MO 65674.

Other nursing homes in Humansville

Compare all nursing homes in Humansville, MO →

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.