PlainNursing
CMS Nursing Home Compare · August 2026

Big Bend Woods Healthcare Center

110 Highland Avenue, Valley Park, MO 63088

Big Bend Woods Healthcare Center, a 135-bed for profit - individual nursing facility in Valley Park, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #412 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6362255144

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1 / 5
Much below average · CMS overall · nat'l 3.0
#412 of 479
In-state rank among rated MO homes
2.84
Well below average · nurse hrs/day · nat'l 3.86
50
Inspection findings · 1 serious

The verdict

Big Bend Woods Healthcare Center, a 135-bed for profit - individual nursing facility in Valley Park, MO, holds a 1-star CMS overall rating - below the 3.0-star national average, ranking #412 of 479 rated homes in MO on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

1 / 5
CMS overall · national 3.0
#412 of 479
In-state rank among rated MO homes
2.84
Nurse hrs/resident-day · national 3.86
50
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 487 MO nursing homes split by ownership sector

This facility is recorded as For profit - Individual. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

3/5

Staffing

1/5

Quality Measures

1/5

Long-Stay Quality

4/5

Facility Information

Provider Number
265130
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
Beds
135
Residents
89
In Hospital
No
County
St. Louis
Last Inspection
Sep 12, 2025

Staffing Data

How the 2.84 total nursing hours per resident-day are staffed:

RN Hours
0.23 (nat'l avg: 0.69)
LPN Hours
0.63
CNA Hours
1.99
Total Nursing Hours
2.84 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
67.0%
RN Turnover
60.0%

What the CMS Record Reveals About Big Bend Woods Healthcare Center

According to CMS Nursing Home Compare, Big Bend Woods Healthcare Center ranks #412 of 479 rated nursing homes in MO on overall stars (tie-broken by health+staffing+quality, then fewer fines). Big Bend Woods Healthcare Center operates 135 certified beds in Valley Park, MO with approximately 89 residents currently in care, and carries a CMS overall rating of 1 out of 5 stars (health inspection 3★ · staffing 1★ · quality 1★).

The inspection file contains 50 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $85K levied against this facility. Per resident day, this facility reports 2.84 total nursing hours (national average 3.86) and 0.23 RN hours.

Classified as "For profit - Individual" ownership and operating as a "Medicare and Medicaid" provider, Big Bend Woods Healthcare Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 67.0% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (50 most recent)

D - Isolated - Minimal harm Sep 12, 2025 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 6, 2025

D - Isolated - Minimal harm Sep 12, 2025 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 6, 2025

D - Isolated - Minimal harm Sep 12, 2025 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 6, 2025

D - Isolated - Minimal harm Sep 12, 2025 Tag: 0558

Reasonably accommodate the needs and preferences of each resident.

Category: Resident Rights Deficiencies

Corrected: Oct 6, 2025

D - Isolated - Minimal harm Sep 12, 2025 Tag: 0557

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

Category: Resident Rights Deficiencies

Corrected: Oct 6, 2025

E - Pattern - Minimal harm Sep 12, 2025 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Oct 6, 2025

E - Pattern - Minimal harm Sep 12, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 6, 2025

E - Pattern - Minimal harm Sep 12, 2025 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Oct 6, 2025

E - Pattern - Minimal harm Sep 12, 2025 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Oct 6, 2025

D - Isolated - Minimal harm Mar 19, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 11, 2025

C - Widespread - No harm Feb 8, 2024 Tag: 0623

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Category: Resident Rights Deficiencies

Corrected: Mar 16, 2024

C - Widespread - No harm Feb 8, 2024 Tag: 0577

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Category: Resident Rights Deficiencies

Corrected: Mar 16, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Mar 16, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 16, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Mar 16, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0677

Provide care and assistance to perform activities of daily living for any resident who is unable.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Mar 27, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0584

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.

Category: Resident Rights Deficiencies

Corrected: Mar 16, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Mar 16, 2024

D - Isolated - Minimal harm Feb 8, 2024 Tag: 0569

Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Category: Resident Rights Deficiencies

Corrected: Mar 16, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 16, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 0804

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 16, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 0679

Provide activities to meet all resident's needs.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Mar 16, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 0585

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.

Category: Resident Rights Deficiencies

Corrected: Mar 16, 2024

E - Pattern - Minimal harm Feb 8, 2024 Tag: 0568

Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.

Category: Resident Rights Deficiencies

Corrected: Mar 16, 2024

F - Widespread - Minimal harm Feb 8, 2024 Tag: 0801

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.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 16, 2024

G - Isolated - Actual harm Feb 8, 2024 Tag: 0688

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.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 16, 2024

D - Isolated - Minimal harm Dec 6, 2023 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

Corrected: Dec 22, 2023

D - Isolated - Minimal harm May 24, 2021 Tag: 0867

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

Category: Administration Deficiencies

Corrected: Jul 3, 2021

D - Isolated - Minimal harm May 24, 2021 Tag: 0693

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 3, 2021

D - Isolated - Minimal harm May 24, 2021 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 3, 2021

D - Isolated - Minimal harm May 24, 2021 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 3, 2021

D - Isolated - Minimal harm May 24, 2021 Tag: 0609

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 3, 2021

D - Isolated - Minimal harm May 24, 2021 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 3, 2021

D - Isolated - Minimal harm May 24, 2021 Tag: 0583

Keep residents' personal and medical records private and confidential.

Category: Resident Rights Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0919

Make sure that a working call system is available in each resident's bathroom and bathing area.

Category: Environmental Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0909

Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

Category: Environmental Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0842

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0761

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.

Category: Pharmacy Service Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0759

Ensure medication error rates are not 5 percent or greater.

Category: Pharmacy Service Deficiencies

Corrected: Jul 20, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0730

Observe each nurse aide's job performance and give regular training.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0726

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Category: Nursing and Physician Services Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0700

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.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0690

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 3, 2021

E - Pattern - Minimal harm May 24, 2021 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 3, 2021

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 5.3% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.3% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 4.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.6% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.4% Yes
Percentage of long-stay residents who lose too much weight Long Stay 6.4% No
Percentage of long-stay residents who have depressive symptoms Long Stay 81.1% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 86.9% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 28.9% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 94.6% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 10.0% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 61.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 52.9% No

Penalty History 1 penalties totaling $85K

Date Type Amount
Feb 8, 2024 Fine $85K
Feb 8, 2024 Payment Denial -

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Big Bend Woods Healthcare Center, both outside MO so the neighborhoods are not the same-state geography list below.

What the CMS records show for Big Bend Woods Healthcare Center

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The MO registry aggregates state averages and the highest-rated homes in this cohort. View MO registry
  • Peer homes near 135 beds show how CMS stars vary at a similar scale in MO. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Big Bend Woods Healthcare Center?
Big Bend Woods Healthcare Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (3★), staffing levels (1★), and quality measures (1★).
Where does Big Bend Woods Healthcare Center rank among nursing homes in MO?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Big Bend Woods Healthcare Center ranks 412th among 479 rated nursing homes in MO (#412 of 479). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Big Bend Woods Healthcare Center?
Big Bend Woods Healthcare Center reports 2.84 total nursing hours per resident day (national average: 3.86). RN hours are 0.23 per resident day (national average: 0.69). Nursing staff turnover is 67.0%.
How many beds does Big Bend Woods Healthcare Center have?
Big Bend Woods Healthcare Center has 135 certified beds with approximately 89 residents. The facility is located at 110 Highland Avenue, Valley Park, MO 63088.
Does Big Bend Woods Healthcare Center have any deficiencies on record?
Yes, Big Bend Woods Healthcare Center has 50 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Big Bend Woods Healthcare Center received any fines or penalties?
Yes, Big Bend Woods Healthcare Center has received 1 penalties totaling $85K.
Who owns Big Bend Woods Healthcare Center?
Big Bend Woods Healthcare Center is classified as "For profit - Individual" ownership. The facility type is "Medicare and Medicaid".
When was Big Bend Woods Healthcare Center last inspected?
The most recent health inspection for Big Bend Woods Healthcare Center was on Sep 12, 2025. The facility received a health inspection rating of 3 out of 5 stars.
What quality measures are tracked for Big Bend Woods Healthcare Center?
Big Bend Woods Healthcare Center is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.
Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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