All states › Missouri › Humansville › Big Spring Care Center for Rehab and Healthcare
202 East Mill Street Humansville, MO 65674 · Polk County
All 2 nursing homes in Humansville, MO (2 take Medicaid)
CMS certification number 265573 · See this home on Medicare Care Compare
Is Big Spring Care Center for Rehab and Healthcare a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Big Spring Care Center for Rehab and Healthcare as of October 2026.
CMS rates it 1 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.15 hours per resident per day at Big Spring Care Center for Rehab and Healthcare, below the Missouri median of 3.37 (US median: 3.72). About 0.53 of those hours are from registered nurses. On weekends it falls to 2.69 hours, 15% below its all-week average. 73.9% of nursing staff left within a year (Missouri median 56.8%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there. 3 administrators left in the past year.
About this nursing home
Paying for care at Big Spring Care Center for Rehab and Healthcare: Medicare and Medicaid
Big Spring Care Center for Rehab and Healthcare is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on January 31, 2025 and found 13 deficiencies, plus 8 from complaint inspections in the same period. In total, inspectors issued 39 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 39 citations at Big Spring Care Center for Rehab and Healthcare across 9 inspection dates, 11 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 39 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (8) and resident rights (7). The most serious was cited under the CMS rule to "procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards" (tag F0812, level F, March 4, 2026). 4 citations were under CMS's abuse, neglect and exploitation rules.
July 22, 2026 · 2 citations · includes complaint inspection
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
March 4, 2026 · 1 citation · includes complaint inspection
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
November 19, 2025 · 2 citations · includes complaint inspection
EImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
August 5, 2025 · 1 citation · includes complaint inspection
DProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
March 27, 2025 · 1 citation · includes complaint inspection
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
January 31, 2025 · 16 citations · includes complaint inspection
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
FProvide and implement an infection prevention and control program.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
EHonor the resident's right to manage his or her financial affairs.
EHonor 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.
EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
DEnsure services provided by the nursing facility meet professional standards of quality.
DProvide safe and appropriate respiratory care for a resident when needed.
DProvide safe, appropriate dialysis care/services for a resident who requires such services.
DProvide care or services that was trauma informed and/or culturally competent.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
October 23, 2023 · 1 citation · includes complaint inspection
FAdminister the facility in a manner that enables it to use its resources effectively and efficiently.
April 14, 2023 · 12 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
FHave enough backup water supply for essential areas of the nursing home.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
ENotify 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.
ETry 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.
EProvide and implement an infection prevention and control program.
EDevelop and implement policies and procedures for flu and pneumonia vaccinations.
DCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
DProvide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
DImplement 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.
December 19, 2019 · 3 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
DEnsure 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.
DTry 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.
Questions to ask on a tour of Big Spring Care Center for Rehab and Healthcare
- CMS cited the home under its abuse and neglect rules on March 27, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 1 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Nursing staff turnover was 73.9% a year. How many of the staff come from agencies?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 2 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
CMS reports no fines or payment denials for this home in the last three years.
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 1/5 | 1/5 | 2/5 |
| August 2026 | 1/5 | 1/5 | 1/5 | 1/5 |
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Location
Hospitals near Big Spring Care Center for Rehab and Healthcare
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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14.2 mi
Citizens Memorial Hospital BolivarEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 3h 6m for patients treated and sent home
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24.6 mi
Cedar County Memorial Hospital El Dorado SpringsEmergency roomMedian ER visit 1h 46m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Big Spring Care Center for Rehab and Healthcare › All nursing homes in Humansville ›
Compare Big Spring Care Center for Rehab and Healthcare with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Northwood Hills Care Center · Humansville · 2 stars · 0.9 mi
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.