All states › Texas › Big Spring › Big Spring Center for Skilled Care
3701 Wasson Road Big Spring, TX 79720 · Howard County
All 3 nursing homes in Big Spring, TX (3 take Medicaid)
CMS certification number 676380 · See this home on Medicare Care Compare
Is Big Spring Center for Skilled Care 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 Center for Skilled Care as of October 2026.
CMS rates it 4 out of 5 stars overall, above the Texas average of 2.8.
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 3.11 hours per resident per day at Big Spring Center for Skilled Care, below the Texas median of 3.30 (US median: 3.72). About 0.37 of those hours are from registered nurses. On weekends it falls to 2.67 hours, 14% below its all-week average. 37.3% of nursing staff left within a year (Texas median 50.2%). That is lower than most homes in Texas, a sign of a steadier team. 3 administrators left in the past year.
About this nursing home
Paying for care at Big Spring Center for Skilled Care: Medicare and Medicaid
Big Spring Center for Skilled Care 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 Texas'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 April 24, 2026 and found 4 deficiencies, plus 1 from complaint inspections in the same period. In total, inspectors issued 28 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 28 citations at Big Spring Center for Skilled Care across 8 inspection dates, 11 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on May 14, 2024. The most common areas cited were resident rights (7) and freedom from abuse, neglect, and exploitation (4). The most serious was cited under the CMS rule to "ensure that residents are free from significant medication errors" (tag F0760, level G, May 14, 2024). 4 citations were under CMS's abuse, neglect and exploitation rules.
August 12, 2026 · 1 citation · includes complaint inspection
DEnsure 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.
April 24, 2026 · 4 citations
EHave a policy regarding use and storage of foods brought to residents by family and other visitors.
DCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DProvide and implement an infection prevention and control program.
March 31, 2025 · 2 citations · includes complaint inspection
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
DNotify 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.
February 27, 2025 · 4 citations
EHonor 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.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DPASARR screening for Mental disorders or Intellectual Disabilities
October 11, 2024 · 2 citations · includes complaint inspection
DHonor 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.
DDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
May 14, 2024 · 3 citations, includes actual harm · includes complaint inspection
GEnsure that residents are free from significant medication errors.
DImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
March 19, 2024 · 3 citations · includes complaint inspection
EProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
EEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
January 25, 2024 · 9 citations
EEnsure residents have reasonable access to and privacy in their use of communication methods.
EEnsure each resident’s drug regimen must be free from unnecessary drugs.
EEnsure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EProvide and implement an infection prevention and control program.
DHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
Questions to ask on a tour of Big Spring Center for Skilled Care
- Inspectors cited the home at the actual-harm level on May 14, 2024 under the rule on pharmacy service. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on March 31, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Several administrators left in the past year. What has changed for residents since then?
- CMS rates short-stay quality 1 out of 5. How often do rehab patients go back to the hospital, and how many therapy sessions a week are typical?
- The home averages about 47% of its beds filled. Are any units closed?
- 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
1 penalty in the last three years, including $8,184 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 14, 2024 | Fine | $8,184 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 2/5 | 3/5 |
| August 2026 | 3/5 | 4/5 | 1/5 | 3/5 |
Add this rating badge to your websiteFree. Shows Big Spring Center for Skilled Care's Medicare star rating and updates itself.
Size and colour
Preview
Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.
Location
Hospitals near Big Spring Center for Skilled Care
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
1.8 mi
Scenic Mountain Medical Center Big SpringEmergency roomMedian ER visit 2h 0m for patients treated and sent home
- 4.1 mi
-
18.1 mi
Martin County Hospital District StantonEmergency roomMedian ER visit 2h 0m 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 Center for Skilled Care › All nursing homes in Big Spring ›
Compare Big Spring Center for Skilled Care with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- Lamun-Lusk-Sanchez Texas State Veterans Home · Big Spring · 5 stars · 4.0 mi
Other Creative Solutions In Healthcare nursing homes in Texas
- Avalon Place Kirbyville · Kirbyville · 5 stars
- Great Plains Nursing and Rehabilitation · Dumas · 5 stars
- Devine Health & Rehabilitation · Devine · 5 stars
- Oak Ridge Manor · Brownwood · 5 stars
- Shady Oak Nursing and Rehabilitation · Moulton · 5 stars
- Heritage House Nursing and Rehabilitation · Rosebud · 5 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 150 Creative Solutions In Healthcare nursing homes ›
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.