Nursing home · Humansville, MO
Big Spring Care Center for Rehab and Healthcare
202 East Mill Street, Humansville, MO 65674 · 60 certified beds · for profit ownership
Source: CMS Provider Data, processed Sep 1, 2026.
The latest inspection, in plain English
Inspectors' most recent visit in the CMS data was on Jul 22, 2026, when they cited 2 problems from complaint investigations. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Jan 31, 2025) it had 21 citations, compared with an average of 11.0 for Nevada-area homes, 11.4 in Missouri and 9.2 nationally.
Staffing and turnover
Nursing staff spend 3.35 hours per resident per day here, about the same as the Missouri average (3.43) and 13% less than the U.S. average (3.86). Registered nurses account for 0.47 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 76% over the past year, 20 points higher than Missouri (56%) and 30 points higher than the U.S. (46%).
How Big Spring Care Center for Rehab and Healthcare compares
This home's latest CMS figures next to the averages for Nevada-area homes (16), Missouri (487) and the U.S. (14,680).
| This home | Nevada area | Missouri | U.S. | |
|---|---|---|---|---|
| Total nurse hours per resident per day | 3.35 | 3.35 | 3.43 | 3.86 |
| Registered nurse hours per resident per day | 0.47 | 0.46 | 0.46 | 0.68 |
| Weekend nurse hours per resident per day | 3.02 | 2.93 | 3.01 | 3.42 |
| Nursing staff turnover (past year) | 76% | 52% | 56% | 46% |
| Registered nurse turnover (past year) | 80% | 44% | 48% | 43% |
| Citations at the most recent standard inspection | 21 | 11.0 | 11.4 | 9.2 |
Inspection history
Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.
Medicare does not publish past star ratings in its current data, so we show inspection history instead.
Most recent 39 of 39 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).
Show all citations
| Date | Deficiency | Severity | Status |
|---|---|---|---|
| Jul 22, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | E | Deficient, Provider has no plan of correction |
| Jul 22, 2026 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentâs advance directives. Quality of life and care · complaint | D | Deficient, Provider has no plan of correction |
| Mar 4, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary · complaint | F | Deficient, Provider has date of correction |
| Nov 19, 2025 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Nov 19, 2025 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident assessment and care planning · complaint | D | Deficient, Provider has date of correction |
| Aug 5, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service · complaint | D | Deficient, Provider has date of correction |
| Mar 27, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jan 31, 2025 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from abuse, neglect, and exploitation | D | Deficient, Provider has date of correction |
| Jan 31, 2025 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental | D | Deficient, Provider has date of correction |
| Jan 31, 2025 | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 31, 2025 | Provide safe and appropriate respiratory care for a resident when needed. Quality of life and care · complaint | D | Deficient, Provider has date of correction |
| Jan 31, 2025 | Ensure services provided by the nursing facility meet professional standards of quality. Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Jan 31, 2025 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from abuse, neglect, and exploitation · complaint | D | Deficient, Provider has date of correction |
| Jan 31, 2025 | Provide care or services that was trauma informed and/or culturally competent. Quality of life and care | D | Deficient, Provider has date of correction |
| Jan 31, 2025 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy service | E | Deficient, Provider has date of correction |
| Jan 31, 2025 | Honor the resident's right to manage his or her financial affairs. Resident rights | E | Deficient, Provider has date of correction |
| Jan 31, 2025 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident rights | E | Deficient, Provider has date of correction |
| Jan 31, 2025 | Provide and implement an infection prevention and control program. Infection control | F | Deficient, Provider has date of correction |
| Jan 31, 2025 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration | F | Deficient, Provider has date of correction |
| Jan 31, 2025 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jan 31, 2025 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jan 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. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Jan 31, 2025 | 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. Resident rights · complaint | E | Deficient, Provider has date of correction |
| Oct 23, 2023 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration · complaint | F | Deficient, Provider has date of correction |
| Apr 14, 2023 | Provide and implement an infection prevention and control program. Infection control | E | Deficient, Provider has date of correction |
| Apr 14, 2023 | 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. Pharmacy service | D | Deficient, Provider has date of correction |
| Apr 14, 2023 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the residentâs advance directives. Quality of life and care | D | Deficient, Provider has date of correction |
| Apr 14, 2023 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident assessment and care planning | D | Deficient, Provider has date of correction |
| Apr 14, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection control | E | Deficient, Provider has date of correction |
| Apr 14, 2023 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from abuse, neglect, and exploitation | E | Deficient, Provider has date of correction |
| Apr 14, 2023 | 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. Quality of life and care | E | Deficient, Provider has date of correction |
| Apr 14, 2023 | Notify the resident or the residentâs representative in writing how long the nursing home will hold the residentâs bed in cases of transfer to a hospital or therapeutic leave. Resident rights | E | Deficient, Provider has date of correction |
| Apr 14, 2023 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident rights | E | Deficient, Provider has date of correction |
| Apr 14, 2023 | Have enough backup water supply for essential areas of the nursing home. Environmental | F | Deficient, Provider has date of correction |
| Apr 14, 2023 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental | F | Deficient, Provider has date of correction |
| Apr 14, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Dec 19, 2019 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and dietary | F | Deficient, Provider has date of correction |
| Dec 19, 2019 | 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. Quality of life and care | D | Deficient, Provider has date of correction |
| Dec 19, 2019 | 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. Quality of life and care | D | Deficient, Provider has date of correction |
Fines and penalties
No federal fines or payment denials reported by CMS in the past three years.
Location
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Reviews
No family reviews yet. Reviews from residents and families will appear here, kept separate from government data.
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Questions about Big Spring Care Center for Rehab and Healthcare
Answers computed from CMS data for this facility.
What is Big Spring Care Center for Rehab and Healthcare's Medicare rating?
Medicare rates Big Spring Care Center for Rehab and Healthcare 1 out of 5 stars overall (much below average). The average for Nevada-area nursing homes is 2.4, for Missouri 2.51 and for the U.S. 2.99.
How did Big Spring Care Center for Rehab and Healthcare do on its last inspection?
Inspectors' most recent visit in the CMS data was on Jul 22, 2026, when they cited 2 problems from complaint investigations. The most common area was resident rights (1 citation). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 2 are marked corrected in the CMS data. At its most recent standard inspection (Jan 31, 2025) it had 21 citations, compared with an average of 11.0 for Nevada-area homes, 11.4 in Missouri and 9.2 nationally.
Has Big Spring Care Center for Rehab and Healthcare been fined?
CMS reports no federal fines for this facility in the past three years.
Does Big Spring Care Center for Rehab and Healthcare accept Medicaid?
Big Spring Care Center for Rehab and Healthcare is certified for both Medicare and Medicaid. Call (417) 754-8711 to ask whether a Medicaid bed is open.
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- 3/5Community Springs Healthcare FacilityEl Dorado Springs · 120 beds
Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.