Senior CareScorecard

Nursing home · Valley Park, MO

Big Bend Woods Healthcare Center

110 Highland Avenue, Valley Park, MO 63088 · 135 certified beds · for profit ownership

Medicare & MedicaidFined $85,176 in 3 years
Medicare overall rating1 / 5Much below averageSt. Louis area 2.1 · Missouri 2.51 · U.S. 2.99
3/5Health inspections Average
1/5Staffing Much below average
1/5Quality measures Much below average
1/5Short-stay (rehab) quality Much below average
4/5Long-stay quality Above average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on Sep 12, 2025, when they cited 9 problems, 4 of them from complaint investigations. The most common area was resident rights (3 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 9 are marked corrected in the CMS data. At its most recent standard inspection (Sep 12, 2025) it had 9 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 2.84 hours per resident per day here, 17% less than the Missouri average (3.43) and 26% less than the U.S. average (3.86). Registered nurses account for 0.23 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 67% over the past year, 11 points higher than Missouri (56%) and 21 points higher than the U.S. (46%).

How Big Bend Woods Healthcare Center compares

This home's latest CMS figures next to the averages for St. Louis-area homes (97), Missouri (487) and the U.S. (14,680).

This homeSt. Louis areaMissouriU.S.
Total nurse hours per resident per day2.843.663.433.86
Registered nurse hours per resident per day0.230.430.460.68
Weekend nurse hours per resident per day2.523.223.013.42
Nursing staff turnover (past year)67%58%56%46%
Registered nurse turnover (past year)60%56%48%43%
Citations at the most recent standard inspection914.711.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

Sep 12, 20259standard + complaint
Mar 19, 20251complaint
Feb 8, 202419standard · 1 harm-level citation
Dec 6, 20231complaint
May 24, 202127standard · 2 harm-level citations

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 40 of 57 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
Sep 12, 2025Honor 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
EDeficient, Provider has date of correction
Sep 12, 2025Ensure medication error rates are not 5 percent or greater.
Pharmacy service · complaint
EDeficient, Provider has date of correction
Sep 12, 2025Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Sep 12, 2025Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental
EDeficient, Provider has date of correction
Sep 12, 2025Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident rights · complaint
DDeficient, Provider has date of correction
Sep 12, 2025Reasonably accommodate the needs and preferences of each resident.
Resident rights
DDeficient, Provider has date of correction
Sep 12, 2025Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Sep 12, 2025Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care · complaint
DDeficient, Provider has date of correction
Sep 12, 2025Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
DDeficient, Provider has date of correction
Mar 19, 2025Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from abuse, neglect, and exploitation · complaint
DPast Non-Compliance
Feb 8, 2024Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident rights
DDeficient, Provider has date of correction
Feb 8, 2024Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident rights
CDeficient, Provider has date of correction
Feb 8, 2024Provide and implement an infection prevention and control program.
Infection control
DDeficient, Provider has date of correction
Feb 8, 2024Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident assessment and care planning
DDeficient, Provider has date of correction
Feb 8, 2024Ensure 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.
Pharmacy service
DDeficient, Provider has date of correction
Feb 8, 2024Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of life and care
DDeficient, Provider has date of correction
Feb 8, 2024Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction
Feb 8, 2024Honor 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
DDeficient, Provider has date of correction
Feb 8, 2024Keep residents' personal and medical records private and confidential.
Resident rights
DDeficient, Provider has date of correction
Feb 8, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
CDeficient, Provider has date of correction
Feb 8, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
EDeficient, Provider has date of correction
Feb 8, 2024Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
EDeficient, Provider has date of correction
Feb 8, 2024Provide activities to meet all resident's needs.
Quality of life and care
EDeficient, Provider has date of correction
Feb 8, 2024Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Feb 8, 2024Honor 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.
Resident rights
EDeficient, Provider has date of correction
Feb 8, 2024Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident rights
EDeficient, Provider has date of correction
Feb 8, 2024Employ 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
FDeficient, Provider has date of correction
Feb 8, 2024Provide 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.
Quality of life and care
G actual harmDeficient, Provider has date of correction
Feb 8, 2024Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary
EDeficient, Provider has date of correction
Dec 6, 2023Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Quality of life and care · complaint
DDeficient, Provider has date of correction
May 24, 2021Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental
EDeficient, Provider has date of correction
May 24, 2021Ensure 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.
Pharmacy service
EDeficient, Provider has date of correction
May 24, 2021Ensure 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.
Nutrition and dietary
EDeficient, Provider has date of correction
May 24, 2021Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Resident assessment and care planning
EDeficient, Provider has date of correction
May 24, 2021Regularly 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.
Environmental
EDeficient, Provider has date of correction
May 24, 2021Provide enough food/fluids to maintain a resident's health.
Quality of life and care
DDeficient, Provider has date of correction
May 24, 2021Keep residents' personal and medical records private and confidential.
Resident rights
DDeficient, Provider has date of correction
May 24, 2021Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
May 24, 2021Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from abuse, neglect, and exploitation
DDeficient, Provider has date of correction
May 24, 2021Ensure services provided by the nursing facility meet professional standards of quality.
Resident assessment and care planning
DDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
Feb 8, 2024Fine$85,176
Feb 8, 2024Payment Denial12 days

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Questions about Big Bend Woods Healthcare Center

Answers computed from CMS data for this facility.

What is Big Bend Woods Healthcare Center's Medicare rating?

Medicare rates Big Bend Woods Healthcare Center 1 out of 5 stars overall (much below average). The average for St. Louis-area nursing homes is 2.1, for Missouri 2.51 and for the U.S. 2.99.

How did Big Bend Woods Healthcare Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on Sep 12, 2025, when they cited 9 problems, 4 of them from complaint investigations. The most common area was resident rights (3 citations). None rose to the level of actual harm; the most serious was severity code E, on a scale from A to L. 0 of 9 are marked corrected in the CMS data. At its most recent standard inspection (Sep 12, 2025) it had 9 citations, compared with an average of 14.7 for St. Louis-area homes, 11.4 in Missouri and 9.2 nationally.

Has Big Bend Woods Healthcare Center been fined?

Yes. CMS reports 1 fine totaling $85,176 in the past three years.

Does Big Bend Woods Healthcare Center accept Medicaid?

Big Bend Woods Healthcare Center is certified for both Medicare and Medicaid. Call (636) 225-5144 to ask whether a Medicaid bed is open.

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.