Big Spring Care Center for Rehab and Healthcare
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 19 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (20 vs median 10)
- High staff turnover (77%)
- High RN turnover (83%)
Bottom 25% in MO · Critically understaffed (RN) · Very high staff turnover · Worst in PRIME HEALTHCARE MANAGEMENT chain · No penalties on record
What this means for your family
While some families report a warm and engaging environment, the facility has faced serious allegations regarding medical neglect and basic care standards. If you are considering this facility, we strongly recommend conducting an unannounced visit and asking specifically about their protocols for monitoring hydration, nutrition, and skin integrity.
Google Reviews
Google Reviews
19 reviews on Google“Big Spring Care Center presents a stark contrast between glowing reviews praising the staff's compassion and serious allegations of neglect. While some families highlight a warm, engaging environment, others report critical failures in medical care, including malnutrition, dehydration, and the development of fatal pressure sores.”
Quality Themes
Tap a score for detailsStrengths
- Warm, compassionate nursing staff
- Engaging resident activities and events
- Effective short-term rehab services
Concerns
- Serious medical neglect and lack of basic care (mentioned by 2 reviewers)
- Unprofessional and rude staff interactions (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 21 analyzed
How They Respond to Reviews
This facility rarely responds to reviews.
Questions for Your Tour
- 1Given the recent feedback regarding communication, what is the best way for our family to stay updated on our loved one's daily health status and care plan?
- 2I noticed the facility has a strong reputation for resident activities; could you walk me through the current social calendar and how you encourage residents to participate?
- 3With the current CMS staffing ratings, how do you ensure that residents receive timely assistance with basic daily needs like hygiene and mobility?
- 4We understand that medication management is a critical priority; what specific protocols are in place to ensure accuracy and prevent errors for residents?
- 5How does your nursing team handle medical emergencies, and what is your process for coordinating with local hospitals if a resident's condition changes suddenly?
- 6I see that you have responded to some online feedback; how does your leadership team use family input to make improvements to the dining experience and overall quality of care?
Personalized based on this facility's data
Key Review Excerpts
“Father in law was only at Facility a week and ended up back in ICU due to Malnutrition and Severely dehydration. His temperature was 90 degrees, pulse was in the 40’s and blood pressure was 80/40’s.”
“My mom stayed here, ONLY because I had covid. They neglected her in every way, and she developed a bedsore, and it ultimately caused septic shock, and she passed Sept 24th 2021.”
“The staff are very caring to the residents here. They treat them like family. They go above and beyond to help residents enjoy life as they would at home.”
Staffing
Staffing Hours
per resident/day · Medicare 2026RN hours are below the national benchmark. RNs handle complex medical needs and medication, so ask about coverage during your visit.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
5
measures
8
measures
4
measures
Residents on antipsychotic medication
Residents whose walking got worse
Residents needing more daily help over time
Residents vaccinated for pneumonia
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents on anti-anxiety or sleep medication
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
Families filed reports that led to 9 complaint-triggered deficiencies, including recent concerns about abuse reporting and resident safety. The facility shows recurring problems with medication management, fire safety systems, and food service, with food safety issues persisting across multiple surveys from 2019 to 2025. While most violations are corrected after being cited, the pattern of repeated issues suggests ongoing operational challenges that warrant careful consideration.
Mar 4, 2026Complaint1
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nov 19, 2025Complaint2
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Aug 5, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Mar 27, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Jan 31, 2025Routine21
Nutrition and Dietary Deficiencies
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 Deficiencies
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Services Deficiencies
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Honor the resident's right to manage his or her financial affairs.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Provide care or services that was trauma informed and/or culturally competent.
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Jan 31, 2025Complaint4
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Resident Rights Deficiencies
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide safe and appropriate respiratory care for a resident when needed.
Ownership & Operations
Who Operates This Facility
Big Spring Care Center for Rehab and Healthcare
for profit
Chain Affiliation
Prime Healthcare Management
10 facilities nationwide
Chain avg rating: 1.3/5 · Rank 3 of 11 (Worst)
Ownership & Management
Owners
Undisclosed
Ownership Data Not Available · Organization
Contact
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
19 reviews from families & visitors
Official Website
Visit primehm.com
Medicare data downloads
Original nursing home datasets
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Safer Alternatives Nearby
Based on current clinical data, we identified 1 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.