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Nursing HomeMedicaid

Big Spring Center for Skilled Care

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

3701 Wasson Road, Big Spring, TX 79720120 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 90 Google reviews

5
4
3
2
1

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What this means for your family

This facility offers excellent rehabilitation services and a very clean environment, with many families praising the administrative team. However, you should closely monitor communication regarding medical updates and staffing, as multiple families have reported significant issues with responsiveness and neglect during critical care periods.

Google Reviews

Google Reviews

90 reviews analyzed
Families often praise the facility for its warm, professional administration and the compassionate nature of the therapy and nursing teams. However, there are serious, recurring allegations regarding inadequate communication during end-of-life care and instances of resident neglect or understaffing. While many find the environment clean and welcoming, some reviewers report significant issues with medication management and responsiveness to resident needs.

Quality Themes

Tap a score for details
Food5.0Staff7.0Clean9.0Activities8.0Meds2.0MemoryN/AComms3.0ValueN/A

Strengths

  • Compassionate and professional administration
  • Excellent rehabilitation and therapy services
  • Clean and well-maintained facility
  • Friendly and welcoming nursing staff

Concerns

  • Lack of communication regarding resident health status or deaths (mentioned by 3 reviewers)
  • Understaffing leading to delayed care or neglect (mentioned by 3 reviewers)
  • Inconsistent medication management and over-sedation (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

234'17(3)'19(3)'21(13)'23(10)'25(1)'26(4)

Distribution

5
78
4
1
3
1
2
0
1
9
20 reviews posted between Jun 5, 2018Jun 9, 2018 · 20 were 5-star

How They Respond to Reviews

17%response rate
Generic

The owner uses highly templated, repetitive language for negative reviews, primarily focusing on directing complainants to a corporate hotline. Positive reviews receive brief, somewhat personalized thanks, but lack depth.

Questions for Your Tour

  • 1We've heard wonderful things about your administration team; how do you typically keep families updated on a resident's health changes or daily well-being?
  • 2Since your therapy services are highly regarded, could you tell us more about how the rehabilitation process works for new residents?
  • 3How does the nursing team manage medication schedules to ensure everything is administered accurately and on time?
  • 4What is your protocol for handling medical emergencies or urgent health needs during the overnight hours?
  • 5What kind of daily activities or social events do you have planned to keep residents engaged and connected with one another?
  • 6With the facility being so well-maintained, how often are the resident rooms and common areas deep-cleaned?

Personalized based on this facility's data


Key Review Excerpts

The care and compassion given to my aunt by the complete staff only serves to reinforce the fact I placed them at Big Spring Center was the correct decision..

Long-term resident's family · 2022★★★★★

I WAS AT BIG SPRING CENTER FOR SKILLED CARE, FOR ABOUT 3 MONTHS, DUE TO AN INJURY TO MY RIGHT LEG ,THE ENTIRE STAFF MADE ME FEEL SO VERY COMFORTABLE AND WELCOME, AS I WAS NOT FROM AROUND THE AREA, AND RESIDING IN HOBBS NM, BUT I MUST SAY THAT I WAS TREATED WITH THE UTMOST RESPECT

Rehab patient · 2021★★★★★

My father passed away at this facility under hospice care and the nursing home did not alert the family to come visit in fact we were told he was not in imminent danger.

Hospice family member · 2020☆☆☆☆
Source: 90 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.25hrs
33%
Registered nurses for medical care
Total Nursing
3.39hrs
83%
All nurses + aides combined

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

4

measures

Mixed Results

3

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility1.9%
Better than Avg
Here
1.9%
US
12.1%
TX
2.5%
Howard
14.0%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
TX
96.9%
Howard
89.2%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility14.5%
Better than Avg
Here
14.5%
US
19.5%
TX
18.4%
Howard
24.8%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility23.6%
Worse than Avg
Here
23.6%
US
14.4%
TX
16.1%
Howard
15.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility14.6%
Mixed vs Avgs
Here
14.6%
US
19.4%
TX
14.2%
Howard
22.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility14.4%
Mixed vs Avgs
Here
14.4%
US
15.4%
TX
9.4%
Howard
15.5%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
TX
89.2%
Howard
75.6%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
79.7%
TX
88.0%
Howard
78.7%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility4.7%
Worse than Avg
Here
4.7%
US
1.6%
TX
1.5%
Howard
1.7%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
1penalties
Well below state avg (9.1)
10 complaint-triggered
$8,184 in fines

Big Spring Center has concerning patterns with 12 deficiencies triggered by family complaints, indicating ongoing resident and family dissatisfaction. The facility shows recurring problems with abuse prevention policies, resident rights violations, and medication management across multiple surveys from 2022-2025. While all deficiencies show correction dates, the persistent nature of these issues, particularly repeated abuse prevention violations, suggests systemic problems that warrant careful consideration before placement.

Mar 31, 2025Complaint
2
0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0625MinorCorrected

Resident Rights Deficiencies

Notify 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.

Feb 27, 2025Routine
4
0585ModerateCorrected

Resident Rights Deficiencies

Honor 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.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0645MinorCorrected

Resident Assessment and Care Planning Deficiencies

PASARR screening for Mental disorders or Intellectual Disabilities

Oct 11, 2024Complaint
2
0585MinorCorrected

Resident Rights Deficiencies

Honor 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.

0607MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

May 14, 2024Complaint
3
0760ModerateCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0580MinorCorrected

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.

0689MinorCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Mar 19, 2024Complaint
3
0600ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0607ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

0689ModerateCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jan 25, 2024Routine
9
0576ModerateCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

0757ModerateCorrected

Pharmacy Service Deficiencies

Ensure each resident’s drug regimen must be free from unnecessary drugs.

0805ModerateCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

0812ModerateCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880ModerateCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0550MinorCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0578MinorCorrected

Resident Rights Deficiencies

Honor 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.

0690MinorCorrected

Quality of Life and Care Deficiencies

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

0761MinorCorrected

Pharmacy Service Deficiencies

Ensure 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.

Federal Penalties

Fine

May 14, 2024

$8,184

Ownership & Operations

Who Operates This Facility

Owner / Operator

Big Spring I Enterprises, LLC

Organization Type

for profit

Management Company

CREATIVE SOLUTIONS IN HEALTHCARE, INC

Administrator

GARY GOODIN

Chain Affiliation

Chain Name

Creative Solutions in Healthcare

Chain Size

149 facilities nationwide

Chain avg rating: 2.7/5 · Rank 58 of 148

Ownership & Management

Key personnel

Huggins, LindaW-2 Managing EmployeeCreative Solutions in Healthcare INCManagerBlake, GaryManagerBlake, MalisaManager
Source: Medicare provider data

Contact

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References & Resources

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