For profit - Corporation · 120 certified beds · CMS number 676380

Big Spring Center for Skilled Care, Big Spring, TX

CMS records 27 health deficiencies at Big Spring Center for Skilled Care in Big Spring, Texas in its last 3 inspection cycles; the Texas median is 25. Its most recent standard inspection was on Apr 24, 2026. The highest severity cited is G (actual harm (not immediate jeopardy)). CMS lists 1 fine totaling $8,184 in the last three years.

Inspections and deficiencies

CMS findings for Big Spring Center for Skilled Care as of Sep 1, 2026, grouped by inspection cycle (3 cycles); each is a requirement inspectors found not met, and Big Spring Center for Skilled Care may since have corrected or disputed it. Severity letters · Inspection cycles · Care Compare

Most recent cycle (4 deficiencies)

Standard inspection Apr 24, 2026. CMS counts 4 health deficiencies and 3 fire safety deficiencies in this cycle.

Apr 24, 2026 · Standard inspection

4 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 6, 2026

F813 · Food brought in by visitors

Requirement cited (CMS): Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jun 6, 2026

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 6, 2026

F644 · Coordinating with PASARR screening

Requirement cited (CMS): Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 6, 2026
Previous cycle: 8 deficiencies (standard inspection Feb 27, 2025)

Standard inspection Feb 27, 2025. CMS counts 8 health deficiencies and 0 fire safety deficiencies in this cycle.

Mar 31, 2025 · Complaint inspection

2 deficiencies, highest D

F625 · Bed-hold notice

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 30, 2025

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 30, 2025

Feb 27, 2025 · Standard inspection

4 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 2, 2025

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 2, 2025

F645 · Pre-admission screening for mental disorder or intellectual disability

Requirement cited (CMS): PASARR screening for Mental disorders or Intellectual Disabilities

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Apr 2, 2025

F585 · Grievances and how they are handled

Requirement cited (CMS): 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.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Apr 2, 2025

Oct 11, 2024 · Complaint inspection

2 deficiencies, highest D

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 12, 2024

F585 · Grievances and how they are handled

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Oct 12, 2024
Earlier cycle: 15 deficiencies (standard inspection Jan 25, 2024)

Standard inspection Jan 25, 2024. CMS counts 15 health deficiencies and 0 fire safety deficiencies in this cycle.

May 14, 2024 · Complaint inspection

3 deficiencies, highest G

F760 · No significant medication errors

Requirement cited (CMS): Ensure that residents are free from significant medication errors.

Severity
G Actual harm (not immediate jeopardy), isolated
Status
Correction date Jun 18, 2024

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 18, 2024

F580 · Telling residents and families about changes

Requirement cited (CMS): Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jun 18, 2024

Mar 19, 2024 · Complaint inspection

3 deficiencies, highest E

F689 · Accident prevention and supervision

Requirement cited (CMS): Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 20, 2024

F607 · Abuse prevention policies

Requirement cited (CMS): Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 20, 2024

F600 · Freedom from abuse and neglect

Requirement cited (CMS): Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Mar 20, 2024

Jan 25, 2024 · Standard inspection

9 deficiencies, highest E

F880 · Infection prevention and control program

Requirement cited (CMS): Provide and implement an infection prevention and control program.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 26, 2024

F812 · Food safety and sanitation

Requirement cited (CMS): Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 26, 2024

F805 · Food prepared for individual needs

Requirement cited (CMS): Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 26, 2024

F761 · Drug labeling and secure storage

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 26, 2024

F757 · Avoiding unnecessary drugs

Requirement cited (CMS): Ensure each resident’s drug regimen must be free from unnecessary drugs.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 26, 2024

F690 · Bladder, bowel, and catheter care

Requirement cited (CMS): Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 26, 2024

F578 · Refusing treatment and advance directives

Requirement cited (CMS): 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.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 26, 2024

F576 · Phone, mail, and internet access

Requirement cited (CMS): Ensure residents have reasonable access to and privacy in their use of communication methods.

Severity
E No actual harm, potential for more than minimal harm, pattern
Status
Correction date Jan 26, 2024

F550 · Dignity and the right to exercise rights

Requirement cited (CMS): Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Severity
D No actual harm, potential for more than minimal harm, isolated
Status
Correction date Jan 26, 2024

Tags cited in more than one inspection

6 tags cited on more than one inspection date at Big Spring Center for Skilled Care; each date counts once and does not mean the same incident. PNC = past non-compliance.

TagInspectionsDates
F607 Abuse prevention policies3Mar 31, 2025; Oct 11, 2024; Mar 19, 2024
F880 Infection prevention and control program3Apr 24, 2026; Feb 27, 2025; Jan 25, 2024
F585 Grievances and how they are handled2Feb 27, 2025; Oct 11, 2024
F689 Accident prevention and supervision2May 14, 2024; Mar 19, 2024
F690 Bladder, bowel, and catheter care2Apr 24, 2026; Jan 25, 2024
F812 Food safety and sanitation2Feb 27, 2025; Jan 25, 2024

Fines and payment denials

DateTypeAmount / length
May 14, 2024Fine$8,184

Staffing and CMS ratings

Total nurse staff hours per resident per day
3.43 h (above the Texas median of 3.27 h)
RN hours per resident per day
0.34 h (below the Texas median of 0.38 h)
Weekend nurse staff hours per resident per day
2.97 h
Nursing staff turnover
91.7% (Texas median 52.1%)
Administrators who left
3
CMS overall rating
3 of 5
Health inspection rating
4 of 5
Staffing rating
1 of 5
Quality measure rating
3 of 5

CMS figures for Big Spring Center for Skilled Care, copied as published; Texas medians are ours.

Facility details

Address
3701 Wasson Rd, Big Spring, TX 79720
Phone
(432) 606-5012
County
Howard
Accepts
Medicare and Medicaid
Ownership
For profit - Corporation
Chain (CMS)
Creative Solutions in Healthcare
Certified beds
120
Average residents per day
60.6
In Medicare/Medicaid since
Mar 13, 2015
Inside a hospital
No
Continuing care retirement community
No
Resident and family council
Resident
Sprinklers in all required areas
Yes

Questions to ask on a visit

Based on the tags cited most often here.

  • Can families get a summary of the home's abuse prevention and reporting policy? (F607, cited 3 times)
  • How do staff track and report infections among residents? (F880, cited 3 times)
  • Who is the grievance official, and how are complaints tracked and answered? (F585, cited 2 times)
  • How does the home assess each resident's fall risk and plan to prevent falls? (F689, cited 2 times)

Other nursing homes in Big Spring and the same chain

Source

CMS Provider Data Catalog: Provider Information, Health Deficiencies, Penalties, Survey Summary. Processed by CMS Sep 1, 2026; next update Oct 28, 2026.

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