ElderGrade
D

52.5/100

Below average

Big Spring Center For Skilled Care

3701 Wasson Rd, Big Spring, TX 79720

CMS 3/5 stars #3 of 3 in Howard County (432) 606-5012
Certified beds
120
Occupancy
51%
Ownership
For-profit
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $8,184 in federal fines

    CMS has fined this facility across 1 penalty action(s).

  • Nursing staff turnover of 92%

    High turnover means residents rarely see the same caregiver twice. The national average is about 50%.

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection 22.5/30 Staffing 13/30 Stability 0/15 Outcomes 9/15 Enforcement 8/10

A full pentagon is full marks. The shape shows what kind of good or bad a home is — two homes can share a score and look nothing alike.

Inspection safety

22.5/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -4 for 1 actual-harm citation(s) in the last 3 years
  • -3.5 for 27 total citations against a national median of 17

Staffing

13/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 3.53 total nurse hours per resident per day (national median 3.77)
  • 0.34 RN hours per resident per day
  • Weekend staffing drops 13% against weekdays

Staff stability

0/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 92% of nursing staff left in the last year
  • -2 for 3 administrator departures

Resident outcomes

9/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 3 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $8,184 in federal fines across 1 action(s)

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 3.43 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.34 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 2.97 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 91.70%
National average 45.80% Below average

The share of nursing staff who left over the last year.

Recent inspection findings

All 27 citations

Last standard health inspection: April 24, 2026 (3 months ago).

E Apr 24, 2026 F0813

Nutrition and Dietary Deficiencies

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

No actual harm, potential for more than minimal harm

D Apr 24, 2026 F0644

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

No actual harm, potential for more than minimal harm

D Apr 24, 2026 F0690

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.

No actual harm, potential for more than minimal harm

D Apr 24, 2026 F0880

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

No actual harm, potential for more than minimal harm

D Mar 31, 2025 F0607 From a complaint

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

No actual harm, potential for more than minimal harm

D Mar 31, 2025 F0625 From a complaint

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.

No actual harm, potential for more than minimal harm

E Feb 27, 2025 F0585

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.

No actual harm, potential for more than minimal harm

E Feb 27, 2025 F0812

Nutrition and Dietary Deficiencies

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

No actual harm, potential for more than minimal harm

Who owns this home

Full record

Part of CREATIVE SOLUTIONS IN HEALTHCARE, which operates 149 homes. Staffing budgets are usually set at chain level, not in the building.

Owner Type Role Since
HUGGINS, LINDA Individual W-2 MANAGING EMPLOYEE
CREATIVE SOLUTIONS IN HEALTHCARE INC Organization OPERATIONAL/MANAGERIAL CONTROL
BLAKE, GARY Individual OPERATIONAL/MANAGERIAL CONTROL
BLAKE, MALISA Individual OPERATIONAL/MANAGERIAL CONTROL

What families say

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Common questions about Big Spring Center For Skilled Care

What is the ElderGrade for Big Spring Center For Skilled Care? +

Big Spring Center For Skilled Care holds an ElderGrade of D (52.5 out of 100), which we describe as "below average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Big Spring Center For Skilled Care? +

Residents receive an average of 3.43 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Big Spring Center For Skilled Care been cited for harming residents? +

Yes. 1 of the 27 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Big Spring Center For Skilled Care accept Medicaid? +

Yes, Big Spring Center For Skilled Care is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.