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Nursing homeFAID #6979

Big Bend Woods Healthcare Center

110 HIGHLAND AVENUE, VALLEY PARK, MO, 63088
(636) 225-5144
135 licensed beds

CMS rates Big Bend Woods Healthcare Center 2 out of 5 overall. Federal inspectors issued 86 citations across 9 inspections in the last three years, with $85,176 in fines. Listing last updated 2026-11-06.

★★★★★2/5CMS Five-Star overall3/5 health inspections1/5 staffing2/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
135
State license
053851
CMS facility ID
265130
Care type
Nursing home
Facility name
Big Bend Woods Healthcare Center
Street address
110 HIGHLAND AVENUE
City / state / ZIP
Valley Park, MO 63088
Phone
(636) 225-5144
State license #
053851

Big Bend Woods Healthcare Center is a Medicare/Medicaid-certified skilled nursing facility in Valley Park, Missouri. It is licensed for 135 beds — above the median for skilled nursing facilities in Missouri (97 beds).

It is one of 3 senior care facilities in Valley Park and 487 skilled nursing facilities across Missouri. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Big Bend Woods Healthcare Center 86 times across 9 inspections in the last three years, including 5 food-safety citations, and CMS has imposed $85,176 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on November 6, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Bbw Management Group, Llc
Ownership type
For profit - Individual
Administrator
Melissa Levvintre

Registered owners & officers

Brecher, Mendel
Indirect owner · Operational control — 25% stake — since 2014
Brecher, Irving
Indirect owner — 20% stake — since 2015
Lichtman, Chana
Indirect owner — 20% stake — since 2014
Zimmerman, Jacob
Indirect owner — 20% stake — since 2014
Schlesinger, Ernest
Indirect owner — 10% stake — since 2014
Bbw Acquistion Group, Llc
Security-interest holder — since 2014
Greystone Servicing Company, Llc, a Delaware Limited Liability Company
Security-interest holder — since 2014
Klos, Lynette
Managing employee — since 2015
Munn, Debra
Managing employee — since 2015

Regulatory standing

Licensed / certified since
1977-05-01
License expires
2028-07-26
CMS overall rating
2 of 5 stars
Health deficiencies
9 at the last standard inspection
Federal fines
$85,176 total
Last standard inspection
2025-09-12
Nurse staffing
3.0 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$277 per day (≈ $8,420/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
75% Medicaid · 12% Medicare · 13% private/other
Occupancy
64% (fiscal year 2023)
Vs. state median
8% above the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
135
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Wheelchair accessible
entrance and parking
Visiting hours
Daily Open 24 hours
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report; hours/accessibility via Google · last verified 2026-11-06. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 5 food-safety citations on its three-year record — flagged below among the inspections.
2025-09-12Health inspectionComplaint-triggered9 citations
F-0557
D · No harm foundFrom a complaint
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Corrected 2025-10-06
F-0558
D · No harm found
Reasonably accommodate the needs and preferences of each resident.
Corrected 2025-10-06
F-0584
E · No harm foundFrom a complaint
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.
Corrected 2025-10-06
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-10-06
F-0677
D · No harm foundFrom a complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2025-10-06
F-0759
E · No harm foundFrom a complaint
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-10-06
F-0804
D · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2025-10-06
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-10-06
F-0919
E · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2025-10-06
2025-03-19Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-03-11
6 earlier / fire-safety inspections (76 citations)
2024-02-08Health inspection19 citations
F-0568
E · No harm found
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Corrected 2024-03-16
F-0569
D · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2024-03-16
F-0577
C · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-03-16
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2024-03-16
F-0584
D · No harm found
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.
Corrected 2024-03-16
F-0585
E · No harm found
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.
Corrected 2024-03-16
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2024-03-16
F-0623
C · No harm found
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected 2024-03-16
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2024-03-27
F-0677
D · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2024-03-16
F-0679
E · No harm found
Provide activities to meet all resident's needs.
Corrected 2024-03-16
F-0688
G · Actual harm
Provide 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.
Corrected 2024-03-16
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-03-16
F-0761
D · No harm found
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.
Corrected 2024-03-16
F-0801
F · No harm foundFood safety
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.
Corrected 2024-03-16
F-0804
E · No harm foundFood safety
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2024-03-16
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-03-16
F-0842
D · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2024-03-16
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-03-16
2023-12-06Health inspectionComplaint-triggered1 citation
F-0678
D · No harm foundFrom a complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-12-22
2021-05-24Health inspection27 citations
F-0569
E · No harm found
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Corrected 2021-07-03
F-0570
E · No harm found
Assure the security of all personal funds of residents deposited with the facility.
Corrected 2021-07-03
F-0583
D · No harm found
Keep residents' personal and medical records private and confidential.
Corrected 2021-07-03
F-0585
E · No harm found
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.
Corrected 2021-07-03
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2021-07-03
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2021-07-03
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-07-03
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2021-07-03
F-0677
E · No harm found
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2021-07-03
F-0684
G · Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2021-07-23
F-0686
K · Immediate jeopardy
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-07-03
F-0689
E · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2021-07-03
F-0690
E · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2021-07-03
F-0692
D · No harm found
Provide enough food/fluids to maintain a resident's health.
Corrected 2021-07-03
F-0693
D · No harm found
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2021-07-03
F-0698
E · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2021-07-03
F-0700
E · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2021-07-03
F-0726
E · No harm found
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2021-07-03
F-0730
E · No harm found
Observe each nurse aide's job performance and give regular training.
Corrected 2021-07-03
F-0755
E · No harm found
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-07-03
F-0759
E · No harm found
Ensure medication error rates are not 5 percent or greater.
Corrected 2021-07-20
F-0761
E · No harm found
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.
Corrected 2021-07-03
F-0803
E · No harm foundFood safety
Ensure 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.
Corrected 2021-07-03
F-0842
E · No harm found
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2021-07-03
F-0867
D · No harm found
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected 2021-07-03
F-0909
E · No harm found
Regularly 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.
Corrected 2021-07-03
F-0919
E · No harm found
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2021-07-03
2025-09-12Fire-safety inspection13 citations
E-0004
F · No harm found
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2025-09-30
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2025-10-06
K-0222
F · No harm found
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.
Corrected 2025-10-24
K-0223
E · No harm found
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Corrected 2025-10-24
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2026-02-28
K-0341
F · No harm found
Install a fire alarm system that can be heard throughout the facility.
Corrected 2025-10-20
K-0353
E · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-10-24
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-11-25
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2026-02-28
K-0374
E · No harm found
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2025-10-06
K-0500
E · No harm found
Meet other general requirements that are deficient.
Corrected 2025-10-06
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2025-11-25
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-10-07
2024-02-08Fire-safety inspection11 citations
E-0030
F · No harm found
List the names and contact information of those in the facility.
Corrected 2024-03-16
E-0041
F · No harm found
Implement emergency and standby power systems.
Corrected 2024-03-16
K-0161
E · No harm found
Use approved construction type or materials.
Corrected 2024-03-16
K-0222
E · No harm found
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.
Corrected 2024-03-28
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-03-16
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-03-16
K-0500
E · No harm found
Meet other general requirements that are deficient.
Corrected 2024-03-16
K-0511
E · No harm found
Have properly installed electrical wiring and gas equipment.
Corrected 2024-03-16
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-03-16
K-0920
E · No harm found
Ensure proper usage of power strips and extension cords.
Corrected 2024-03-16
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2024-03-16
2021-05-24Fire-safety inspection5 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2021-07-03
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2021-07-03
K-0372
E · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-07-03
K-0741
E · No harm found
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2021-07-03
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2021-07-03

Federal penalties

2024-02-08Fine$85,176
2024-02-08Medicare payment denial — 12 days
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 265130.
How it compares in Missouri.
Inspection citations, 3 years
86
More than 83% of nursing homes in the state
State median: 50
Federal fines, 3 years
$85,176
More than 88% of nursing homes in the state
State median: $0
Nurse staffing, hours per resident per day
3.0
Higher than 26% of nursing homes in the state
State median: 3.4
Nursing staff turnover, annual
74%
Higher than 87% of nursing homes in the state
State median: 57%

Resident outcomes

On 21 federal quality measures, this facility does better than the Missouri average on 11 and worse on 7. Differences within 10% of the average are shown as near average.

Long-stay residentsThis facilityStateUSCompared with state
Need for help with daily activities has increased6.1%17.4%13.5%Better than state
Lose too much weight5.8%5.1%5.1%Worse than state
With a catheter inserted and left in their bladder0.3%0.9%0.7%Better than state
With a urinary tract infection0.6%2.2%1.5%Better than state
Have depressive symptoms71.9%20.0%13.5%Worse than state
Were physically restrained0.0%0.0%0.1%Better than state
Experiencing one or more falls with major injury2.7%4.0%3.2%Better than state
Assessed and appropriately given the pneumococcal vaccine88.0%84.0%93.7%Near state average
Ability to walk independently worsened4.1%15.8%12.7%Better than state
Received an antianxiety or hypnotic medication29.9%25.6%19.5%Worse than state
Assessed and appropriately given the seasonal influenza vaccine100.0%90.8%95.3%Better than state
With pressure ulcers4.0%4.4%4.5%Near state average
With new or worsened bowel or bladder incontinence10.9%17.1%18.3%Better than state
Received an antipsychotic medication19.3%23.5%15.4%Better than state
Hospitalizations per 1000 long-stay resident days2.571.981.81Worse than state
Outpatient emergency department visits per 1000 long-stay resident days1.612.161.69Better than state
Short-stay residentsThis facilityStateUSCompared with state
Assessed and appropriately given the pneumococcal vaccine60.3%65.7%82.3%Near state average
Newly received an antipsychotic medication1.2%2.1%1.5%Better than state
Were assessed and appropriately given the seasonal influenza vaccine55.2%61.4%80.1%Worse than state
Were rehospitalized after a nursing home admission35.8%25.7%23.4%Worse than state
Had an outpatient emergency department visit17.2%13.4%11.8%Worse than state
Source: CMS MDS and Medicare claims quality measures, measure period 2025Q3-2026Q2. Averages are computed from all nursing homes reporting each measure.

Cited more than once

The same rule cited at separate inspections can point to a problem that wasn't fully fixed.

  • F-0658 3 inspections. Ensure services provided by the nursing facility meet professional standards of quality.
  • F-0677 3 inspections. Provide care and assistance to perform activities of daily living for any resident who is unable.
  • F-0584 2 inspections. 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.
  • F-0759 2 inspections. Ensure medication error rates are not 5 percent or greater.
  • F-0804 2 inspections. Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  • F-0880 2 inspections. Provide and implement an infection prevention and control program.
Where to check, and what's nearby.

Who to contact in Missouri

  • Licensing: Missouri Department of Health and Senior Services, Section for Long-Term Care Regulation
  • File a complaint: 800-392-0210 · Online
  • Long-Term Care Ombudsman: 800-309-3282. A free advocate for residents and families.
  • Adult Protective Services: 800-392-0210. Some states send facility cases to licensing instead. In an emergency, call 911.
  • Eldercare Locator: 800-677-1116, a federal service for local aging help.

Nearest emergency hospitals

  • Ssm St Clare Health Center, about 2.4 miles. CMS rating 4 of 5.
  • Missouri Baptist Medical Center, about 5.8 miles. CMS rating 5 of 5.
  • St Lukes Hospital, about 6.7 miles. CMS rating 4 of 5.
Source: CMS Hospital General Information. Straight-line distance.

Nearby facilities with inspection records

What people say on Google.
3.675 ratings on Google
★April Bonner · 2025-06-09 · via Google

“I went in there to deliver some medicine the place reeks of piss. It was disgusting and made me want to puke.. And no , all nursing homes do not smell like pee. Just badly managed ones with poor housekeeping.. I wouldn't send my loved ones here. 🤷‍♀️ hire better housekeeping or whatever..”

★★★★Angela Mers · 2025-08-09 · via Google

“I have to say, when you look at the outside of the facility you see an abundance of opportunities in maintenance. My father was there for 3 months and during those three months he got stronger, was treated well by the staff and residents. He actually felt important why he was there. They employ a large staff that does their jobs well and treats the residents with respect. If my father wouldn't of …”

★★★★★bethuel rop · 2025-05-23 · via Google

“What really stood out at Big Bend Woods wasn’t just the care—it was the way the staff celebrated small victories. Whether it was a resident completing a walking goal or engaging in a new activity, the whole team uplifted them. It’s a place filled with encouragement.”

Ratings and reviews are from Google and reflect visitor opinions, not our verification. See all reviews on Google
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 86 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-11-06
Source
Google Business Profile
Photos, reviews & hours
Displayed with attribution · refreshed on re-run
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered