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Nursing homeFAID #7213

Big Spring Care Center for Rehab and Healthcare

202 EAST MILL STREET, HUMANSVILLE, MO, 65674
(417) 754-8711
60 licensed beds
★★★★★1/5CMS Five-Star overall1/5 health inspections1/5 staffing1/5 quality measuresSource: CMS Care Compare

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Public record summary

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Bed capacity
60
State license
053878
CMS facility ID
265573
Care type
Nursing home
Facility name
Big Spring Care Center for Rehab and Healthcare
Street address
202 EAST MILL STREET
City / state / ZIP
Humansville, MO 65674
Phone
(417) 754-8711
State license #
053878

About this facility — Big Spring Care Center for Rehab and Healthcare

Big Spring Care Center for Rehab and Healthcare is a Medicare/Medicaid-certified skilled nursing facility in Humansville, Missouri. It is licensed for 60 beds — below the median for skilled nursing facilities in Missouri (97 beds).

It is one of 3 senior care facilities in Humansville 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 Spring Care Center for Rehab and Healthcare 54 times across 13 inspections in the last three years, including 6 food-safety citations; no federal fines are on record. 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 August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Operator / owner
Humansville Snf Operations Llc
Ownership type
For profit - Limited Liability company
Administrator
Micheal Harris

Registered owners & officers

202 E Mill Street Llc
Additional disclosable party — since 2025
Bean, Alicia
Operational control · Additional disclosable party — since 2025
Bruce, Leland
Indirect owner — since 2025
Gaytan, Lucy
Indirect owner — since 2025
Harris, Michael
Operational control · Additional disclosable party — since 2025
Hixson, Brooke
Indirect owner — since 2025
Humansville Snf Operations Llc
Direct owner · Operational control · Additional disclosable party — since 2025
Ramos, Brian
Indirect owner · Operational control · Additional disclosable party — since 2025
Strawberry Fields Realty Lp
Additional disclosable party — since 2025
Strawberry Fields Reit Inc
Additional disclosable party — since 2025
Strawberry Fields Reit Ltd
Additional disclosable party — since 2025
Thuet, Daniel
Indirect owner — since 2025
Tide Health Group Llc
Indirect owner — since 2025

Regulatory standing

Licensed / certified since
1994-06-03
License expires
2027-06-02
CMS overall rating
1 of 5 stars
Health deficiencies
20 at the last standard inspection
Federal fines
None on record
Last standard inspection
2025-01-31
Nurse staffing
3.3 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$259 per day (≈ $7,870/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
82% Medicaid · 7% Medicare · 11% private/other
Occupancy
78% (fiscal year 2023)
Vs. state median
1% above the MO median of $257/day — full state cost breakdown

Services & coverage

Licensed beds
60
Licensed as
SNF
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 6 food-safety citations on its three-year record — flagged below among the inspections.
2026-03-04Health inspectionComplaint-triggered1 citation
F-0812
F · No harm foundFood safetyFrom a complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2026-03-16
2025-11-19Health inspectionComplaint-triggered2 citations
F-0580
E · No harm foundFrom a complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2026-01-03
F-0842
D · No harm foundFrom a complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2026-01-03
9 earlier / fire-safety inspections (51 citations)
2025-08-05Health inspectionComplaint-triggered1 citation
F-0755
D · No harm foundFrom a complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-09-16
2025-03-27Health inspectionComplaint-triggered1 citation
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-28
2025-01-31Health inspectionComplaint-triggered16 citations
F-0550
E · No harm found
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2025-03-17
F-0567
E · No harm found
Honor the resident's right to manage his or her financial affairs.
Corrected 2025-03-17
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 2025-03-17
F-0604
D · No harm found
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected 2025-03-17
F-0609
D · No harm foundFrom a complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-03-28
F-0658
D · No harm found
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2025-03-17
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-03-17
F-0698
D · No harm found
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2025-03-17
F-0699
D · No harm found
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-17
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 2025-03-17
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 2025-03-17
F-0802
F · No harm foundFood safety
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected 2025-03-17
F-0812
F · 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 2025-03-17
F-0835
F · No harm found
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2025-03-17
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-03-17
F-0921
D · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-03-17
2023-10-23Health inspectionComplaint-triggered1 citation
F-0835
F · No harm foundFrom a complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected 2023-11-30
2023-04-14Health inspection12 citations
F-0607
E · No harm found
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-05-28
F-0623
E · 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 2023-05-28
F-0625
E · No harm found
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.
Corrected 2023-05-28
F-0655
D · No harm found
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-05-28
F-0678
D · No harm found
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 2023-05-28
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 2023-05-28
F-0758
D · No harm found
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected 2023-05-28
F-0812
F · 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 2023-05-28
F-0880
E · No harm found
Provide and implement an infection prevention and control program.
Corrected 2023-05-28
F-0883
E · No harm found
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected 2023-05-28
F-0921
F · No harm found
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-05-28
F-0922
F · No harm found
Have enough backup water supply for essential areas of the nursing home.
Corrected 2023-05-28
2019-12-19Health inspection3 citations
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 2020-01-31
F-0700
D · 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 2020-01-31
F-0812
F · 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 2020-01-31
2025-01-31Fire-safety inspectionComplaint-triggered9 citations
K-0161
F · No harm found
Use approved construction type or materials.
Corrected 2025-03-17
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 2025-03-17
K-0321
F · 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 2025-03-17
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-03-17
K-0363
E · No harm found
Install corridor and hallway doors that block smoke.
Corrected 2025-03-17
K-0521
F · No harm found
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Corrected 2025-03-17
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2025-03-17
K-0914
F · No harm foundFrom a complaint
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2025-03-17
K-0923
E · No harm found
Have proper medical gas storage and administration areas.
Corrected 2025-03-17
2023-04-14Fire-safety inspection1 citation
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-05-28
2019-12-19Fire-safety inspection7 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2020-01-31
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 2020-01-31
K-0355
E · No harm found
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2020-01-31
K-0372
F · No harm found
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2020-01-31
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2020-01-31
K-0911
E · No harm found
Meet requirements for the installation and maintenance of electrical systems.
Corrected 2020-01-31
K-0921
F · No harm found
Ensure that testing and maintenance of electrical equipment is performed.
Corrected 2020-01-31
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 265573.

Inside your report

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Ownership & corporate history

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

Inspection citations — last 5 years

Locked
The 54 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.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
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