Big Bend Woods Healthcare Center in Valley Park, MO has a 1-star overall rating, with 1-star staffing and 2-star health inspection and quality ratings. It is flagged for the lowest overall rating, has reported nurse staffing below the federal benchmark (2.81 vs. 4.1 hours/resident/day), and had no fines in the last 24 months.
Last inspection: September 12, 2025Penalties, last 24 months: $0lowest overall rating
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8147.
Staffing detail
Registered nurses
0.27
Licensed practical nurses
0.56
Nurse aides
1.99
Weekend nursing
2.47
Hours per resident per day.
Total staff turnover: 69%
Registered nurse turnover: 56%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
21.9%Worsening
Residents with a fall causing major injury
2.4%Worsening
Residents with pressure ulcers (bedsores)
4.4%Steady
Residents with a urinary tract infection
0.3%Steady
Residents who lost too much weight
6.2%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
4.6%Improving
Residents whose ability to walk got worse
3.7%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
27.2%Worsening
Short-stay residents newly given an antipsychotic
2.2%Worsening
Residents with a long-term catheter
0.3%Worsening
Residents with new or worsening incontinence
9%Improving
Residents with depressive symptoms
90.7%Improving
Long-stay residents given the seasonal flu vaccine
94.6%Steady
Long-stay residents given the pneumonia vaccine
85.8%Improving
Short-stay residents given the seasonal flu vaccine
52.9%Steady
Short-stay residents given the pneumonia vaccine
59.3%Improving
What the inspectors found
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited May 2021 — limited pattern, immediate jeopardy to residents.
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F-Tag 686 — 42 CFR §483.25(b) — S/S: K
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited February 2024 — isolated incident, actual harm.
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F-Tag 688 — 42 CFR §483.25(c) — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited July 2023 — isolated incident, actual harm.
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F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2021 — isolated incident, actual harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to have enough qualified staff to properly provide food and nutrition services. Cited February 2024 — widespread issue, potential for harm.
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F-Tag 801 — 42 CFR §483.60 — S/S: F
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 9 health deficiencies.
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INSPECTION
Health inspection found 1 health deficiency.
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INSPECTION
Health inspection found 19 health deficiencies.
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Penalties & enforcement
On record with Medicare: 2 fines · $185,221 in total fines · 2 payment denials.
Medicare/Medicaid payment denial
Feb 8, 2024
12 days
Federal fine
Feb 8, 2024
$85,176
Medicare/Medicaid payment denial
May 25, 2023
31 days
Federal fine
May 25, 2023
$100,045
Operator & ownership
Ownership
For profit - Individual
Occupancy
89.8 residents on an average day (67% of 135 beds)
Medicare history
Certified for 49 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.