Big Bend Woods Healthcare Center has a 1-star overall rating, with 1-star staffing and 1-star quality measures; its reported nurse staffing is 2.84 hours per resident day versus the 4.1 federal benchmark. There were no fines in the last 24 months, but it has the lowest overall rating and recent inspection citations for pressure ulcer care, range of motion care, and pain management.
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 2.8437.
Staffing detail
Registered nurses
0.23
Licensed practical nurses
0.63
Nurse aides
1.99
Weekend nursing
2.52
Hours per resident per day.
Total staff turnover: 67%
Registered nurse turnover: 60%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
19%19%No change
Residents with a fall causing major injury
2.4%3.5%Worsening
Residents with pressure ulcers (bedsores)
4.1%0%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
6.9%2.8%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
0%9.6%Worsening
Residents whose ability to walk got worse
2.9%5.4%Worsening
Long-stay residents on antianxiety or sleep medication
27.4%28.9%Worsening
Short-stay residents newly given an antipsychotic
4.3%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
14.6%11.8%Improving
Residents with depressive symptoms
96.2%59%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—94.6%—
Long-stay residents given the pneumonia vaccine
83.5%87.1%Improving
Short-stay residents given the seasonal flu vaccine
—52.9%—
Short-stay residents given the pneumonia vaccine
51%61.4%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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 19 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $85,176 in total fines · 1 payment denial.
Medicare/Medicaid payment denial
Feb 8, 2024
12 days
Federal fine
Feb 8, 2024
$85,176
Operator & ownership
Ownership
For profit - Individual
Occupancy
89.3 residents on an average day (66% 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.