Quick answers
- Where is Big Spring Center for Skilled Care?
- 3701 Wasson Road, Big Spring, TX 79720, in Howard County, Texas.
- What is the phone number of Big Spring Center for Skilled Care?
- (432) 606-5012, as listed by Medicare (CMS).
- What is the Medicare star rating of Big Spring Center for Skilled Care?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Big Spring Center for Skilled Care been fined?
- Medicare lists 1 fine totaling $8,184.
- What did inspectors find at Big Spring Center for Skilled Care?
- In its last three inspection cycles (November 17, 2023 to August 12, 2026), Medicare lists 28 health citations; the most serious was level G. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (November 17, 2023 to August 12, 2026), Big Spring Center for Skilled Care had 28 health citations; the most serious was level G (actual harm to residents). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $8,184 in total (1 fine, the latest on May 14, 2024). Nurse staffing is 3.11 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: April 24, 2026 — 5 health citations
Inspections in this cycle: April 24, 2026 (standard health inspection); August 12, 2026 (complaint investigation).
Show 5 citations (levels A to F, no actual harm)
F0813 Level E
“Have a policy regarding use and storage of foods brought to residents by family and other visitors.”
F0761 Level D
“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.”
F0644 Level D
“Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: February 27, 2025 — 8 health citations
Inspections in this cycle: October 11, 2024 (complaint investigation); February 27, 2025 (standard health inspection); March 31, 2025 (complaint investigation).
Show 8 citations (levels A to F, no actual harm)
F0585 Level E
“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.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0625 Level D
“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.”
F0645 Level D
“PASARR screening for Mental disorders or Intellectual Disabilities”
F0585 Level D
“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.”
F0607 Level D
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
Earlier cycle: January 25, 2024 — 15 health citations
Inspections in this cycle: November 17, 2023 (infection control inspection); January 25, 2024 (standard health inspection); March 19, 2024 (complaint investigation); May 14, 2024 (complaint investigation).
F0760 Level G
“Ensure that residents are free from significant medication errors.”
actual harm to residents; isolated (a few residents) · Pharmacy Service Deficiencies
Show 14 less serious citations (levels A to F)
F0600 Level E
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0607 Level E
“Develop and implement policies and procedures to prevent abuse, neglect, and theft.”
F0689 Level E
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0576 Level E
“Ensure residents have reasonable access to and privacy in their use of communication methods.”
F0757 Level E
“Ensure each resident’s drug regimen must be free from unnecessary drugs.”
F0805 Level E
“Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0580 Level D
“Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0578 Level D
“Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.”
F0690 Level D
“Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.”
F0761 Level D
“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.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (3)
K0351 Level E
“Install an approved automatic sprinkler system.”
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0511 Level D
“Have properly installed electrical wiring and gas equipment.”
Fines and payment denials
Total fines over about the last three years: $8,184 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| May 14, 2024 | Fine | $8,184 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.37 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.65 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 2.09 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 3.11 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.67 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.23 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 37.3% | 50.8% | 45.3% |
| RN turnover (per year) | 33.3% | 49.8% | 42.5% |
| Administrators who left in the last year | 3.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 150 nursing homes: Creative Solutions in Healthcare.
Legal business name: Big Spring I Enterprises, LLC.
Owners and managers Medicare lists (1)
| Name | Role | Share | Since |
|---|---|---|---|
| Creative Solutions in Healthcare Inc | Management company (operational or managerial control) | NOT APPLICABLE | October 1, 2014 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 118 |
| Average residents per day | 55.9 |
| Takes part in | Medicare and Medicaid |
| Ownership | For profit – corporation |
| Group or chain (affiliated entity) | Creative Solutions in Healthcare |
| Legal business name | Big Spring I Enterprises, LLC |
| First approved by Medicare/Medicaid | 2015-03-13 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 3701 Wasson Road, Big Spring, TX 79720 |
| County | Howard County |
| State | Texas |
| Phone | (432) 606‑5012 |
| CMS Certification Number | 676380 |
| Name in Medicare records | BIG SPRING CENTER FOR SKILLED CARE |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Parkview Skilled Care and Rehabilitation0.5 mi · Big Spring, TX · 2 of 5 stars
- Lamun-Lusk-Sanchez Texas State Veterans Home4.0 mi · Big Spring, TX · 5 of 5 stars
Nearest hospital emergency rooms
- Shannon Medical Center2.1 mi · Big Spring, TX · Acute Care Hospital
- Martin County Hospital District23 mi · Stanton, TX · Critical Access Hospital
- Mitchell County Hospital District34 mi · Colorado City, TX · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13