Big Bend Woods Healthcare Center

Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Valley Park, MO

CMS overall rating

110 Highland Ave, Valley Park, MO 63088-1422 View map

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Big Bend Woods Healthcare Center accepts Medicare, Medicaid, and private pay.

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Big Bend Woods Healthcare Center accepts Medicare, Medicaid, and private pay.

Overview of Big Bend Woods Healthcare Center

Big Bend Woods Healthcare Center is a 135-bed skilled nursing home on Highland Avenue in Valley Park, Missouri, managed by operator Bbw Management Group, LLC, administrator Melissa Levvintre, and owner Irving Brecher. The finance department channels billing through standard options, accepting Medicare, Medicaid, and private pay. For visitors, the facility is located in a car-dependent neighborhood with a walkability score of 42 out of 100, which means family members will typically need a vehicle for trips to the campus.

Operational records show a 67 percent occupancy rate with an average length of stay of 127 days. This operational timeline points to an everyday schedule balanced between short-term post-hospital therapy and extended residential care. To supervise regular medical tasks and daily personal assistance, the 24-hour staffing schedule organizes an average of roughly 3 hours of total nursing care per resident each day, combining the efforts of registered nurses, licensed practical nurses, and nurse aides. State regulatory records from public health departments document how the facility manages its ongoing licensing evaluations.

Documents verify that recent inspections identified standard compliance deficiencies involving palatable food temperature standards and basic life support protocol timing, which means the property’s total cumulative citations-per-inspection rate is not zero, and these items remain part of ongoing regional quality tracking.

Prospective residents have access to on-site dental, eye, and laboratory options, alongside localized physician visits and creative art therapies. The everyday routine coordinates physical rehabilitation and recovery loops with chef-prepared meals, crafts group sessions, a game room, and pet visitation privileges.

Facility Direct Line (636) 529-8300 info@bigbendwoods.net

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

2h 59m per day

vs avg

6 of 6 metrics below state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	16m per day	▼ 42% State avg: 28m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	33m per day	▼ 18% State avg: 41m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	1h 59m per day	▼ 14% State avg: 2h 19m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	2h 28m per day	▼ 19% State avg: 3h 3m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	1m per day	▼ 74% State avg: 2m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	15m per day	▼ 27% State avg: 20m per day · National avg: 28m per day

Capacity and availability

127 days

135-bed community

A larger shared setting that may offer more common spaces and organized community services.

22 years in operation

A longer operating history, which may indicate experience navigating regulations and delivering ongoing care.

Walk Score: 42 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

67%

Similar to the Missouri average: 66.6%

Occupied beds

90 / 135

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceJuly 27, 2024

ExpirationJuly 26, 2026 Expires in 11 days

CountySaint Louis County

License Number052016

CMS Certification Number265130

Certification TypeMedicare / Medicaid

Big Bend Woods Healthcare Center is legally operated by Bbw Management Group, LLC, and administered by Melissa Levvintre.

Corporate EntityBBW MANAGEMENT GROUP, LLC

Owner NameBbw Management Group, LLC

Skilled Nursing Facility

135 units

Total beds

135 units

Rehabilitation Services

Short-Term Rehab

24-Hour Staffing

Short & Long Term Rehabilitation

Pets not allowed

Complimentary Cable Tv

Phones

Chef-Prepared Dining

Beauty Salon

Pet Visitation

Laundry Services

Crafts Group

Interactive Activity Department

Game Room

Operating Hours24/7

Since 2021 · 5 years of data 73 deficiencies 8 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2021 vs. Missouri state average

Overall vs. MO average

Latest Inspection September 12, 2025 Routine

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	73	35	This facility has 109% more total deficiencies than a typical Missouri assisted living residence (73 vs. MO avg 35).↑ 109% worse
Deficiencies per year Average deficiencies per year since 2021.	14.6	7	This facility has 109% more deficiencies per year than a typical Missouri assisted living residence (14.6 vs. MO avg 7).↑ 109% worse
Deficiencies per inspection Average deficiencies per inspection.	9.1	2.9	This facility has 214% more deficiencies per inspection than a typical Missouri assisted living residence (9.1 vs. MO avg 2.9).↑ 214% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	8	12	This facility has had 33% fewer total inspections than the Missouri average (8 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↓ 33% fewer

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

September 12, 2025 routine inspection found 9 deficiencies including failure to protect resident dignity, medication errors, infection control lapses, and inadequate personal care and call light functionality.
March 19, 2025 complaint investigation substantiated failure to prevent non-consensual sexual activity involving a resident with severe cognitive impairment; facility provided staff training and updated care plans.
February 8, 2024 routine inspection cited 18 deficiencies including privacy violations, unclean environment, medication storage errors, lack of dietary director, and multiple infection control failures.

Show Inspection Reports

Inspections since 2021

Total health inspections 9

State average N/A

Last Health inspection on Sep 2025

Total health citations

State average N/A

Citations per inspection

9.89

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

64 of 89 citations resulted from standard inspections; and 25 of 89 resulted from complaint investigations.

Breakdown of citation severity (last 5 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

1 critical citation State average: N/A

5 serious citations State average: N/A

79 moderate citations State average: N/A

4 minor citations State average: N/A

Citations history (last 5 years)

Pharmacy moderate citation Sep 12, 2025

Corrected

Quality of Care moderate citation Sep 12, 2025

Corrected

Resident Rights moderate citation Sep 12, 2025

Corrected

Resident Rights moderate citation Sep 12, 2025

Corrected

Total staff 240

Employees 104

Contractors 136

Staff to resident ratio 2.79 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 42

Average shift 8.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 31,336

Nursing staff breakdown

7.9 hours

8.4 hours

116

9 hours

Contractor staffing

5,019 contractor hours this quarter

Certified Nursing Assistant: 76 Licensed Practical Nurse: 38 Medication Aide/Technician: 18 Registered Nurse: 1 Medical Director: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	40	76	116	13,534	92	100%	9
Physical Therapist	17	0	17	4,277	92	100%	7.5
Licensed Practical Nurse	9	38	47	3,693	92	100%	8.4
Medication Aide/Technician	8	18	26	2,870	92	100%	8.4
Registered Nurse	8	1	9	1,784	91	99%	7.9
RN Director of Nursing	2	0	2	913	72	78%	7.5
Physical Therapy Assistant	3	0	3	499	61	66%	4.9
Dental Services Staff	1	0	1	496	62	67%	8
Administrator	1	0	1	472	59	64%	8
Nurse Practitioner	1	0	1	464	58	63%	8
Therapeutic Recreation Specialist	1	0	1	440	55	60%	8
Dietitian	1	0	1	421	66	72%	6.4
Other Dietary Services Staff	3	0	3	317	48	52%	6.6
Speech Language Pathologist	2	0	2	295	52	57%	5.7
Mental Health Service Worker	3	0	3	277	43	47%	6.1
Qualified Social Worker	1	0	1	166	33	36%	5
Occupational Therapy Aide	0	1	1	138	38	41%	3.6
Medical Director	0	1	1	98	13	14%	7.5
Respiratory Therapy Technician	2	0	2	72	25	27%	2.9
Physical Therapy Aide	1	0	1	65	10	11%	6.5
Occupational Therapy Assistant	0	1	1	46	13	14%	3.5

116 Certified Nursing Assistant

% of Days 100%

17 Physical Therapist

% of Days 100%

47 Licensed Practical Nurse

% of Days 100%

26 Medication Aide/Technician

% of Days 100%

9 Registered Nurse

% of Days 99%

2 RN Director of Nursing

% of Days 78%

3 Physical Therapy Assistant

% of Days 66%

1 Dental Services Staff

% of Days 67%

1 Administrator

% of Days 64%

1 Nurse Practitioner

% of Days 63%

1 Therapeutic Recreation Specialist

% of Days 60%

1 Dietitian

% of Days 72%

3 Other Dietary Services Staff

% of Days 52%

2 Speech Language Pathologist

% of Days 57%

3 Mental Health Service Worker

% of Days 47%

1 Qualified Social Worker

% of Days 36%

1 Occupational Therapy Aide

% of Days 41%

1 Medical Director

% of Days 14%

2 Respiratory Therapy Technician

% of Days 27%

1 Physical Therapy Aide

% of Days 11%

1 Occupational Therapy Assistant

% of Days 14%

View All Staffing Data

Total fines amount $185K

154% higher than State average

State average: $73K

Number of fines 2

18% fewer fines than State average

State average: 2.4

Payment Denials 2

191% more payment denials than State average

State average: 0.7

Fines amount comparison

This facility $185K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Feb 8, 2024

$85K

Payment Denial Feb 8, 2024

12 days

Last updated: Jan 2026

High-risk clinical events score 3.3

70% better than State average

State average: 10.9

Functional decline score 6.7

66% better than State average

State average: 19.5

Long-stay resident measures

Significantly above average State avg: 2.7

Need for Help with Daily Activities Increased 3.2%

84% better than State average

State average: 19.8%

Walking Ability Worsened 5.0%

76% better than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 11.9%

34% better than State average

State average: 18.1%

Falls with Major Injury 2.1%

49% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 3.2%

37% better than State average

State average: 5.0%

Urinary Tract Infection 0.9%

66% better than State average

State average: 2.7%

Lost Too Much Weight 2.9%

48% better than State average

State average: 5.6%

Depressive Symptoms 95.0%

640% worse than State average

State average: 12.8%

Antipsychotic Use 16.9%

23% better than State average

State average: 22.0%

Pneumococcal Vaccine 82.4%

In line with State average

State average: 85.2%

Influenza Vaccine 94.6%

In line with State average

State average: 90.9%

Hospitalizations per 1,000 days 2.15

In line with State average

State average: 2.08

ED visits per 1,000 days 1.48

37% better than State average

State average: 2.35

Short-stay resident measures

Significantly below average State avg: 2.1

Pneumococcal Vaccine 49.1%

26% worse than State average

State average: 66.6%

Antipsychotic medication increase 1.9%

15% better than State average

State average: 2.2%

Influenza Vaccine 52.9%

17% worse than State average

State average: 63.5%

Re-hospitalized after SNF stay 21.5%

15% better than State average

State average: 25.3%

Emergency department visits 15.4%

15% worse than State average

State average: 13.4%

Falls with major injury 1.3%

66% worse than State average

State average: 0.8%

Ability to care for self at discharge 16.7%

69% worse than State average

State average: 53.7%

Successful return to home or community 31.2%

38% worse than State average

State average: 50.6%

Breakdown by payment type

Medicare

38% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

28% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

34% of new residents, often for long-term daily care.

Typical stay 9 months

Total residents 86

Medicare

19.8% of residents

Medicaid

73.3% of residents

Private pay or other

7% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Big Bend Woods Healthcare Center from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 64.4% ↓ 1.0pp vs 2022

Net Patient Income -$346.8K ↑ ~$453.3K vs 2022

Payroll Costs $4.1M ↑ ~$1.2M vs 2022

Operating Margin -4.2% ↑ 6.7pp vs 2022

Metric	2011	2012	2013	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	55.2%	54.6%	55.8%	69.5%	65.7%	67.2%	66.5%	65.2%	56.3%	65.4%	64.4%
Beds	176	176	176	135	135	135	135	135	135	135	135
Net Income	-$238,888	-$247,551	-$375,883	$990,665	-$26,834	$500,619	$773,814	$1,108,000	$539,557	-$269,345	$348,567
Gross Revenue	$7,209,243	$7,470,085	$7,028,664	$7,790,630	$7,600,683	$8,058,700	$8,116,087	$8,373,309	$7,484,720	$7,835,764	$8,794,340
Operating Expenses	$6,242,547	$6,276,371	$6,994,938	$6,468,377	$6,584,167	$6,475,045	$6,412,069	$6,960,245	$7,283,901	$8,128,463	$8,558,710
Net Patient Income	-$243,073	-$251,684	-$387,354	$977,087	-$31,937	$495,250	$769,601	$846,028	-$305,390	-$800,106	-$346,812
Net Patient Revenue	$5,999,474	$6,024,687	$6,607,584	$7,445,464	$6,552,230	$6,970,295	$7,181,670	$7,806,273	$6,978,511	$7,328,357	$8,211,898
Payroll Costs	$3,807,534	$3,412,386	$2,991,468	$3,865,543	$3,634,495	$3,499,664	$3,210,209	$3,330,957	$2,981,421	$2,909,016	$4,142,081
Operating Margin %	-4.1%	-4.2%	-5.9%	13.1%	-0.5%	7.1%	10.7%	10.8%	-4.4%	-10.9%	-4.2%
Medicare %	6.2%	6.5%	6.8%	13.7%	10.7%	12.2%	11.2%	14.5%	14.1%	9.2%	12.2%
Medicaid %	72.7%	69.8%	70.4%	70.4%	76.1%	71.6%	75.9%	73.9%	73.1%	75.6%	74.8%
Private %	21.1%	23.6%	22.8%	15.9%	13.2%	16.2%	12.8%	11.6%	12.8%	15.2%	13.0%
Net Patient Revenue/Day	$169	$171	$184	$217	$202	$211	$219	$242	$252	$227	$259
Cost/Day	$176	$179	$195	$188	$203	$196	$196	$216	$263	$252	$270
Avg Length of Stay	172.1 days	185.0 days	225.6 days	143.6 days	162.7 days	131.9 days	132.7 days	149.8 days	110.9 days	120.8 days	127.0 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$8.2M

Net patient income

-$346.8K

For-profit LLC

Net patient revenue

$8.2M

Net patient income

-$346.8K

Other income

$695.4K

Payroll costs

$4.1M 50.4% of net patient revenue

Other operating costs

$4.4M

Total costs

$8.6M

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (38% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Coverage residents most often arrive under.

Medicare 38%

Private pay 28%

Medicaid 34%

Coverage residents most often leave under.

Medicare 29%

Private pay 30%

Medicaid 41%

0.0 miles from city center Estimated distance in miles from Valley Park's city center to Big Bend Woods Healthcare Center's address, calculated via Google Maps.

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Big Bend Woods Healthcare Center	NH HOS PC SNF	Valley Park	-	135	A+	42	-

Nursing Home Explorer

Who is the owner of Big Bend Woods Healthcare Center?

Big Bend Woods Healthcare Center is legally operated by Bbw Management Group, LLC, and administered by Melissa Levvintre.

Is Big Bend Woods Healthcare Center in a walkable area?

Big Bend Woods Healthcare Center has a walk score of 42. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Big Bend Woods Healthcare Center?

According to MO state health department records, Big Bend Woods Healthcare Center's license number is 052016.

When does Big Bend Woods Healthcare Center's license expire?

According to MO state health department records, Big Bend Woods Healthcare Center's license expires on July 26, 2026.

What is the occupancy rate at Big Bend Woods Healthcare Center?

Big Bend Woods Healthcare Center's occupancy is 67%.

Are pets allowed at Big Bend Woods Healthcare Center?

No, Big Bend Woods Healthcare Center has a no-pet policy.

Does Big Bend Woods Healthcare Center operate as a for-profit or non-profit?

Big Bend Woods Healthcare Center is registered as a for-profit in MO.

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Big Bend Woods Healthcare Center

Overview of Big Bend Woods Healthcare Center

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Big Bend Woods Healthcare Center

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Inspection Reports Summary An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.

Health Inspection History

Inspections since 2021

Breakdown of citation severity (last 5 years)

Citations history (last 5 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

116 Certified Nursing Assistant

17 Physical Therapist

47 Licensed Practical Nurse

26 Medication Aide/Technician

9 Registered Nurse

2 RN Director of Nursing

3 Physical Therapy Assistant

1 Dental Services Staff

1 Administrator

1 Nurse Practitioner

1 Therapeutic Recreation Specialist

1 Dietitian

3 Other Dietary Services Staff

2 Speech Language Pathologist

3 Mental Health Service Worker

1 Qualified Social Worker

1 Occupational Therapy Aide

1 Medical Director

2 Respiratory Therapy Technician

1 Physical Therapy Aide

1 Occupational Therapy Assistant

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

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