Occupancy rate
64%
In line with Missouri averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Big Bend Woods Healthcare Center
Nursing Home in Missouri
CMS overall rating
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Big Bend Woods Healthcare Center
Big Bend Woods Healthcare Center is a rehabilitation and nursing center located in Valley Park, Missouri. It offers a range of services including short and long-term rehabilitation, skilled nursing, and hospice care. The facility is known for its compassionate staff and commitment to patient independence.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
Capacity and availability
Medium-capacity home
Offers a balance of services and community atmosphere.
Total beds
135
This home usually has availability
Lower occupancy suggests more openings may be available.
Occupancy rate
64.4%
Residents per day (avg)
88
Occupancy rate
64.4%
Residents per day (avg)
88
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
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
Finances and operations
Privately-owned community
Home revenue
$9.5M
Profit
$348.6K
Privately-owned community
Home revenue
$9.5M
Profit
$348.6K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$3.7M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.5M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$9.1M
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.
BBB Rating: A+ (Not Accredited)
An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
How BBB ratings work
How BBB ratings work
About this community
Occupancy
In line with Missouri averageOccupied beds
87 / 135
Average residents
72 per day
Facility TypeSnf
CountySAINT LOUIS COUNTY
CMS Certification Number265130
Certification TypeMedicare/Medicaid
Big Bend Woods Healthcare Center is administrated by Melissa Levvintre.
Owner NameBBW MANAGEMENT GROUP, LLC
Rehabilitation Services
Short-Term Rehab
Skilled Nursing
24-Hour Staffing
Short & Long Term Rehabilitation
Hospice Care
Pets Allowed
Complimentary Cable Tv
Wi-Fi
Phones
Chef-Prepared Dining
Beauty Salon
Pet Visitation
Laundry Services
Crafts Group
Interactive Activity Department
Game Room
Specific ProgramsShort & Long Term Rehabilitation, Specialty Programs, Creative Art Therapies, Physician Visits, Eye Care, Dental Care, Lab Services
Operating Hours24/7
Food DescriptionChef-prepared dining available.
Meals IncludedYes
Health Inspection History
Inspections
Total health inspections
9
Missouri average 6.6
Last Health inspection on Sep 2025
Total health citations
89
Missouri average 36.5
Citations per inspection
9.89
Missouri average 5.67
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 3 years)
Critical Health citations
1
1
43% worse than Missouri averageMissouri average: 0.7
Serious Health citations
5
5
400% worse than Missouri averageMissouri average: 1
1 critical citation
5 serious citations
79 moderate citations
4 minor citations
Citations history (last 3 years)
Pharmacy moderate citation
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2025
Issues related to medication management, including how drugs are stored, administered, and monitored.
Sep 12, 2025
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 12, 2025
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 12, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 12, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 12, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 12, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Sep 12, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around Missouri The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
Filter by care type
Aberdeen Heights
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Kirkwood
38
92.6%
+39%
5.18
+39%
0
9
2.3
0
34
-
-
Ashfield Active Living And Wellness Communities, Inc.
$27.3M
$7.2M
26.3%
265841
Bertrand Nursing And Rehab Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Bertrand
60
78.8%
+18%
3.65
-2%
0
10
3.3
0
54
-
5
Chance, Don
$5.1M
$2.3M
44.1%
265678
Big Bend Woods Healthcare Center
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Valley Park
135
64.4%
-3%
2.98
-20%
2
89
9.9
6
88
A+
-
Brecher, Irving
$8.8M
$3.7M
41.8%
265130
Good Shepherd Care Community
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC
Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL
Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC
Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
RC
Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
Concordia
-
-
-
-
-
0
0
0.0
0
-
-
38
-
-
-
-
-
Abbey Senior Health
NH
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
O'fallon
55
-
-
-
-
0
0
0.0
0
-
-
-
-
-
-
-
-
Places of interest near Big Bend Woods Healthcare Center
229.5 miles from city center
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
231
Employees
101
Contractors
130
Staff to resident ratio
2.69:1
57% better than Missouri averageMissouri average ratio: 1.71:1
Avg staff/day
44
Average shift
8.1 hours
0% compared with Missouri averageMissouri average: 8.1 hours
Total staff hours (quarter)
32,485
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
9
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
36
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.4 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
122
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
14.1%
4,569 contractor hours this quarter
Certified Nursing Assistant: 80
Licensed Practical Nurse: 28
Medication Aide/Technician: 16
Registered Nurse: 3
Medical Director: 1
Occupational Therapy Aide: 1
Occupational Therapy Assistant: 1
Staff by category
| Certified Nursing Assistant | 42 | 80 | 122 | 13,539 | 91 | 100% | 9 |
| Physical Therapist | 14 | 0 | 14 | 4,428 | 91 | 100% | 7.5 |
| Licensed Practical Nurse | 8 | 28 | 36 | 3,467 | 91 | 100% | 8.4 |
| Medication Aide/Technician | 10 | 16 | 26 | 3,062 | 91 | 100% | 8.5 |
| Registered Nurse | 6 | 3 | 9 | 2,036 | 91 | 100% | 7.9 |
| RN Director of Nursing | 2 | 0 | 2 | 981 | 65 | 71% | 7.9 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 516 | 65 | 71% | 7.9 |
| Therapeutic Recreation Specialist | 1 | 0 | 1 | 496 | 62 | 68% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 486 | 62 | 68% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 483 | 60 | 66% | 8.1 |
| Physical Therapy Aide | 2 | 0 | 2 | 480 | 63 | 69% | 7.1 |
| Dietitian | 2 | 0 | 2 | 478 | 69 | 76% | 6.9 |
| Other Dietary Services Staff | 2 | 0 | 2 | 439 | 60 | 66% | 6.8 |
| Speech Language Pathologist | 4 | 0 | 4 | 335 | 52 | 57% | 6.1 |
| Physical Therapy Assistant | 1 | 0 | 1 | 270 | 55 | 60% | 4.9 |
| Qualified Social Worker | 1 | 0 | 1 | 189 | 37 | 41% | 5.1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 98 | 27 | 30% | 3.6 |
| Medical Director | 0 | 1 | 1 | 98 | 13 | 14% | 7.5 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 76 | 21 | 23% | 3.5 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 11 | 12 | 13% | 0.9 |
122 Certified Nursing Assistant
% of Days
100%
14 Physical Therapist
% of Days
100%
36 Licensed Practical Nurse
% of Days
100%
26 Medication Aide/Technician
% of Days
100%
9 Registered Nurse
% of Days
100%
2 RN Director of Nursing
% of Days
71%
1 Administrator
% of Days
71%
1 Nurse Practitioner
% of Days
71%
1 Therapeutic Recreation Specialist
% of Days
68%
1 Mental Health Service Worker
% of Days
68%
1 Dental Services Staff
% of Days
66%
2 Physical Therapy Aide
% of Days
69%
2 Dietitian
% of Days
76%
2 Other Dietary Services Staff
% of Days
66%
4 Speech Language Pathologist
% of Days
57%
1 Physical Therapy Assistant
% of Days
60%
1 Qualified Social Worker
% of Days
41%
1 Occupational Therapy Aide
% of Days
30%
1 Medical Director
% of Days
14%
2 Respiratory Therapy Technician
% of Days
23%
1 Occupational Therapy Assistant
% of Days
13%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
86 residents
Residents by payment source
Medicare
17 residents (19.8%)
Medicaid
63 residents (73.3%)
Private pay or other
6 residents (7%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
3.3
70% better than Missouri averageMissouri average: 10.9
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
6.7
66% better than Missouri averageMissouri average: 19.5
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
3.2%
Percent of long-stay residents whose need for help with daily activities has increased
3.2%
84% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
5.0%
Percent of long-stay residents whose ability to move independently worsened
5.0%
76% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
11.9%
34% better than Missouri averageMissouri average: 18.1%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.1%
49% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.2%
Percent of long-stay high risk residents with pressure ulcers
3.2%
37% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.9%
Percent of long-stay residents with a urinary tract infection
0.9%
66% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.9%
Percent of long-stay residents who lose too much weight
2.9%
48% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
95.0%
Percent of long-stay residents who have depressive symptoms
95.0%
640% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
16.9%
Percent of long-stay residents who received an antipsychotic medication
16.9%
23% better than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
82.4%
In line with Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.6%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
49.1%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
49.1%
26% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
Percent of short-stay residents who newly received an antipsychotic medication
1.9%
15% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
52.9%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
52.9%
17% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$185K
154% higher than Missouri averageMissouri average: $73K
Number of fines
2
18% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
2
191% more payment denials than Missouri averageMissouri average: 0.7
Fines amount comparison
Fines amount comparison
This facility
$185K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 8, 2024
$85K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 8, 2024
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Feb 8, 2024
12 days
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 25, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 25, 2023
$100K
Payment Denial
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 25, 2023
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
May 25, 2023
31 days
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Big Bend Woods Healthcare Center based on CMS SNF Cost Reports.
Occupancy Rate
64.4%
↓ 1.0pp vs 2022
Net Income
$348.6K
↑ ~$617.9K vs 2022
Total Payroll
$5.2M
↑ ~$57.1K vs 2022
Profit Margin
4.0%
↑ 7.4pp vs 2022
Loading trend charts...
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