Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 265130

Big Bend Woods Healthcare Center

76 federal citations on record , including 1 at the Immediate Jeopardy level, and 4 federal enforcement actions totaling $185,221.

1 Immediate Jeopardy

Record summary

Federal record · Q1 2026
76
Total citations
49
Last 3 years
6
Actual harm+
4
Federal penalties
$185,221
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care24 Resident Rights20 Medication & Pharmacy7 Abuse & Neglect5 Care Planning5

Most common F-tags at this facility

F8804 F5844 F6583 F6773 F6893

Citation history

76 on record
SurveyF-TagViolationSeveritySource
Sep 12, 2025F759Ensure medication error rates are not 5 percent or greater.EComplaint
Sep 12, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Sep 12, 2025F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Sep 12, 2025F557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DComplaint
Sep 12, 2025F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
Sep 12, 2025F880Provide and implement an infection prevention and control program.EStandard
Sep 12, 2025F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.DStandard
Sep 12, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Sep 12, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Mar 19, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Feb 8, 2024F880Provide and implement an infection prevention and control program.DStandard
Feb 8, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DStandard
Feb 8, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Feb 8, 2024F804Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.EStandard
Feb 8, 2024F801Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FStandard
Feb 8, 2024F761Ensure 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.DStandard
Feb 8, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
Feb 8, 2024F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.GStandard
Feb 8, 2024F679Provide activities to meet all resident's needs.EStandard
Feb 8, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Feb 8, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Feb 8, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.CStandard
Feb 8, 2024F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
Feb 8, 2024F585Honor 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.EStandard
Feb 8, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.DStandard
Feb 8, 2024F583Keep residents' personal and medical records private and confidential.DStandard
Feb 8, 2024F577Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.CStandard
Feb 8, 2024F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.DStandard
Feb 8, 2024F568Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.EStandard
Dec 6, 2023F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.DComplaint
Jul 29, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Jul 21, 2023F880Provide and implement an infection prevention and control program.DComplaint
Jul 21, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Jul 21, 2023F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Jul 21, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Jul 21, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Jul 21, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 25, 2023F880Provide and implement an infection prevention and control program.DComplaint
May 25, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
May 25, 2023F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
May 25, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
May 25, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EComplaint
May 25, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 25, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GComplaint
May 25, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
May 25, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
May 25, 2023F561Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.DComplaint
May 25, 2023F558Reasonably accommodate the needs and preferences of each resident.DComplaint
May 25, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
May 24, 2021F919Make sure that a working call system is available in each resident's bathroom and bathing area.EStandard
May 24, 2021F909Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.EStandard
May 24, 2021F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.DStandard
May 24, 2021F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EStandard
May 24, 2021F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
May 24, 2021F761Ensure 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.EStandard
May 24, 2021F759Ensure medication error rates are not 5 percent or greater.EStandard
May 24, 2021F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard
May 24, 2021F730Observe each nurse aide's job performance and give regular training.EStandard
May 24, 2021F726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.EStandard
May 24, 2021F700Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.EStandard
May 24, 2021F698Provide safe, appropriate dialysis care/services for a resident who requires such services.EStandard
May 24, 2021F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DStandard
May 24, 2021F692Provide enough food/fluids to maintain a resident's health.DStandard
May 24, 2021F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.EStandard
May 24, 2021F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard
May 24, 2021F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.KStandard
May 24, 2021F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
May 24, 2021F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
May 24, 2021F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
May 24, 2021F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DStandard
May 24, 2021F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.EStandard
May 24, 2021F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
May 24, 2021F585Honor 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.EStandard
May 24, 2021F583Keep residents' personal and medical records private and confidential.DStandard
May 24, 2021F570Assure the security of all personal funds of residents deposited with the facility.EStandard
May 24, 2021F569Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.EStandard

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 2 civil money penalties totaling $185,221 and 2 payment-denial actions spanning 43 days.

DateTypeFinePayment denial
Feb 8, 2024Fine$85,176—
Feb 8, 2024Payment Denial—Mar 16, 2024 · 12 days
May 25, 2023Fine$100,045—
May 25, 2023Payment Denial—Jul 11, 2023 · 31 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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