Big Spring Center for Skilled Care: Staffing, Turnover, and Inspection Record
Big Spring Center for Skilled Care is a 120-bed for-profit nursing home in Big Spring, Texas, part of Creative Solutions in Healthcare. In the CMS August 2026 release it reported 2.28 nurse aide hours per resident per day, 14% above the Texas average of 2.00, and 91.7% nursing staff turnover (Texas average 55.3%).
Big Spring Center for Skilled Care
3701 Wasson RdBig Spring, TX 79720
Howard County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Big Spring Center for Skilled Care, nurse aides logged 2.28 hours per resident per day, 14% above the Texas average. With about 61 residents a day, that works out to roughly 138 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 13% below the all-days figure.
| Hours per resident per day | This home | Texas avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.28 | 2.00 | 2.32 |
| Licensed practical nurses | 0.81 | 0.95 | 0.86 |
| Registered nurses | 0.34 | 0.43 | 0.69 |
| All nursing staff | 3.43 | 3.39 | 3.86 |
| All nursing staff, weekends | 2.97 | 2.98 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
91.7% of nursing staff at Big Spring Center for Skilled Care left over the year CMS measured, against a Texas average of 55.3% and a US average of 45.8%. Registered nurse turnover was 88.9%. 3 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 24, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (Texas average 9.3). CMS lists 1 fine totaling $8,184 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| May 14, 2024 | Fine | $8,184 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Big Spring Center for Skilled Care holds 3 of 5 overall; the Texas average is 2.6.
About Big Spring Center for Skilled Care
- Ownership: For profit - Corporation
- Chain: Creative Solutions in Healthcare, 149 homes
- Legal name: Big Spring I Enterprises, LLC
- Medicare and Medicaid certified since: Mar 13, 2015
- Councils: resident council
- Area: rural
Nursing homes near Big Spring Center for Skilled Care
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Parkview Skilled Care and Rehabilitation Big Spring | 0.5 | 117 | 2.55 | 3.55 | 57.6% | 4 | None |
| Lamun-Lusk-Sanchez Texas State Veterans Home Big Spring | 4.0 | 160 | 2.25 | 3.58 | 33.6% | 5 | $21,252 |
| Focused Care at Hogan Park Midland | 36.1 | 106 | 1.32 | 2.37 | 63.0% | 1 | $9,110 |
| Focused Care at Midland Midland | 37.0 | 106 | 2.16 | 2.95 | 41.2% | 2 | $9,281 |
| Mitchell County Nursing and Rehabilitation Center Colorado City | 37.4 | 54 | 1.94 | 3.28 | 35.3% | 3 | None |
| Midland Medical Lodge Midland | 39.1 | 125 | 1.90 | 3.13 | 46.9% | 3 | None |
| Sterling Nursing and Rehab Sterling City | 39.5 | 44 | 3.45 | 5.35 | 53.3% | 4 | None |
| Mabee Health Care Center Midland | 41.2 | 44 | 2.58 | 3.76 | 83.8% | 4 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
Explore next
Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.