nursing home in Humansville, MO
Big Spring Care Center for Rehab and Healthcare
202 East Mill Street, Humansville, MO 65674 · (417) 754-8711
★★★★★1
Much below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★1
- Staffing★★★★★1
- Quality measures★★★★★1
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Big Spring Care Center for Rehab and Healthcare at a glance
Big Spring Care Center for Rehab and Healthcare is a 60-bed for-profit nursing home in Humansville, Missouri (Polk County).
CMS gives it 1 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.
Residents receive about 3.3 hours of nursing care per day (0.5 of them from registered nurses), close to the state average of 3.4 hours.
Its most recent standard health inspection (January 31, 2025) found 21 health citations. The Missouri average is 11.4.
It has not received a federal fine in the past three years.
Nursing staff turnover is 76.3% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Limited Liability Company
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- June 3, 1994
- Resident/family council
- Resident
- County
- Polk County
- CMS Certification Number
- 265573
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 1 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 1 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 1 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.8 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 2.7 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.35 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.47 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.36 hrs | 2.29 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.02 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 76.3% | 56% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 80% | 47.8% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 1 | 1 | Worse |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 21 | 11 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 8 | 3 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 235.5 | 111.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 103 | 107 | |
| Average residents per day | 38 | 73 | 86 | |
| Occupancy | 62.7% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 4.8% | 4.1% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 2.1% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 37.9% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 30.2% | 18.1% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 30.8% | 17.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.1% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 7.4% | 18.5% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 27.6% | 25.6% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 25.7% | 17.8% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 95.7% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 90.5% | 84.1% | 93.6% | Average |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 5.6% | 2.2% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 74.1% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 53.2% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 39 health deficiencies and 17 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 22, 2026 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Deficient, Provider has no plan of correction |
| July 22, 2026 Complaint | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | D Potential harm, isolated | Deficient, Provider has no plan of correction |
| March 4, 2026 Complaint | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 16, 2026 |
| November 19, 2025 Complaint | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Tag F0580 | E Potential harm, pattern | Corrected January 3, 2026 |
| November 19, 2025 Complaint | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected January 3, 2026 |
| August 5, 2025 Complaint | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | D Potential harm, isolated | Corrected September 16, 2025 |
| March 27, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 28, 2025 |
| January 31, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Fire safety | Use approved construction type or materials. Construction Deficiencies · Tag K0161 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Fire safety | Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Services Deficiencies · Tag K0521 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | E Potential harm, pattern | Corrected March 17, 2025 |
| January 31, 2025 Fire safety | Have proper medical gas storage and administration areas. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0923 | E Potential harm, pattern | Corrected March 17, 2025 |
| January 31, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Standard | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Standard | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Standard | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Tag F0802 | F Potential harm, widespread | Corrected March 17, 2025 |
| January 31, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected March 17, 2025 |
| January 31, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected March 17, 2025 |
| January 31, 2025 Complaint | Honor 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. Resident Rights Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected March 17, 2025 |
| January 31, 2025 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | E Potential harm, pattern | Corrected March 17, 2025 |
| January 31, 2025 Standard | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Tag F0699 | D Potential harm, isolated | Corrected March 17, 2025 |
| January 31, 2025 Complaint | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected March 17, 2025 |
| January 31, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected March 17, 2025 |
| January 31, 2025 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected March 28, 2025 |
| January 31, 2025 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected March 17, 2025 |
| January 31, 2025 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | D Potential harm, isolated | Corrected March 17, 2025 |
| January 31, 2025 Standard | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected March 17, 2025 |
| October 23, 2023 Complaint | Administer the facility in a manner that enables it to use its resources effectively and efficiently. Administration Deficiencies · Tag F0835 | F Potential harm, widespread | Corrected November 30, 2023 |
| April 14, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected May 28, 2023 |
| April 14, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected May 28, 2023 |
| April 14, 2023 Standard | Have enough backup water supply for essential areas of the nursing home. Environmental Deficiencies · Tag F0922 | F Potential harm, widespread | Corrected May 28, 2023 |
| April 14, 2023 Standard | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Environmental Deficiencies · Tag F0921 | F Potential harm, widespread | Corrected May 28, 2023 |
| April 14, 2023 Standard | Try 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. Quality of Life and Care Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected May 28, 2023 |
| April 14, 2023 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected May 28, 2023 |
| April 14, 2023 Standard | Develop and implement policies and procedures for flu and pneumonia vaccinations. Infection Control Deficiencies · Tag F0883 | E Potential harm, pattern | Corrected May 28, 2023 |
| April 14, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 28, 2023 |
| April 14, 2023 Standard | 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. Resident Rights Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected May 28, 2023 |
| April 14, 2023 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | E Potential harm, pattern | Corrected May 28, 2023 |
| April 14, 2023 Standard | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. Quality of Life and Care Deficiencies · Tag F0678 | D Potential harm, isolated | Corrected May 28, 2023 |
| April 14, 2023 Standard | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Resident Assessment and Care Planning Deficiencies · Tag F0655 | D Potential harm, isolated | Corrected May 28, 2023 |
| April 14, 2023 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected May 28, 2023 |
| December 19, 2019 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected January 31, 2020 |
| December 19, 2019 Fire safety | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0921 | F Potential harm, widespread | Corrected January 31, 2020 |
| December 19, 2019 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected January 31, 2020 |
| December 19, 2019 Fire safety | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Tag K0372 | F Potential harm, widespread | Corrected January 31, 2020 |
| December 19, 2019 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | E Potential harm, pattern | Corrected January 31, 2020 |
| December 19, 2019 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | E Potential harm, pattern | Corrected January 31, 2020 |
| December 19, 2019 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | E Potential harm, pattern | Corrected January 31, 2020 |
| December 19, 2019 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected January 31, 2020 |
| December 19, 2019 Standard | Try 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. Quality of Life and Care Deficiencies · Tag F0700 | D Potential harm, isolated | Corrected January 31, 2020 |
| December 19, 2019 Standard | Ensure 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. Quality of Life and Care Deficiencies · Tag F0693 | D Potential harm, isolated | Corrected January 31, 2020 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 202 E MILL STREET LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| BEAN, ALICIA Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| HARRIS, MICHAEL Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| HUMANSVILLE SNF OPERATIONS LLC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| RAMOS, BRIAN Individual | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| STRAWBERRY FIELDS REALTY LP Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| STRAWBERRY FIELDS REIT INC Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| STRAWBERRY FIELDS REIT LTD Organization | adp of the snf | NOT APPLICABLE | 07/01/2025 |
| HUMANSVILLE SNF OPERATIONS LLC Organization | direct ownership interest | NOT APPLICABLE | 07/01/2025 |
| BRUCE, LELAND Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| GAYTAN, LUCY Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| HIXSON, BROOKE Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| RAMOS, BRIAN Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| THUET, DANIEL Individual | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| TIDE HEALTH GROUP LLC Organization | indirect ownership interest | NOT APPLICABLE | 07/01/2025 |
| BEAN, ALICIA Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| HARRIS, MICHAEL Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| HUMANSVILLE SNF OPERATIONS LLC Organization | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
| RAMOS, BRIAN Individual | operational/managerial control | NOT APPLICABLE | 07/01/2025 |
Other nursing homes near Big Spring Care Center for Rehab and Healthcare
Northwood Hills Care Center
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★★★★★2Below averageParkview Health Care Facility
119 West Forest, Bolivar, MO 65613 · 14.5 mi
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★★★★★4Above averageLake Stockton Healthcare Facility
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★★★★★4Above averageCitizens Memorial Healthcare Facility
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★★★★★2Below averageHermitage Nursing & Rehab
18599 First Street, Hermitage, MO 65668 · 17.7 mi
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- Abuse citation
★★★★★3AverageCommunity Springs Healthcare Facility
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★★★★★3Average
Frequently asked questions
What is Big Spring Care Center for Rehab and Healthcare's rating?
Big Spring Care Center for Rehab and Healthcare has 1 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Big Spring Care Center for Rehab and Healthcare receive?
Its most recent standard health inspection found 21 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Big Spring Care Center for Rehab and Healthcare accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Big Spring Care Center for Rehab and Healthcare?
It is for profit - limited liability company. The ownership section on this page lists the owners and managers reported to CMS.
Where is Big Spring Care Center for Rehab and Healthcare and how do I contact it?
Big Spring Care Center for Rehab and Healthcare is at 202 East Mill Street, Humansville, MO 65674. Phone: (417) 754-8711.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.