All citations for Big Bend Woods Healthcare Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Big Bend Woods Healthcare Center

Last standard health inspection on record

September 12, 2025

Showing 26 to 50 of 57 citations

  1. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2021).

  2. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2021).

  3. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 20, 2021).

  4. No harm, with potential for more than minimal harm

    Ensure 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2021).

  5. No harm, with potential for more than minimal harm

    Ensure 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0803, Nutrition and Dietary Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2021).

  6. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2021).

  7. No harm, with potential for more than minimal harm

    Regularly 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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0909, Environmental Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2021).

  8. No harm, with potential for more than minimal harm

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0919, Environmental Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2021).

  9. No harm, with potential for more than minimal harm

    Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0557, Resident Rights Deficiencies. Inspection of September 12, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  10. No harm, with potential for more than minimal harm

    Reasonably accommodate the needs and preferences of each resident.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0558, Resident Rights Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  11. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  12. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 12, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  13. No harm, with potential for more than minimal harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of September 12, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 6, 2025).

  14. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 19, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (March 11, 2025).

  15. No harm, with potential for more than minimal harm

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0569, Resident Rights Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

  16. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

  17. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

  18. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 27, 2024).

  19. No harm, with potential for more than minimal harm

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

  20. No harm, with potential for more than minimal harm

    Ensure 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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

  21. No harm, with potential for more than minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

  22. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 8, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (March 16, 2024).

  23. No harm, with potential for more than minimal harm

    Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0678, Quality of Life and Care Deficiencies. Inspection of December 6, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 22, 2023).

  24. No harm, with potential for more than minimal harm

    Keep residents' personal and medical records private and confidential.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0583, Resident Rights Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2021).

  25. No harm, with potential for more than minimal harm

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 24, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2021).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.