Skilled nursing facility · CMS certification number 676380
BIG SPRING CENTER FOR SKILLED CARE
BIG SPRING, Texas · Medicare and Medicaid
Certified beds, as filed in Care Compare: 120
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $8,184.00 · Payment denials: 0. The most recent penalty on file: May 14, 2024, Fine, $8,184. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,387,241 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $475,440 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,911,801 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,166,460 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,254,659 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $471,647 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$783,012 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$783,012 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 43,920 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,200 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 28,468 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 7,083 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 37,751 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 43 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 102 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 98 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 243 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 279.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 155.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436088, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 23, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,110,210 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $453,827 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,656,383 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,924,469 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,268,086 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $981,303 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$286,783 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$286,783 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,950 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 609.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441373, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 25, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,675,794 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $427,883 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,247,911 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,811,525 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,563,614 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $888,652 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$674,962 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$674,962 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,929 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 626.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398053, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 26, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,775,910 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $425,546 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,350,364 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,818,161 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,467,797 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $505,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$962,666 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$962,666 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,392 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 596.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 185.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1348683, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 10, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,957,717 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $369,079 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,588,638 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,755,897 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,167,259 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $780,595 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$386,664 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$386,664 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,816 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 159 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 393.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 156.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1342264, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 13, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,016,142 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $866,534 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,149,608 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,691,997 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$542,389 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $468 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$541,921 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$541,921 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,414 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 222 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 269.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283908, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 28, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,783,963 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,330,559 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,453,404 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,860,907 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$407,503 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$1,031 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$408,534 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$408,534 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,325 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 258 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1272618, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,530,590 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $984,827 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,545,763 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,110,011 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$564,248 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,038 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$563,210 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$563,210 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,886 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 203 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 247.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1244366, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 16, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,109,487 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $812,135 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,297,352 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,495,869 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,198,517 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,241 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,197,276 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,197,276 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,961 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 235.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1212967, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for March 13, 2015 to December 31, 2015 — a reporting period of 293 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,545,091 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $788,334 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,756,757 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,020,008 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,263,251 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,634 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,260,617 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,260,617 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,097 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 183 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137474, read from the public cost report file SNF10FY2015.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BLAKE, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2014 |
| BLAKE, MALISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/08/2014 |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2014 |
| HUGGINS, LINDA | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/01/2014 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BIG SPRING I ENTERPRISES, LLC (enrollment ID O20141021002740).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HONOR X ENTERPRISES, LLC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Not stated in the filing | 3/13/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 10/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALISA A BLAKE | Individual | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 50 | 5/8/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CREATIVE SOLUTIONS IN HEALTHCARE INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 10/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY R BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 10/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MALISA A BLAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 50 | 5/8/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDA F HUGGINS | Individual | W-2 MANAGING EMPLOYEE | 0 | 10/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- October 23, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 25, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 26, 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- February 10, 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- May 13, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- October 28, 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- October 16, 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- October 16, 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 25, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 24, 2026 | April 24, 2026 | 4 | 3 |
| 2 | February 27, 2025 | February 27, 2025 | 8 | 0 |
| 3 | January 25, 2024 | January 25, 2024 | 15 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
27 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 24, 2026 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | June 6, 2026 |
| April 24, 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | June 6, 2026 |
| April 24, 2026 | Health | F 0813 | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. | E | No | Deficient, Provider has date of correction | June 6, 2026 |
| April 24, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 6, 2026 |
| March 31, 2025 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | April 30, 2025 |
| March 31, 2025 | Health | F 0625 | Resident Rights Deficiencies | 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. | D | Yes | Deficient, Provider has date of correction | April 30, 2025 |
| February 27, 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor 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. | E | No | Deficient, Provider has date of correction | April 2, 2025 |
| February 27, 2025 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | April 2, 2025 |
| February 27, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | April 2, 2025 |
| February 27, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | April 2, 2025 |
| October 11, 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor 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. | D | Yes | Deficient, Provider has date of correction | October 12, 2024 |
| October 11, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | October 12, 2024 |
| May 14, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | June 18, 2024 |
| May 14, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | June 18, 2024 |
| May 14, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Deficient, Provider has date of correction | June 18, 2024 |
| March 19, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | March 20, 2024 |
| March 19, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Yes | Deficient, Provider has date of correction | March 20, 2024 |
| March 19, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | March 20, 2024 |
| January 25, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | January 26, 2024 |
| January 25, 2024 | Health | F 0576 | Resident Rights Deficiencies | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | No | Deficient, Provider has date of correction | January 26, 2024 |
| January 25, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | January 26, 2024 |
| January 25, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | January 26, 2024 |
| January 25, 2024 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | No | Deficient, Provider has date of correction | January 26, 2024 |
| January 25, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | 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. | D | No | Deficient, Provider has date of correction | January 26, 2024 |
| January 25, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | E | No | Deficient, Provider has date of correction | January 26, 2024 |
| January 25, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | January 26, 2024 |
| January 25, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | January 26, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| May 14, 2024 | Fine | $8,184 | 112842 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | BIG SPRING I ENTERPRISES, LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2015-03-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Howard |
| Telephone Number | 4326065012 |
| Chain Name | CREATIVE SOLUTIONS IN HEALTHCARE |
| Chain ID | 169 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 120 |
| Average Number of Residents per Day | 60.6 |
| Overall Rating | 3 |
| Health Inspection Rating | 4 |
| QM Rating | 3 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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