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Establishment profile

BIG BEND WOODS HEALTHCARE CENTER

110 HIGHLAND AVE., VALLEY PARK, MO, 63088
623110Nursing Care Facilities (Skilled Nursing Facilities)

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OSHA inspections
4
over 23 years
Violations
9
$4,840 in penalties
Penalties
$4,840
$538 avg
Violations across 2 federal agencies
Enforcement actions from multiple agencies may indicate systemic compliance issues across functions.
Accident investigations on record
3 National Emphasis Program inspections

Summary

BIG BEND WOODS HEALTHCARE CENTER has accumulated 9 OSHA violations across 4 inspections over 23 years of recorded history, with $4,840 in total assessed penalties.

The establishment sits in the 95th percentile for violations within its industry-state peer group of 245 employers. Inspection frequency runs at the 95th percentile. The most recent enforcement activity was recorded 3 years ago.

Federal records were found in 2 of 15 sources. Sources without matching records returned empty for this establishment.

Agency coverage

BIG BEND WOODS HEALTHCARE CENTER appears in OSHA workplace safety, WHD wage enforcement, and CMS nursing home enforcement records only. No matching records were found in MSHA mine safety, EPA environmental compliance, NLRB labor relations, OFLC visa and labor certification (historical), FMCSA motor carrier registration, SAM.gov federal debarment, UVA Corporate Prosecution Registry, CPSC product recalls, or NHTSA vehicle recalls.

OSHA workplace safety

Inspections
4
0.2 / yr · last 23 yrs
Violations
9
0.4 / yr
Penalties
$4,840
$538 avg / violation
67% serious33% other
Inspection trigger · planned
3 of 4
Inspection trigger · complaint
1 of 4

100% of inspections at this establishment produced violations, with 4 inspections producing serious-or-greater violations.

Most-cited OSHA standards

Top OSHA standards cited at this employer, ranked by citation count. Standards (CFR sections) cluster citations into safety themes -- machine guarding, lockout-tagout, hazard communication, fall protection, process safety, etc. A concentration on one or two sections reveals a pattern that individual citations don’t. 9 distinct standards shown · 9 citations in this view · $4,840 in penalties.

CFR sectionCitationsInspectionsTotal penaltyFirst citedLast cited
29 CFR 1910.1030 G02 VII J11$1,607Oct 2012Oct 2012
29 CFR 1910.0147 C06 I11$675Nov 2008Nov 2008
29 CFR 1910.0304 F05 V11$675Nov 2008Nov 2008
29 CFR 1910.1030 F02 I11$660Sep 2007Sep 2007
29 CFR 1910.1030 D02 I11$650May 2003May 2003
29 CFR 1910.1030 D03 II11$574Nov 2008Nov 2008
29 CFR 1910.1030 H05 I11Oct 2012Oct 2012
29 CFR 1910.1030 G02 I11Sep 2007Sep 2007
29 CFR 1910.0132 D0111May 2003May 2003

Source: OSHA inspection citations (violation_detail). CFR section codes can be looked up at osha.gov/laws-regs for the formal standard text. Per-inspection detail and the specific violation descriptions are available by expanding individual inspections below.

Peer comparison

95th

Worse on violations than nearly every other employer in NAICS 6231 within MO. Peer group: 245 employers. This establishment has 9 OSHA violations; peer median is 2.

Fewer violationsMore violations
Penalty percentile
86th
peer median: $563
Inspection frequency
95th
peer median: 1

Safety self-report (OSHA 300A)

No self-reported injury rates filed with OSHA's Injury Tracking Application for BIG BEND WOODS HEALTHCARE CENTER. Verify directly with OSHA Injury Tracking Application

Industry benchmark

Industry avg TRIR
6.3
BLS SOII 2024
Industry avg DART
4.5
BLS SOII 2024
Self-reported TRIR
Not in OSHA ITA

BLS rates reflect industry-wide averages. Self-reported figures come from OSHA’s Injury Tracking Application; absence of self-reported data does not necessarily indicate non-compliance — many establishments fall below the ITA reporting threshold.

Inspection breakdown

Planned
3
Complaint
1

Complaint- and accident-triggered inspections are stronger risk signals than routine planned inspections.

OSHA severe injury reports

No severe injury reports (hospitalization, amputation, or loss of an eye) on file under 29 CFR 1904.39 for BIG BEND WOODS HEALTHCARE CENTER. Verify directly with Occupational Safety and Health Administration

Activity timeline

Data refreshed
Weekly
First OSHA inspection
Most recent activity
3 years ago

No federal enforcement activity has been recorded against this establishment in 3+ years. Most recent activity: 3 years ago. Data on this page is refreshed weekly.

Wage & Hour Division (WHD)

Cases
1
Back wages owed
$281
Employees affected
2

Department of Labor Wage & Hour Division — minimum-wage, overtime, child-labor, FMLA, and prevailing-wage enforcement.

Wage and hour breakdown by law

Per-statute totals across all closed DOL Wage & Hour cases against this employer. Backwages reflect amounts the agency assessed; civil penalty is the separate fine where applicable. Some acts (Davis-Bacon, SCA, CWHSSA, H-2B, CCPA) don't carry a civil penalty field in DOL's data. 1 statute · 3 violations · $281 in backwages

StatutePeriodCasesViolationsWorkersBackwagesCivil penalty
FLSA — minimum wage & overtimeMar 2023132$281

Source: DOL WHD enforcement database, aggregated per statute. Lifetime totals. A case can cite multiple statutes — so the total here may exceed the case count in the table above.

Wage and hour cases

Closed DOL Wage & Hour Division cases (FLSA, FMLA, H-2B, MSPA, and related statutes). Backwages reflect amounts the agency assessed; civil penalty (CMP) is a separate fine levied on top, where the statute provides for one (FLSA / H-1B / H-2A / MSPA / FMLA / EPPA / FLSA Child Labor; other acts have no CMP column in DOL’s data). The Statutes column lists which laws each case cited. 1 case · 3 violations · $281 in backwages · 2 workers affected

Case periodIndustryStatutesViolationsWorkersBackwagesCivil penalty
Mar 2021 – Mar 2023Residential Mental Retardation, Mental Health and Substance Abuse FacilitiesFLSA32$281

Source: DOL WHD enforcement database. Cases shown reflect those the agency has closed and made public. A violation count is the agency’s tally of cited violations (one violation can affect many workers); the workers column counts distinct employees the agency found to be affected.

Mine safety (MSHA)

No MSHA mine safety violations on file for BIG BEND WOODS HEALTHCARE CENTER. Verify directly with Mine Safety and Health Administration

Labor relations (NLRB)

No NLRB unfair labor practice charges or union representation cases on file for BIG BEND WOODS HEALTHCARE CENTER. Verify directly with National Labor Relations Board

Visa & labor certification (OFLC) — historical

No H-1B, H-2A, or H-2B labor condition applications on file (historical data only — DOL ended OFLC publication) for BIG BEND WOODS HEALTHCARE CENTER. Verify directly with Office of Foreign Labor Certification

Environmental compliance (EPA)

No EPA inspections or formal enforcement actions on file for BIG BEND WOODS HEALTHCARE CENTER. Verify directly with Environmental Protection Agency

CMS nursing-home record

CCN 265130

CMS abuse icon
Overall rating
1 of 5 stars
Certified beds
135
Deficiencies (3y)
37
CMS fines
$185,221

Source: CMS Provider Data Catalog (Care Compare) — health-inspection deficiencies, fines, and ratings. Full nursing-home record →

CMS Care Compare deficiencies

Every Health Deficiency citation issued by CMS surveyors during this facility’s annual and complaint-triggered surveys. F-tags reference 42 CFR 483 regulatory requirements (resident rights, staffing, infection control, medication management, etc.). Scope-severity letters grade citations from A (isolated potential harm) through L (widespread immediate jeopardy); immediate-jeopardy citations are the critical signal. 76 citations across 8 surveys · 1 immediate jeopardy · 5 actual-harm · 25 complaint-triggered.

Survey dateF-TagSeverityDescriptionTypeCorrected
Sep 20250584E
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
Complaint
Sep 20250759E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Complaint
Sep 20250880E
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Sep 20250919E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Standard
Sep 20250557D
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
Resident Rights Deficiencies
Complaint
Sep 20250558D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Standard
Sep 20250658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard
Sep 20250677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Complaint
Sep 20250804D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard
Mar 20250600D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Complaint
Feb 20240688G (harm)
Provide 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.
Quality of Life and Care Deficiencies
Standard
Feb 20240801F
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
Standard
Feb 20240568E
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Resident Rights Deficiencies
Standard
Feb 20240585E
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.
Resident Rights Deficiencies
Standard
Feb 20240607E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
Feb 20240679E
Provide activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Standard
Feb 20240689E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard
Feb 20240804E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Standard
Feb 20240812E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies
Standard
Feb 20240569D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies
Standard
Feb 20240583D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Standard
Feb 20240584D
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
Standard
Feb 20240658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard
Feb 20240677D
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard
Feb 20240761D
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.
Pharmacy Service Deficiencies
Standard
Feb 20240842D
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
Standard
Feb 20240880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Standard
Feb 20240577C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
Standard
Feb 20240623C
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
Standard
Dec 20230678D
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
Complaint
Jul 20230584E
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
Complaint
Jul 20230697G (harm)
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint
Jul 20230755E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint
Jul 20230550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint
Jul 20230684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint
Jul 20230686D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
Jul 20230880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint
May 20230686G (harm)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Complaint
May 20230697G (harm)
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies
Complaint
May 20230584E
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
Complaint
May 20230690E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Complaint
May 20230755E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Complaint
May 20230550D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies
Complaint
May 20230558D
Reasonably accommodate the needs and preferences of each resident.
Resident Rights Deficiencies
Complaint
May 20230561D
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Resident Rights Deficiencies
Complaint
May 20230684D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Complaint
May 20230689D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Complaint
May 20230693D
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
Complaint
May 20230880D
Provide and implement an infection prevention and control program.
Infection Control Deficiencies
Complaint
May 20210686K (IJ)
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies
Standard
May 20210684G (harm)
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Standard
May 20210569E
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident Rights Deficiencies
Standard
May 20210570E
Assure the security of all personal funds of residents deposited with the facility.
Resident Rights Deficiencies
Standard
May 20210585E
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.
Resident Rights Deficiencies
Standard
May 20210607E
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
May 20210677E
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Standard
May 20210689E
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Standard
May 20210690E
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies
Standard
May 20210698E
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies
Standard
May 20210700E
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
Standard
May 20210726E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Nursing and Physician Services Deficiencies
Standard
May 20210730E
Observe each nurse aide's job performance and give regular training.
Nursing and Physician Services Deficiencies
Standard
May 20210755E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service Deficiencies
Standard
May 20210759E
Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies
Standard
May 20210761E
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.
Pharmacy Service Deficiencies
Standard
May 20210803E
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.
Nutrition and Dietary Deficiencies
Standard
May 20210842E
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
Standard
May 20210909E
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.
Environmental Deficiencies
Standard
May 20210919E
Make sure that a working call system is available in each resident's bathroom and bathing area.
Environmental Deficiencies
Standard
May 20210583D
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies
Standard
May 20210604D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
May 20210609D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Standard
May 20210658D
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies
Standard
May 20210692D
Provide enough food/fluids to maintain a resident's health.
Quality of Life and Care Deficiencies
Standard
May 20210693D
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
Standard
May 20210867D
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Administration Deficiencies
Standard

Source: CMS Care Compare Health Deficiencies dataset. Standard survey citations come from routine annual inspections; complaint citations come from CMS investigations of resident or family complaints; infection control citations come from focused infection-prevention surveys. F-tag definitions are at cms.gov/medicare/quality-initiatives-patient-assessment-instruments/nursinghomequalityinits.

Federal criminal prosecution record

No federal criminal prosecutions, plea agreements, or deferred-prosecution agreements on file for BIG BEND WOODS HEALTHCARE CENTER. Verify directly with UVA Corporate Prosecution Registry

Inspection history

DateTriggerViolationsSeriousPenalty
2012-10-02Planned21$1,607
2008-11-13Planned33$1,924
2007-06-27Complaint21$660
2003-04-23Planned21$650

Source: OSHA IMIS. Citation amounts reflect initially assessed penalties; final amounts after appeal may differ.

In the news

Other employers in this industry and state

Other employers in nursing care facilities (skilled nursing facilities) within MO, ordered by federal enforcement volume:

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About this data

This profile aggregates federal enforcement records on BIG BEND WOODS HEALTHCARE CENTER from every major federal compliance and enforcement source plus the UVA Corporate Prosecution Registry. OSHA workplace safety inspections, WHD wage cases, MSHA mine safety, EPA environmental enforcement, NLRB labor relations, OFLC visa/labor certification, FMCSA motor carrier registration, SAM.gov debarments, CMS nursing-home records, BLS industry safety benchmarks, OSHA ITA self-reported injury rates, SEC enforcement and financial disclosures, CPSC and NHTSA recalls.

Establishments are matched across agencies using normalized employer name, state, and ZIP code.

OSHA citations typically appear 3–8 months after the inspection, so very recent enforcement actions may not yet be reflected. Profiles may be incomplete if the establishment operates under multiple legal names or files under variations our entity-matching rules don’t yet cover. To report a missing record or correction, email corrections@fastdol.com.

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Frequently asked

What is BIG BEND WOODS HEALTHCARE CENTER's OSHA violation history?
BIG BEND WOODS HEALTHCARE CENTER has 4 OSHA inspections on record with 9 violations and $4,840.1 in total penalties.
How does BIG BEND WOODS HEALTHCARE CENTER's safety record compare to its industry?
BIG BEND WOODS HEALTHCARE CENTER operates in the nursing care facilities (skilled nursing facilities) industry. The industry average Total Recordable Incident Rate (TRIR) is 6.3.