Big Spring Center For Skilled Care
3701 WASSON ROAD, Big Spring, TX, 79720
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- For profit - Limited Liability company · Chain: Creative Solutions In Healthcare
- Certified beds
- 120 · avg 66 residents/day
- Total nursing staff turnover
- 59.7% — higher than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 87.5% — higher than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 5 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $8,184 total
State licensing & capacity
- License number
- 144699
- Service type
- Medicare/medicaid
- Licensed capacity
- 120 beds
- Bed type breakdown
- 15 Medicare-only · 105 Medicaid/Medicare
- Current license effective
- March 13, 2025
- Current license expires
- March 13, 2028
- Initial license date
- March 13, 2015
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Big Spring I Enterprises, Llc (Limited Liability Company (LLC))
- Operator / manager
- Creative Solutions In Healthcare, Inc
- Administrator
- Phillip Teague
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Chain affiliation
Part of the Creative Solutions in Healthcare chain — 149 facilities. Chain-wide average overall rating 2.7 / 5.
Disclosed owners (5 on record)
- Honor x Enterprises, Llc
5% or Greater Direct Ownership Interest · since 2015
- Creative Solutions in Healthcare Inc
Operational/managerial Control · 100% · since 2014
- Gary r Blake
5% or Greater Indirect Ownership Interest · 50% · since 2014
- Linda f Huggins
W-2 Managing Employee · since 2014
- Malisa a Blake
5% or Greater Indirect Ownership Interest · 50% · since 2014
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of April 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 27)
- D0625·Mar 31, 2025Complaint
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.
- D0607·Mar 31, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- E0880·Feb 27, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Feb 27, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0645·Feb 27, 2025
Resident Assessment and Care Planning Deficiencies
PASARR screening for Mental disorders or Intellectual Disabilities
- E0585·Feb 27, 2025
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.
- D0607·Oct 11, 2024Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D0585·Oct 11, 2024Complaint
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.
Federal penalties
By year
- 20241 fine · $8,184
Most recent events
- May 14, 2024Fine · $8,184
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Big Spring Center For Skilled Care is a 120-bed nursing home in Big Spring, TX, managed by Creative Solutions In Healthcare. CMS rates it 3 stars overall, with a 2-star staffing rating — roughly the bottom third of Texas nursing homes on staffing. Five administrators have turned over, and the facility is running at about 55% of licensed capacity. The license is active through March 2028.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates staffing here at 2 stars — about 194 minutes of nursing care per resident per day, roughly 47 minutes less than at a 4-star-staffing facility in Texas. Approximately 31% of Texas nursing homes share this staffing rating or lower. RN coverage specifically runs about 23 minutes per resident per day, compared to 37 minutes at Texas's 4-star staffing threshold.
RN turnover is severe: roughly 9 in 10 registered nurses left in the past year. For a resident on a long-term stay, that means the RN who knows their history, medications, and baseline is very likely gone within months. Total nursing staff turnover of 59.7% sits near the Texas 75th percentile — meaning most facilities in the state see less turnover.
Five administrators have turned over within the reporting period. That level of leadership instability affects care coordination, staff retention, and how consistently policies are enforced day to day.
The facility is operating at roughly 55% of its 120 licensed beds — about 66 residents on an average day. Paired with high turnover and staffing concerns, low occupancy here reflects a pattern the other signals reinforce.
One CMS fine of $8,184 was issued. The state median for fined facilities in Texas is about $20,699, so the dollar amount is below the midpoint, and roughly 30% of Texas nursing homes have no fines at all.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Administrator history and current leadership
Five administrators have left during the CMS reporting period — ask who is currently in the role, how long they have been there, and whether they plan to stay.
RN staffing on evenings and weekends
RN turnover here is roughly 9 in 10 per year — ask how many RNs are on shift during evenings and weekends and how vacancies are covered.
Why occupancy is at 55 percent
The facility averages about 66 residents against 120 licensed beds — ask what has driven occupancy down and whether staffing or admissions decisions are involved.
Care continuity for long-stay residents
With total nursing turnover near the Texas 75th percentile, ask how the facility maintains consistent care plans when the staff caring for a resident changes frequently.
Resident Council activity and reach
The facility has a Resident Council but no Family Council — ask how often the Resident Council meets and how family members can raise concerns without a formal channel of their own.
Weekend nursing coverage specifics
CMS data shows weekend nursing hours of about 162 minutes per resident per day — ask how weekend staffing is structured and how it differs from weekday coverage.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.