Big Bend Woods Healthcare Center
BIG BEND WOODS HEALTHCARE CENTER in VALLEY PARK, MO — inspection on September 12, 2025.
Found 4 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
the resident's family member to pick them up.
The resident was in the hospital when the room was
9/12/25 at approximately 9:30 A.M., the Administrator said she did not obtain permission from the
it was explained that the items were not permitted in the facility.
She expected the policies to be followed and resident consent prior to searching a resident's room. 14541571454156
265130 09/12/2025
Big Bend Woods Healthcare Center 110 Highland Avenue Valley Park, MO 63088
Review of Resident #4's quarterly MDS,
psychotic disorder.
Observation on 9/9/25 at 4:20 P.M., showed the resident had a personal mini refrigerator in the room. No temperature log sheet observed.
Observation and interview on 9/11/25 at 8:53 A.M., showed the resident's refrigerator did not have a temperature log sheet.
The resident said he/she had never seen any staff check the refrigerator.
The refrigerator contained some milk and juices.
The resident's roommate said staff were supposed to check the refrigerator's temperature daily, but nobody was doing it since the time he/she was moved to the room, which was approximately a year ago. 9.
Review of Resident #6's annual MDS, dated [DATE], showed:-Moderately impaired cognition;-Diagnoses included diabetes, high cholesterol, high blood pressure, anxiety, depression and schizophrenia (a serious mental health condition that affects how people think, feel and behave).
Observation and interview on 9/11/25 at 8:58 A.M., showed the resident had a personal mini refrigerator in the room, by the sink. A blank temperature log sheet was taped on the side of the refrigerator.
The resident said he/she did not see any staff checking the refrigerator's temperature. He/She did not know what the piece of paper was for that was attached to the refrigerator.
The refrigerator contained milk, chocolate milk and bags of salads.
During an interview on 9/11/25 at 8:59 A.M., Housekeeping Aide H said they were not responsible for checking and logging temperature of the residents' personal refrigerators. He/She said the CNAs were responsible for that task.
During an interview on 9/11/25 at 9:04 A.M., CNA P said the Certified Medication Technicians (CMT) used to check the temperature of the residents' personal refrigerators.
He/She did not remember the last time they were being checked. He/She had not seen anyone check them lately.
During an interview on 9/11/25 at 2:23 P.M., Housekeeping Aide D said housekeeping staff does not touch or monitor the temperatures of personal refrigerators in resident rooms.
During an interview on 9/11/25 at 2:50 P.M., CNA B said dietary is the only department that checks the refrigerators in their kitchen. 10.
During an interview on 9/12/25 at 10:49 A.M., the Administrator said housekeeping is responsible for monitoring temperatures inside resident personal refrigerators.
She is unsure how often the refrigerator temperatures are checked.
They should be checked routinely, and housekeeping should have some system that should be in place.1454154
265130 09/12/2025
Big Bend Woods Healthcare Center 110 Highland Avenue Valley Park, MO 63088
resident's toenail is discolored, they should report it to the nurse. CNAs can trim a resident's toenails
eats with their hands, staff are expected to wash the resident's hands and get underneath their
the resident and change their clothes. Resident #71 has a behavior of refusing care and can become combative with staff.
When this occurs, she expected staff to redirect and reapproach later. CNAs can shave and trim a resident's beard.
Offering to shave or trim a resident's beard is part of a resident's daily care. 2567916
265130 09/12/2025
Big Bend Woods Healthcare Center 110 Highland Avenue Valley Park, MO 63088
During an interview on 9/11/25 at 8:56 A.M., Registered Nurse (RN) A said the insulin pens are to be primed with two units of insulin before administering the insulin to the resident every time.
Priming the pen removes any air bubbles and ensures the insulin dose more accurate.
During an interview on 9/11/25 at 10:40 A.M., LPN K said insulin FlexPens should only be primed when the pen is being used for the first time. LPN K was not aware if the insulin FlexPens should be primed with each use.
During an interview on 9/12/25 at 9:15 A.M., the Assistant Director of Nursing (ADON) and the Nurse Manager said the insulin FlexPens are expected to be primed by the nursing staff administering the medication with 2 units of insulin each time the FlexPen is being used. It ensures a more accurate dose by removing any air bubbles.
During an interview on 9/12/25 at 10:30 A.M., the Administrator said she would expect staff to prime insulin FlexPens prior to each use. 1454154
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.