Staffing
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.47 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceAsk Trust Hub Network
CMS overview
No proprietary TrustHub score. These ratings are published separately by CMS.
Facility information
CMS remains the primary federal record. Public website and additional contact details appear only when independently verified.
Decision guide
Factual evidence to examine before you decide. These summaries are not a score or recommendation.
CMS publishes a 1-star staffing rating for this facility.
RN staffing was 0.47 hours per resident day in 2026Q1, calculated from CMS PBJ records.
View staffing evidenceThe latest standard inspection on Jan 31, 2025 cited 13 deficiencies.
View inspection evidenceCMS-published records list 47 ownership or control parties.
CMS records show an ownership change effective July 2025.
View ownership evidenceOwnership & operation
Operator, licensee, owner, manager, and chain stay separate. A connected organization is not automatically the party that runs daily operations.
SeniorTrustHub found evidence connecting this facility to:
3 currently connected nursing homes share this CMS organization identity with STRAWBERRY FIELDS REIT LTD.
These figures summarize currently connected CMS-certified nursing homes. Some facilities have incomplete measures; missing values are omitted, not treated as zero. Ownership structures can change. State operator or licensee evidence may differ from CMS ownership disclosures.
Ownership
These are CMS-published ownership disclosures. Medicare enrollment ownership and managerial-control information is reported by enrolled providers through CMS forms; it is not an independent determination of beneficial ownership.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Organization · DIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Individual · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across MO.
Organization · ADP OF THE SNF
Association date reported to CMS: Jul 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 2 across IN, MO.
Organization · DIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 13%
Association date reported to CMS: Jul 1, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Jul 1, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 1%
Association date reported to CMS: Jul 1, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 62.5%
Association date reported to CMS: Jul 1, 2025
Individual · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 22.5%
Association date reported to CMS: Jul 1, 2025
Organization · INDIRECT OWNERSHIP INTEREST
Published ownership percentage: 100%
Association date reported to CMS: Jul 1, 2025
CMS classifications: Holding company
Other facilities connected through this exact CMS organization identity: 1 across MO.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2025
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2025
Organization · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2025
Other facilities connected through this exact CMS organization identity: 0 across MO.
Individual · OPERATIONAL/MANAGERIAL CONTROL
Association date reported to CMS: Jul 1, 2025
Organization · Medicare-enrolled legal organization
Other facilities connected through this exact CMS organization identity: 0 across MO.
Roles are shown as CMS publishes them. Different CMS sources can describe different enrollment, ownership, and control concepts, so TrustHub keeps each source-specific disclosure distinct.
Inspections & deficiencies
Scope and severity terms below are CMS classifications. They are not a TrustHub score.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 16, 2026)
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 3, 2026)
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 3, 2026)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Sep 16, 2025)
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 28, 2025)
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
No health-deficiency rows were deterministically linked to this inspection.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Honor the resident's right to manage his or her financial affairs.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Ensure services provided by the nursing facility meet professional standards of quality.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Provide safe, appropriate dialysis care/services for a resident who requires such services.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Provide care or services that was trauma informed and/or culturally competent.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
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.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Provide and implement an infection prevention and control program.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Mar 17, 2025)
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Nov 30, 2023)
No health-deficiency rows were deterministically linked to this inspection.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
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.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
Provide and implement an infection prevention and control program.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
Develop and implement policies and procedures for flu and pneumonia vaccinations.
CMS scope/severity E: Pattern; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
Have enough backup water supply for essential areas of the nursing home.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (May 28, 2023)
No health-deficiency rows were deterministically linked to this inspection.
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2020)
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.
CMS scope/severity D: Isolated; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2020)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS scope/severity F: Widespread; No actual harm with potential for more than minimal harm that is not immediate jeopardy.
Correction status: Deficient, Provider has date of correction (Jan 31, 2020)
Penalties & enforcement
No penalty records were found for this provider in the currently loaded CMS Penalties dataset.
Questions to ask
Facility history
16 historical events available. Dates and values come from published CMS and official state regulator evidence, not a score.
RN staffing decreased from 0.62 to 0.47 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
0.62 → 0.47
CMS · Reported in a source release · View related evidence
Total nurse staffing decreased from 5.89 to 3.35 hours per resident day between 2025Q4 and 2026Q1. Staffing declined across those reported periods.
5.89 → 3.35
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
RN staffing increased from 0.34 to 0.62 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
0.34 → 0.62
CMS · Reported in a source release · View related evidence
Total nurse staffing increased from 3.14 to 5.89 hours per resident day between 2025Q3 and 2025Q4. Staffing improved across those reported periods.
3.14 → 5.89
CMS · Reported in a source release · View related evidence
2 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Total nurse staffing increased from 2.43 to 3.14 hours per resident day between 2025Q2 and 2025Q3. Staffing improved across those reported periods.
2.43 → 3.14
CMS · Reported in a source release · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
An ownership change was recorded. New organization: HUMANSVILLE SNF OPERATIONS LLC.
BIG SPRING NURSING AND REHAB LLC → HUMANSVILLE SNF OPERATIONS LLC
CMS · Recorded event date · View related evidence
1 deficiency was recorded.
CMS · Recorded event date · View related evidence
No linked health-deficiency findings were recorded for this survey.
CMS · Recorded event date · View related evidence
13 deficiencies were recorded.
CMS · Recorded event date · View related evidence
Staffing
CMS staffing rating: 1 of 5 stars. CMS calculates that rating separately using its published methodology. The values below are calculations from daily PBJ records for 2026Q1 (current source quarter).
| Measure | Monday–Friday | Saturday–Sunday |
|---|---|---|
| Total nursing | 3.481 | 3.022 |
| RN categories | 0.534 | 0.311 |
Contract staff accounted for 0% of reported nursing hours included in this quarter calculation.
Reported RN-category hours per resident day were 0.146 lower than the prior loaded quarter.
Solid bar: Total nursing · Outlined bar: RN categories
| Quarter | Total nursing | RN categories | LPN/LVN | CNA | Contract share | Days |
|---|---|---|---|---|---|---|
| 2025Q2 | 2.432 | 0.363 | 0.444 | 1.427 | 13.2% | 91 |
| 2025Q3 | 3.141 | 0.339 | 0.501 | 1.46 | 17.2% | 92 |
| 2025Q4 | 5.894 | 0.615 | 0.857 | 3.148 | 51.2% | 92 |
| 2026Q1 | 3.349 | 0.47 | 0.518 | 1.722 | 0% | 90 |
Hours-per-resident-day values are calculated by this platform from CMS-published daily PBJ hours and MDS census. For each displayed period, included hours are summed and divided by the summed census for days with a positive census. They are not CMS case-mix-adjusted staffing measures or a staffing rating.
View official CMS PBJ sourceWhat we can verify today
These measures come from the current successfully ingested CMS Nursing Home Provider Information release.
Planned evidence layers
These areas require separate authoritative CMS datasets. No findings are shown until those sources are ingested and reviewed.
Trust participation
Claims, corrections, and factual context are free. Submissions never replace CMS evidence or affect ranking.
Source register
No paid placements. Facilities cannot pay to rank higher. We cite. You decide.