CCN 265130 · St. Louis County, Missouri
Big Bend Woods Healthcare Center
110 Highland Avenue, Valley Park, MO 63088
Big Bend Woods Healthcare Center is a 135-bed for-profit nursing home in Valley Park, Missouri, first certified for Medicare or Medicaid in 1977. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 89.3 residents a day, about 66% of its certified beds. It has an active FHA-insured Section 232 loan: $8.2 million originally, at 2.90%, with $6.4 million outstanding as of September 30, 2026 and maturity in July 2047.
Facility facts
- Certified beds
- 135
- Average residents per day
- 89.3 (66.1% of beds)
- Ownership type
- For profit - Individual
- Certification
- Medicare and Medicaid
- Legal business name
- Bbw Management Group LLC
- Certified since
- May 1, 1977
- Chain or affiliated group
- None listed by CMS
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | Missouri median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 163 at 1, 91 at 2, 97 at 3, 76 at 4, 53 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 1 of 5 | ||
| Staffing | 1 of 5 | ||
| Total nurse hours per resident per day | 2.84 | 3.36 | 3.68 |
| RN hours per resident per day | 0.23 | 0.39 | 0.58 |
| Weekend nurse hours per resident per day | 2.52 | ||
| Nursing staff turnover | 67.0% | 56.1% | 44.9% |
| Occupancy (residents / beds) | 66.1% | 74.2% | 85.7% |
| Fines reported by CMS | 1 totaling $85,176 | ||
| Health deficiencies, latest standard survey | 9 (Sep 12, 2025) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Big Bend Woods Healthcare Center does not meet it today: overall rating 1. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Brecher, IrvingIndividual | Indirect Ownership Interest | 20% | 11/18/2015 |
| Brecher, MendelIndividual | Indirect Ownership Interest | 25% | 11/18/2015 |
| Lichtman, ChanaIndividual | Indirect Ownership Interest | 20% | 08/25/2014 |
| Schlesinger, ErnestIndividual | Indirect Ownership Interest | 10% | 08/25/2014 |
| Zimmerman, JacobIndividual | Indirect Ownership Interest | 20% | 08/25/2014 |
| Bbw Acquistion Group, LLCOrganization | Security Interest | n/a | 12/01/2014 |
| Greystone Servicing Company, LLC, a Delaware Limited Liability CompanyOrganization | Security Interest | n/a | 12/04/2014 |
| Brecher, MendelIndividual | Operational / Managerial Control | n/a | 08/25/2014 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jun 2, 2017 | 223(f) refinance or purchaseHUD project name: Big Bend Woods Healthcare Center, 102 beds. Lender at endorsement: Housing & Healthcare Finc | $8,202,000 | Active: 2.90%, $6,449,962 balanceMatures Jul 1, 2047. Servicer: Newpoint Real Estate Capital | 08522090 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.