Cycle 1
Health 2025-02-10 · Fire 2025-02-10
3 health deficiencies
Top issue: Infection Control (1 deficiency)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Independence, MO
Sunterra Springs Independence
5-star overall rating with 4-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
19200 E 37th Terrace S, Independence, MO
(816) 335-3008
Overall
5 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
2 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
38
Certified beds
Average residents
36
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sunterra Springs
Operator or chain grouping
Approved since
2017-11-17
CMS approved date
Coverage
Medicare
Participation flags
Chain footprint
4 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
No
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.73
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
1.20
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
2.07
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.00
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
1.93
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.43
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
0.66
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.33
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
0.62
CMS adjusted RN staffing hours
Adjusted total hours
3.38
CMS adjusted total nurse staffing hours
Case-mix index
1.62
Higher values indicate more complex resident acuity
RN turnover
43%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
69%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
6,051
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
34.16
Composite VBP score used to determine payment impact.
Payment multiplier
0.9882
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
4.99
Baseline 24.31% · Performance 20.31% · Measure score 4.99 · Achievement 2.42 · Improvement 4.99
Healthcare-associated infections
4.92
Baseline 6.95% · Performance 6.36% · Measure score 4.92 · Achievement 4.92 · Improvement 2.50
Total nurse turnover
0
Baseline 52.00% · Performance 79.25% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
3.75
Baseline 4.12 hours · Performance 4.14 hours · Measure score 3.75 · Achievement 3.75 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.25% |
10.72%
0.5 pts better
|
No Different than the National Rate · Eligible stays 497 · Observed rate 9.46% · Lower 95% interval 8.18% |
| Discharge to community | 63.81% |
50.57%
13.2 pts better
|
Better than the National Rate · Eligible stays 503 · Observed rate 59.64% · Lower 95% interval 59.96% |
| Medicare spending per beneficiary | 0.8 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 88.85% |
95.27%
6.4 pts worse
|
Numerator 255 · Denominator 287 |
| Falls with major injury | 0.7% |
0.77%
0.1 pts better
|
Numerator 2 · Denominator 287 |
| Discharge self-care score | 77.93% |
53.69%
24.2 pts better
|
Numerator 166 · Denominator 213 |
| Discharge mobility score | 77.93% |
50.94%
27 pts better
|
Numerator 166 · Denominator 213 |
| Pressure ulcers or injuries, new or worsened | 3.83% |
2.29%
1.5 pts worse
|
Numerator 11 · Denominator 287 · Adjusted rate 4.44% |
| Healthcare-associated infections requiring hospitalization | 6.36% |
7.12%
0.8 pts better
|
No Different than the National Rate · Eligible stays 264 · Observed rate 5.3% · Lower 95% interval 4.48% |
| Staff COVID-19 vaccination coverage | 6.32% |
8.2%
1.9 pts worse
|
Numerator 6 · Denominator 95 |
| Staff flu vaccination coverage | 30.36% |
42%
11.6 pts worse
|
Numerator 34 · Denominator 112 |
| Discharge function score | 69.01% |
56.45%
12.6 pts better
|
Numerator 147 · Denominator 213 |
| Transfer of health information to provider | 99.06% |
95.95%
3.1 pts better
|
Numerator 210 · Denominator 212 |
| Transfer of health information to patient | 100% |
96.28%
3.7 pts better
|
Numerator 73 · Denominator 73 |
| Resident COVID-19 vaccinations up to date | 31.37% |
25.2%
6.2 pts better
|
Numerator 48 · Denominator 153 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.8% |
66.4%
32.4 pts better
|
81.7%
17.1 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 98.8% · Q2 98.5% · Q3 98.5% · Q4 99.4% · 4Q avg 98.8% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 10.3% |
13.4%
3.1 pts better
|
12.0%
1.7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 10.3% · Observed 9.7% · Expected 10.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.1% |
2.2%
1.1 pts better
|
1.6%
0.5 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.9% · Q4 1.4% · 4Q avg 1.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 96.8% |
63.5%
33.3 pts better
|
79.7%
17.1 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 96.8% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 21.5% |
25.3%
3.8 pts better
|
23.9%
2.4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 21.5% · Observed 20.2% · Expected 22.3% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-06-08 · Fire 2023-06-08
11 health deficiencies
Top issue: Quality of Life and Care (5 deficiencies)
2 fire-safety deficiencies
Top issue: Miscellaneous (1 deficiency)
Cycle 3
Health 2021-09-29 · Fire 2021-09-29
8 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)
6 fire-safety deficiencies
Top issue: Smoke (3 deficiencies)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-02-10
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Not marked corrected
F · Potential for more than minimal harm
2025-02-10
K900 · Miscellaneous Deficiencies
Fire Safety
Meet Health Care Facilities Code mechanical requirements.
Corrected 2025-03-27
F · Potential for more than minimal harm
2023-06-08
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-07-21
F · Potential for more than minimal harm
2023-06-08
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-07-21
F · Potential for more than minimal harm
2021-09-29
K222 · Egress Deficiencies
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2021-12-23
F · Potential for more than minimal harm
2021-09-29
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2021-11-12
F · Potential for more than minimal harm
2021-09-29
K711 · Miscellaneous Deficiencies
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2021-11-12
F · Potential for more than minimal harm
2021-09-29
K761 · Miscellaneous Deficiencies
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2021-11-12
E · Potential for more than minimal harm
2021-09-29
K341 · Smoke Deficiencies
Fire Safety
Install a fire alarm system that can be heard throughout the facility.
Corrected 2021-11-12
E · Potential for more than minimal harm
2021-09-29
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-11-12
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-02-10
F699 · Quality of Life and Care Deficiencies
Health
Provide care or services that was trauma informed and/or culturally competent.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-02-10
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2025-03-27
D · Potential for more than minimal harm
2025-02-10
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-03-27
D · Potential for more than minimal harm
2024-12-10
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-01-15
D · Potential for more than minimal harm
2023-12-26
F761 · Pharmacy Service Deficiencies
Health
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.
Corrected 2023-12-02
E · Potential for more than minimal harm
2023-06-08
F578 · Resident Rights Deficiencies
Health
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2023-07-21
E · Potential for more than minimal harm
2023-06-08
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2023-07-21
E · Potential for more than minimal harm
2023-06-08
F655 · Resident Assessment and Care Planning Deficiencies
Health
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Corrected 2023-07-21
E · Potential for more than minimal harm
2023-06-08
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2023-07-21
E · Potential for more than minimal harm
2023-06-08
F847 · Administration Deficiencies
Health
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.
Corrected 2023-07-21
E · Potential for more than minimal harm
2023-06-08
F848 · Administration Deficiencies
Health
Provide a neutral and fair arbitration process and agree to arbitrator and venue.
Corrected 2023-07-21
D · Potential for more than minimal harm
2023-06-08
F661 · Resident Assessment and Care Planning Deficiencies
Health
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected 2023-07-21
D · Potential for more than minimal harm
2023-06-08
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-07-21
D · Potential for more than minimal harm
2023-06-08
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2023-07-21
D · Potential for more than minimal harm
2023-06-08
F698 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected 2023-07-21
E · Potential for more than minimal harm
2021-09-29
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-11-12
E · Potential for more than minimal harm
2021-09-29
F730 · Nursing and Physician Services Deficiencies
Health
Observe each nurse aide's job performance and give regular training.
Corrected 2021-11-12
E · Potential for more than minimal harm
2021-09-29
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2021-11-12
D · Potential for more than minimal harm
2021-09-29
F580 · Resident Rights Deficiencies
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2021-11-12
D · Potential for more than minimal harm
2021-09-29
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2021-11-12
D · Potential for more than minimal harm
2021-09-29
F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Respond appropriately to all alleged violations.
Corrected 2021-11-12
D · Potential for more than minimal harm
2021-09-29
F678 · Quality of Life and Care Deficiencies
Health
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected 2021-11-12
Penalties and ownership
What sits behind the stars
Ownership
Gatherum, Jason
Operational/Managerial Control · Individual
Stephens, Elena
Operational/Managerial Control · Individual
Stevens, Gary
Operational/Managerial Control · Individual
Tadakamalla, Malathi
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
#1
Jackson Creek Post Acute
Independence, MO
2-star overall rating with 2-star inspections with $29,186 in total fines with 18 recent health deficiencies with 12 fire-safety deficiencies in the latest cycle
#2
Monterey Park Rehabilitation & Health Care Center
Independence, MO
4-star overall rating with 4-star inspections with 7 recent health deficiencies with 8 fire-safety deficiencies in the latest cycle
#3
Ignite Medical Resort Blue Springs
Blue Springs, MO
5-star overall rating with 4-star inspections with 9 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle
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