Cycle 1
Health 2025-06-02 · Fire 2025-06-02
12 health deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Springfield, MO
Sunterra Springs Springfield
2-star overall rating with 2-star inspections with $70,171 in total fines with 12 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
4935 S National Ave, Springfield, MO
(417) 720-8050
Overall
2 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
4 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
38
Certified beds
Average residents
37
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Sunterra Springs
Operator or chain grouping
Approved since
2018-08-23
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
1.34
Registered nurse staffing · state 0.46 · national 0.68
LPN hours / resident day
0.88
Licensed practical nurse staffing · state 0.68 · national 0.87
Aide hours / resident day
1.80
Nurse aide staffing · state 2.33 · national 2.35
Total nurse hours
4.02
All reported nurse hours · state 3.47 · national 3.89
Licensed hours
2.22
RN + LPN hours · state 1.14 · national 1.54
Weekend hours
3.40
Weekend nurse staffing · state 3.04 · national 3.43
Weekend RN hours
1.01
Weekend registered nurse coverage · state 0.33 · national 0.47
Physical therapist
0.32
Reported PT staffing · state 0.05 · national 0.07
Adjusted RN hours
1.23
CMS adjusted RN staffing hours
Adjusted total hours
3.69
CMS adjusted total nurse staffing hours
Case-mix index
1.49
Higher values indicate more complex resident acuity
RN turnover
36%
Annual RN turnover · state 51% · national 45%
Total nurse turnover
58%
Annual nurse turnover · state 57% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,070
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.58
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.75% · Performance 23.41% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 5.76% · Performance 7.90% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 56.14% · Performance 67.24% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
3.43
Baseline 4.57 hours · Performance 4.05 hours · Measure score 3.43 · Achievement 3.43 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 11.42% |
10.72%
0.7 pts worse
|
No Different than the National Rate · Eligible stays 504 · Observed rate 11.71% · Lower 95% interval 8.75% |
| Discharge to community | 66.81% |
50.57%
16.2 pts better
|
Better than the National Rate · Eligible stays 558 · Observed rate 61.65% · Lower 95% interval 62.8% |
| Medicare spending per beneficiary | 0.78 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 97.63% |
95.27%
2.4 pts better
|
Numerator 206 · Denominator 211 |
| Falls with major injury | 0.95% |
0.77%
0.2 pts worse
|
Numerator 2 · Denominator 211 |
| Discharge self-care score | 67.33% |
53.69%
13.6 pts better
|
Numerator 101 · Denominator 150 |
| Discharge mobility score | 58.67% |
50.94%
7.7 pts better
|
Numerator 88 · Denominator 150 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 211 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 7.9% |
7.12%
0.8 pts worse
|
No Different than the National Rate · Eligible stays 247 · Observed rate 8.1% · Lower 95% interval 5.31% |
| Staff COVID-19 vaccination coverage | 0% |
8.2%
8.2 pts worse
|
Numerator 0 · Denominator 56 |
| Staff flu vaccination coverage | 13.33% |
42%
28.7 pts worse
|
Numerator 10 · Denominator 75 |
| Discharge function score | 64% |
56.45%
7.5 pts better
|
Numerator 96 · Denominator 150 |
| Transfer of health information to provider | 98.23% |
95.95%
2.3 pts better
|
Numerator 111 · Denominator 113 |
| Transfer of health information to patient | 97.92% |
96.28%
1.6 pts better
|
Numerator 94 · Denominator 96 |
| Resident COVID-19 vaccinations up to date | 11.48% |
25.2%
13.7 pts worse
|
Numerator 14 · Denominator 122 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 62.5% |
66.4%
3.9 pts worse
|
81.7%
19.2 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 56.1% · Q2 44.6% · Q3 64.1% · Q4 85.5% · 4Q avg 62.5% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.1% |
13.4%
2.3 pts better
|
12.0%
0.9 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.1% · Observed 10.6% · Expected 10.7% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.0% |
2.2%
1.2 pts better
|
1.6%
0.6 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 1.3% · Q3 0.4% · Q4 0.9% · 4Q avg 1.0% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 54.4% |
63.5%
9.1 pts worse
|
79.7%
25.3 pts worse
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 54.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 30.9% |
25.3%
5.6 pts worse
|
23.9%
7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 30.9% · Observed 28.6% · Expected 22.1% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2023-11-09 · Fire 2023-11-09
10 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
4 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Cycle 3
Health 2021-07-29 · Fire 2021-07-29
7 health deficiencies
Top issue: Nutrition and Dietary (2 deficiencies)
1 fire-safety deficiencies
Top issue: Smoke (1 deficiency)
Fire safety
Fire-safety citations
F · Potential for more than minimal harm
2025-06-02
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2025-06-12
F · Potential for more than minimal harm
2023-11-09
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 2023-12-21
F · Potential for more than minimal harm
2023-11-09
K321 · Smoke Deficiencies
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-12-21
F · Potential for more than minimal harm
2023-11-09
K345 · Smoke Deficiencies
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2023-12-21
F · Potential for more than minimal harm
2023-11-09
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-12-21
E · Potential for more than minimal harm
2021-07-29
K372 · Smoke Deficiencies
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2021-10-21
Inspection history
Recent health citations
F · Potential for more than minimal harm
2025-06-02
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-07-17
E · Potential for more than minimal harm
2025-06-02
F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected 2025-06-03
E · Potential for more than minimal harm
2025-06-02
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2025-09-06
E · Potential for more than minimal harm
2025-06-02
F921 · Environmental Deficiencies
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-07-09
D · Potential for more than minimal harm
2025-06-02
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 2025-07-11
D · Potential for more than minimal harm
2025-06-02
F684 · Quality of Life and Care Deficiencies
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-06-02
F690 · Quality of Life and Care Deficiencies
Health
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-06-02
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-06-02
F697 · Quality of Life and Care Deficiencies
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-06-02
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 2025-09-06
D · Potential for more than minimal harm
2025-06-02
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2025-07-11
D · Potential for more than minimal harm
2025-03-04
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2025-04-18
D · Potential for more than minimal harm
2024-08-05
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 2024-09-19
D · Potential for more than minimal harm
2024-08-05
F686 · Quality of Life and Care Deficiencies
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-09-19
F · Potential for more than minimal harm
2023-11-09
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-12-21
E · Potential for more than minimal harm
2023-11-09
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 2023-12-21
D · Potential for more than minimal harm
2023-11-09
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2023-12-21
D · Potential for more than minimal harm
2023-11-09
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-12-21
D · Potential for more than minimal harm
2023-11-09
F759 · Pharmacy Service Deficiencies
Health
Ensure medication error rates are not 5 percent or greater.
Corrected 2023-12-21
D · Potential for more than minimal harm
2023-11-09
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-12-21
D · Potential for more than minimal harm
2023-11-09
F842 · Resident Assessment and Care Planning Deficiencies
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-12-21
D · Potential for more than minimal harm
2023-11-09
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2023-12-21
D · Potential for more than minimal harm
2023-09-12
F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-10-11
D · Potential for more than minimal harm
2023-09-12
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-10-11
J · Immediate jeopardy
2023-07-18
F760 · Pharmacy Service Deficiencies
Health
Ensure that residents are free from significant medication errors.
Corrected 2023-07-14
D · Potential for more than minimal harm
2023-07-18
F658 · Resident Assessment and Care Planning Deficiencies
Health
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected 2023-08-03
E · Potential for more than minimal harm
2021-07-29
F804 · Nutrition and Dietary Deficiencies
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2021-10-20
E · Potential for more than minimal harm
2021-07-29
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2021-10-20
D · Potential for more than minimal harm
2021-07-29
F806 · Nutrition and Dietary Deficiencies
Health
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected 2021-10-20
Penalties and ownership
What sits behind the stars
$0
2025-06-02
Payment Denial
Payment Denial · denial start 2025-09-02 · 4 days
4 day denial
$4,587
2023-10-10
Fine
Fine · fine $4,587
Fine
$4,587
2023-10-02
Fine
Fine · fine $4,587
Fine
$4,587
2023-09-25
Fine
Fine · fine $4,587
Fine
$4,587
2023-09-18
Fine
Fine · fine $4,587
Fine
$4,587
2023-09-11
Fine
Fine · fine $4,587
Fine
$4,587
2023-09-05
Fine
Fine · fine $4,587
Fine
$4,587
2023-08-28
Fine
Fine · fine $4,587
Fine
$4,587
2023-08-21
Fine
Fine · fine $4,587
Fine
$4,235
2023-08-14
Fine
Fine · fine $4,235
Fine
$3,846
2023-08-07
Fine
Fine · fine $3,846
Fine
$13,397
2023-07-18
Fine
Fine · fine $13,397
Fine
$9,527
2023-07-17
Fine
Fine · fine $9,527
Fine
$2,470
2023-06-26
Fine
Fine · fine $2,470
Fine
Ownership
Gatherum, Jason
Operational/Managerial Control · Individual
Kellogg, Deatrice
Operational/Managerial Control · Individual
Richardson, Eula
Operational/Managerial Control · Individual
Stevens, Gary
Operational/Managerial Control · Individual
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#2
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Springfield, MO
5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle
#3
Neighborhoods At Quail Creek, The
Springfield, MO
3-star overall rating with 3-star inspections with 9 recent health deficiencies with 9 fire-safety deficiencies in the latest cycle
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