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

Compare this facility

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

Staffing

Hours and turnover

RN hours / resident day

1.34

Registered nurse staffing

LPN hours / resident day

0.88

Licensed practical nurse staffing

Aide hours / resident day

1.80

Nurse aide staffing

Weekend hours

3.40

Weekend nurse staffing

RN turnover

36%

Annual RN turnover

Total nurse turnover

58%

Annual nurse turnover

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
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
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
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
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

Survey summary

Recent inspection cycles

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)

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

0% 3 facilities 2023-04-01
Kellogg, Deatrice

Operational/Managerial Control · Individual

0% 1 facilities 2025-06-01
Richardson, Eula

Operational/Managerial Control · Individual

0% 1 facilities 2024-03-20
Stevens, Gary

Operational/Managerial Control · Individual

0% 4 facilities 2023-04-01

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Staffing
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Fines
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