Sunterra Springs Springfield

4935 S National Ave · Springfield, MO · 65810 · 4177208050

38 certified beds For profit - Limited Liability company Chain: Sunterra Springs

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Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Medicare/Medicaid payments were denied

CMS refused payment for new admissions for a period — one of its strongest enforcement tools.

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 42
Serious harm & abuse 20% 94
Staffing 20% 76
Federal penalties 15% 0
Trend 10% 56
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 2 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.933.48 min · 4.1 strong
RN hours / resident-day1.140.55–0.75
Weekend hours / resident-day3.38≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)13 · $70,171

Inspection citations (29 in the current record)

  • Potential for harm · E June 2, 2025

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Corrected June 3, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 2, 2025

    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 July 11, 2025 · Quality of Life and Care

  • Potential for harm · D June 2, 2025

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

    Corrected July 11, 2025 · Quality of Life and Care

  • Potential for harm · D June 2, 2025

    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 July 11, 2025 · Quality of Life and Care

  • Potential for harm · D June 2, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected July 11, 2025 · Quality of Life and Care

  • Potential for harm · D June 2, 2025

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected September 6, 2025 · Pharmacy Service

  • Potential for harm · D June 2, 2025

    Ensure medication error rates are not 5 percent or greater.

    Corrected July 11, 2025 · Pharmacy Service

  • Potential for harm · F June 2, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected July 17, 2025 · Nutrition and Dietary

  • Potential for harm · E June 2, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 6, 2025 · Infection Control

  • Potential for harm · E June 2, 2025

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Corrected July 9, 2025 · Environmental

  • Potential for harm · D June 2, 2025 · found via complaint

    Provide safe, appropriate pain management for a resident who requires such services.

    Corrected July 11, 2025 · Quality of Life and Care

  • Potential for harm · D March 4, 2025 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected April 18, 2025 · Quality of Life and Care

  • Potential for harm · D August 5, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected September 19, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 5, 2024 · found via complaint

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected September 19, 2024 · Quality of Life and Care

  • Potential for harm · D November 9, 2023

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected December 21, 2023 · Resident Rights

  • Potential for harm · D November 9, 2023

    Ensure each resident receives an accurate assessment.

    Corrected December 21, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E November 9, 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.

    Corrected December 21, 2023 · Quality of Life and Care

  • Potential for harm · D November 9, 2023

    Ensure medication error rates are not 5 percent or greater.

    Corrected December 21, 2023 · Pharmacy Service

  • Potential for harm · D November 9, 2023

    Ensure that residents are free from significant medication errors.

    Corrected December 21, 2023 · Pharmacy Service

  • Potential for harm · F November 9, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected December 21, 2023 · Nutrition and Dietary

  • Potential for harm · D November 9, 2023

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected December 21, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D November 9, 2023

    Provide and implement an infection prevention and control program.

    Corrected December 21, 2023 · Infection Control

  • Potential for harm · D September 12, 2023 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected October 11, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D September 12, 2023 · found via complaint

    Ensure services provided by the nursing facility meet professional standards of quality.

    Corrected October 11, 2023 · Resident Assessment and Care Planning

  • Immediate jeopardy · J July 18, 2023 · found via complaint

    Ensure that residents are free from significant medication errors.

    Corrected July 14, 2023 · Pharmacy Service

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
June 2, 2025Payment Denial4 days
October 10, 2023Fine$4,587
October 2, 2023Fine$4,587
September 25, 2023Fine$4,587
September 18, 2023Fine$4,587
September 11, 2023Fine$4,587
September 5, 2023Fine$4,587
August 28, 2023Fine$4,587
August 21, 2023Fine$4,587
August 14, 2023Fine$4,235
August 7, 2023Fine$3,846
July 18, 2023Fine$13,397
July 17, 2023Fine$9,527
June 26, 2023Fine$2,470

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265871 · certified since August 23, 2018. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.