Sunterra Springs Springfield

Name: Sunterra Springs Springfield
Address: 4935 S NATIONAL AVE, Springfield, MO, 65810, US
Telephone: 4177208050

4935 S National Ave, Springfield, MO 65810 · Greene County · 38 certified beds · avg 37 residents/day · certified since Aug 23, 2018

Part of chain: SUNTERRA SPRINGS (4 facilities, chain avg rating 3.8★)

3/5

Health inspection rating (on-site)

Serious findings on record

$36,696

Fines, last 3 years

3.92

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (27)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Jun 2, 2025	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Jun 2, 2025	E · Potential for harm, repeated	The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection.
Jun 2, 2025	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jun 2, 2025	E · Potential for harm, repeated	The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors.
Jun 2, 2025	D · Potential for harm, one-off	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Jun 2, 2025	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Jun 2, 2025	D · Potential for harm, one-off	The facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections.
Jun 2, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Jun 2, 2025	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Jun 2, 2025	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jun 2, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Mar 4, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Aug 5, 2024	D · Potential for harm, one-off	The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint
Aug 5, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Nov 9, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Nov 9, 2023	E · Potential for harm, repeated	The facility did not provide basic life support, such as CPR, before emergency medical help arrived — care that's required when it matches the doctor's orders and the resident's own written wishes.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives.
Nov 9, 2023	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards.
Nov 9, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Sep 12, 2023	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Sep 12, 2023	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint
Jul 29, 2021	E · Potential for harm, repeated	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature.
Jul 29, 2021	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jul 29, 2021	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.

Inspection trend by year

Citations from standard inspections increased between the last two inspection cycles (8 → 11).

Year	Citations	Worst severity that year
2021	3	E
2023	10	F
2024	2	D
2025	12	F

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

8 fines totaling $36,696, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Jun 2, 2025	Payment Denial	4 days from Sep 2, 2025
Oct 10, 2023	Fine	$4,587
Oct 2, 2023	Fine	$4,587
Sep 25, 2023	Fine	$4,587
Sep 18, 2023	Fine	$4,587
Sep 11, 2023	Fine	$4,587
Sep 5, 2023	Fine	$4,587
Aug 28, 2023	Fine	$4,587
Aug 21, 2023	Fine	$4,587

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Missouri avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.92	3.66	3.95	top 37% in Missouri; top 43% in the U.S.
Registered Nurse hours	1.17	0.49	0.69	top 2% in Missouri; top 10% in the U.S.
Weekend total nurse staffing	3.33	3.22	3.50	top 41% in Missouri; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.86	0.33	0.48	top 1% in Missouri; top 9% in the U.S.
Total nursing staff turnover (%)	66.0	56.0	45.8	bottom 25% in Missouri; bottom 9% in the U.S.
RN turnover (%)	50.0	47.8	42.9	top 46% in Missouri; bottom 39% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.99, RN 1.20, weekend 3.39. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 5/5 · long-stay residents: —/5 · short-stay residents: 5/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Ball Ventures LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
Ball, Allen	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
Ball, Connie	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
Bangerte, Nathan	Individual	Indirect Ownership Interest	NOT APPLICABLE	03/28/2025
Bangerter, Dee	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
Bangerter, Edward	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
Bangerter, Johnathan	Individual	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
BV Operations LLC.	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
BV Pac Holdings LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
DLB Legacy LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	04/01/2025
RMC Enterprises LLC	Organization	Direct Ownership Interest	NOT APPLICABLE	04/01/2025
Rmce Operations LLC	Organization	Indirect Ownership Interest	NOT APPLICABLE	03/15/2026
Shrader, Richard	Individual	Indirect Ownership Interest	NOT APPLICABLE	03/28/2025
Bangerte, Nathan	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2025
Bangerter, Edward	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2025
Bangerter, Johnathan	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2025
BV Pac Holdings LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2025
Darby, Megan	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2025
DLB Legacy LLC	Organization	ADP of the SNF	NOT APPLICABLE	04/01/2025
Gatherum, Jason	Individual	Managing Control - Governing Body	NOT APPLICABLE	04/01/2025

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
"Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
"How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Birch Pointe Health and Rehabilitation	1.7 mi	Springfield, MO	★★★☆☆	3/5
Cox Medical Centers Meyer Orthopedic and Surgical	1.9 mi	Springfield, MO	★★★★☆	4/5
Neighborhoods at Quail Creek, the	2.1 mi	Springfield, MO	★★★☆☆	3/5
Springfield Villa	2.3 mi	Springfield, MO	★☆☆☆☆	1/5
Spring Valley Health & Rehabilitation Center	2.6 mi	Springfield, MO	★★☆☆☆	1/5
Maples Health and Rehabilitation, the	3.1 mi	Springfield, MO	★★★★☆	3/5
Springfield Rehabilitation & Health Care Center	3.2 mi	Springfield, MO	★★★★★	4/5
Magnolia Square Nursing and Rehab	3.5 mi	Springfield, MO	★★☆☆☆	2/5
James River Nursing and Rehabilitation	3.8 mi	Springfield, MO	★★★☆☆	3/5
Nixa Nursing & Rehab	4.5 mi	Nixa, MO	★★★★★	5/5

Compare this facility with the 3 closest →

All facilities in Springfield →

Facility data as of CMS processing date 2026-08-01. CCN 265871.

The Care File

Visit checklist — Sunterra Springs Springfield

4935 S National Ave, Springfield, MO 65810 · 4177208050

Health inspection rating 3/5 · CMS overall 4/5· Fines (3y): $36,696

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
☐ "Are staff on every shift trained and certified in CPR, and how do they know each resident's resuscitation wishes?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How do you care for residents with incontinence or catheters, and what do you do to prevent urinary tract infections?"
☐ "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 265871 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)