Sunterra Springs Springfield · Sunterra Springfield Oc LLC

4177208050 · 4935 S National Ave, Springfield, MO 65810

Overview

Sunterra Springs Springfield is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #265871. The provider type is Medicare. The ownership type is for profit - corporation. The address is 4935 S National Ave, Springfield, MO 65810. The overall rating is 5.

Federal Provider Number 265871
Provider Name SUNTERRA SPRINGS SPRINGFIELD
Legal Business Name SUNTERRA SPRINGFIELD OC LLC
Address 4935 S National Ave
Springfield
MO 65810
County Greene
Telephone 4177208050
Ownership Type For profit - Corporation
Provider Type Medicare
Date Approved 2018-08-23
Number of Certified Beds 38
Average Number of Residents per Day 31.1
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago N
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council None
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 4
Long Stay Quality Measure Rating Footnote Not enough data available to calculate a star rating.
Short Stay Quality Measure Rating 4
Staffing Rating 5
Registered Nurses Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.40631
Reported LPN Staffing Hours per Resident per Day 0.34597
Reported RN Staffing Hours per Resident per Day 2.45525
Reported Licensed Staffing Hours per Resident per Day 2.80122
Reported Total Nurse Staffing Hours per Resident per Day 5.20753
Reported Physical Therapist Staffing Hours per Resident Per Day 0.22464
Expected CNA Staffing Hours per Resident per Day 2.21393
Expected LPN Staffing Hours per Resident per Day 0.85857
Expected RN Staffing Hours per Resident per Day 0.48903
Expected Total Nurse Staffing Hours per Resident per Day 3.56153
Adjusted CNA Staffing Hours per Resident per Day 2.23769
Adjusted LPN Staffing Hours per Resident per Day 0.29856
Adjusted RN Staffing Hours per Resident per Day 2.00926
Adjusted Total Nurse Staffing Hours per Resident per Day 4.67878
Rating Cycle 1 Standard Survey Health Date 2019-07-18
Rating Cycle 1 Total Number of Health Deficiencies 2
Rating Cycle 1 Number of Standard Health Deficiencies 2
Rating Cycle 1 Number of Complavarchar Health Deficiencies 0
Rating Cycle 1 Health Deficiency Score 8
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 8
Rating Cycle 2 Standard Health Survey Date 2018-08-23
Rating Cycle 2 Total Number of Health Deficiencies 0
Rating Cycle 2 Number of Standard Health Deficiencies 0
Rating Cycle 2 Number of Complavarchar Health Deficiencies 0
Rating Cycle 2 Health Deficiency Score 0
Rating Cycle 2 Number of Health Revisits 0
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 0
Total Weighted Health Survey Score 4.800
Number of Facility Reported Incidents 0
Number of Substantiated Complavarchars 0
Number of Citations from Infection Control Inspections 0
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
SUNTERRA SPRINGS SPRINGFIELD

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTSUNTERRA SPRINGFIELD OC LLCOrganization100%since 07/11/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTAB GT TRUSTOrganizationNO PERCENTAGE PROVIDEDsince 07/11/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTAB NGT TRUSTOrganizationNO PERCENTAGE PROVIDEDsince 07/11/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTBALL VENTURES LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/11/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTBV OPERATIONS LLC.OrganizationNO PERCENTAGE PROVIDEDsince 07/11/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTCB GT TRUSTOrganizationNO PERCENTAGE PROVIDEDsince 07/11/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTCB NGT TRUSTOrganizationNO PERCENTAGE PROVIDEDsince 07/11/2017
5% OR GREATER INDIRECT OWNERSHIP INTERESTSUNTERRA SPRINGS LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/11/2017
MANAGING EMPLOYEEBECKENHOLDT, DEANNAIndividualsince 07/25/2018
MANAGING EMPLOYEEJOHNS, JESSICAIndividualsince 07/25/2018
OPERATIONAL/MANAGERIAL CONTROLPETERSON, JASONIndividualsince 07/25/2018
OPERATIONAL/MANAGERIAL CONTROLTATE, CYNTHIAIndividualsince 07/25/2018
OPERATIONAL/MANAGERIAL CONTROLWILLIAMS, RORYIndividualsince 07/25/2018

Location Information

Street Address 4935 S NATIONAL AVE
City SPRINGFIELD
State MO
Zip Code 65810

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.