Sunterra Springs Dardenne Prairie: Care Order Failures - MO
The resident also told inspectors they had not received catheter care in several days.
A registered nurse was present during the encounter alongside the facility's Assistant Director of Nursing, who performed the catheter care on the spot. The RN noted the tubing should not have been on the floor and said they were going to call the physician about sediment visible inside the tubing. No anchor had been in place to keep the line secured against the resident's leg, which is what allows catheter tubing to trail and pull instead of staying positioned safely.
The inspection was a complaint survey, conducted November 5, 2025. Inspectors cited the facility under F0658, which covers professional standards of care, at a level of minimal harm or potential for actual harm, affecting a few residents.
A second resident, identified in the report as Resident 4, had physician-ordered dressing changes that were not being completed as directed.
The Director of Nursing, interviewed that afternoon at 4:30 p.m., said she would expect staff to follow physician orders. She acknowledged that Resident 4's dressing should have been changed as ordered and that Resident 5's catheter should have had an anchor in place. She did not dispute either finding.
What the Director of Nursing described as expectations, the inspection record describes as things that were not happening.
The catheter situation is the more immediate of the two concerns documented. A catheter with no leg anchor and tubing loose enough to reach the floor creates direct physical risk for the person using it. The resident said they felt the tube pulling as they stood. That sensation, during what should have been a routine assisted stand, was the result of days of missed care and unsecured equipment.
Sediment visible inside catheter tubing can indicate a blockage developing, a urinary tract infection, or inadequate fluid intake, among other causes. The RN's instinct to call the physician was correct. Whether that call had been made, and what it found, the inspection report does not say.
For Resident 4, the missed dressing changes represent a gap between what a physician prescribed and what staff were doing. Wound dressings are ordered on schedules for reasons specific to each patient's condition and wound type. When those changes are skipped, the consequences depend on the wound, but they are never neutral.
Sunterra Springs Dardenne Prairie is located at 7275 State Highway N in Dardenne Prairie, a suburb roughly 35 miles west of St. Louis. The inspection was completed November 5, 2025.
The Director of Nursing confirmed both failures on the same afternoon inspectors documented them. That confirmation, offered without apparent dispute, means the question was never whether these things happened. The resident with the catheter had already felt the tubing pull.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Sunterra Springs Dardenne Prairie from 2025-11-05 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 5, 2026 · Our methodology
SUNTERRA SPRINGS DARDENNE PRAIRIE in DARDENNE PRAIRIE, MO was cited for violations during a health inspection on November 5, 2025.
The resident also told inspectors they had not received catheter care in several days.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.