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Complaint Investigation

Sunterra Springs Dardenne Prairie

November 5, 2025 · Dardenne Prairie, MO · 7275 State Highway N
Citations 3
CMS Rating 2/5
Beds 38
Provider ID 265881
Healthcare Facility
Sunterra Springs Dardenne Prairie
Dardenne Prairie, MO  ·  View full profile →
Inspection Summary

SUNTERRA SPRINGS DARDENNE PRAIRIE in DARDENNE PRAIRIE, MO — inspection on November 5, 2025.

Found 3 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0658
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

During an interview on 11/5/25 at 4:30 P.M. the Director of Nursing said the following:-She would expect staff to follow physician orders;-Resident #4's dressing should have been changed as ordered by the physician and Resident #5's indwelling catheter should have an anchor. 265881

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/05/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Sunterra Springs Dardenne Prairie

7275 State Highway N Dardenne Prairie, MO 63368

SUMMARY STATEMENT OF DEFICIENCIES

Observation on 11/5/25 at 2:35 P.M. with the ADON and RN A showed the following:-The resident sat in a wheelchair with an indwelling urinary catheter.

The catheter tubing hung down and touched the floor; there was sediment in the tubing;-The ADON offered the resident catheter care, the resident said he/she had not had catheter care in several days;-The ADON and RN helped the resident come to a standing position and the ADON performed catheter care.

There was no anchor securing the tubing to the resident's leg and the tubing pulled as the resident stood.

The resident said he/she felt the catheter tube pulling down;-RN A said that the catheter tubing should not be on the floor, and he/she was going to call the physician about the sediment in the tubing.

During an interview on 11/5/25 at 9:30 A.M. the Director of Nursing said the following:-Catheter care should be done every shift;-The indwelling catheter tubing should be anchored to the resident's leg to prevent the tubing from pulling and should be changed weekly and dated when changed;-Indwelling catheter tubing should not be on the floor and the catheter bag should be covered;-She would expect staff to provide catheter care every shift, place a catheter tubing anchor in place and date when applied.

Catheter tubing should not be on the floor.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

11/05/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Sunterra Springs Dardenne Prairie

7275 State Highway N Dardenne Prairie, MO 63368

SUMMARY STATEMENT OF DEFICIENCIES

Review of Resident #10's face sheet showed the resident admitted to the facility on [DATE] with diagnoses of urinary retention (the inability to completely empty the bladder), and dementia.

Review of the resident's admission nurses note dated 11/4/25 showed the following:-Alert and oriented, difficulty making decisions;Had an indwelling catheter;- Incontinent of bowel.

Review of the resident's care plan for indwelling catheter dated 11/4/25 showed the following:-The resident has an indwelling catheter due to urinary retention;-Catheter care every shift and as needed.

Observation on 11/5/25 at 4:00 P.M. showed the following:-CNA D was in the resident's and said the resident need to have catheter care and had been incontinent of feces;-CNA D wore a pair of gloves;-CNA D wet a washcloth in the resident's bathroom sink then returned to the resident's bedside;-CAN D rolled the resident over to his/her side and with the wet washcloth removed fecal matter from the resident buttocks, then threw the soiled washcloth on the floor.

Feces remained on the resident's buttocks;-Wearing the same soiled gloves, CNA D opened the drawers of the resident's nightstand to look for more washcloths or wipes and could not find any;-Without removing his/her soiled gloves and washing his/her hands or performing hand hygiene, CNA D left the and returned with a package of wipes. He/She did not wash his/her hands or change gloves before removing a clean wipe and cleaning the remaining feces from the resident's buttocks;-With the same soiled gloves, he/she touched the resident's exposed skin on the resident's back and rolled the resident over to his/her back;-With the same soiled gloves, CNA D removed another wipe from the package and wiped around the resident's meatus (the external opening of the urethra, through which urine exits the body), and with the same soiled wipe, wiped the catheter tubing inside of the meatus.

Using the same soiled wipe CAN D then wiped down the catheter tubing, placed the wipe in a plastic bag and put the plastic bag on the floor;-Without changing gloves or washing hands he/she then picked up the plastic bag and the soiled washcloth, moved the over the bed table, using the remote to the bed, lowered the bed, touched the doorknob to open the door and left the room.

During an interview on 11/5/25 at 11:30 A.M. CNA D said the following:-Gloves should be changed every few residents unless there was fecal matter on the gloves;-Hands are washed when gloves are changed.

During an interview on 11/5/25 at 5:30 P.M. the Director of Nursing said the following:-Staff should wash their hands or perform hand hygiene before providing care and after providing care, and between clean and dirty tasks;-Soiled linen should not be thrown on the floor, staff should bag the soiled linen and take it to the laundry. 2655993

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in DARDENNE PRAIRIE, MO, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from SUNTERRA SPRINGS DARDENNE PRAIRIE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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