Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Sunterra Springs Independence during CMS and state inspections, most recent first.
A facility failed to provide trauma-informed care for a resident with PTSD, schizophrenia, and major depressive disorder. The resident's care plan lacked focus, goals, or interventions for these diagnoses, and potential PTSD triggers were not identified. Staff interviews revealed a lack of awareness and training regarding the resident's mental health conditions and triggers. The Social Services department had not completed necessary assessments accurately, contributing to the deficiency.
The facility failed to ensure timely response to call lights, affecting two residents who required assistance with activities of daily living. Despite having a system to notify staff of call light activations, response times were significantly delayed, with some instances exceeding 30 minutes. Staff interviews confirmed the expectation for quicker responses, but the facility's policy lacked specific guidelines, leading to inconsistencies in addressing call lights promptly.
A facility failed to consistently implement Enhanced Barrier Precautions (EBP) for infection control, as staff did not don required PPE when caring for residents with wounds or other conditions necessitating EBP. Observations showed that a CNA, an LPN, and a CMT entered residents' rooms without gowns or gloves, despite EBP signs indicating the need for such precautions. Interviews revealed staff confusion about when PPE was necessary, contributing to the deficiency.
A resident admitted with multiple complex conditions, including a coccyx wound, did not receive a comprehensive wound assessment or timely physician orders for pressure ulcer care upon admission. Nursing staff assessed the wound but failed to document detailed findings or secure treatment orders as required by facility policy, resulting in delayed documentation and initiation of appropriate wound care.
Failure to Provide Trauma-Informed Care for Resident with PTSD
Penalty
Summary
The facility failed to provide trauma-informed care for a resident diagnosed with PTSD, schizophrenia, and major depressive disorder. The resident's care plan did not include any focus, goals, or interventions related to these diagnoses, nor did it identify potential triggers associated with the resident's PTSD. This oversight was evident despite the facility's policy requiring trauma-informed care and comprehensive care plans that address mental health needs and potential triggers. Interviews with facility staff revealed a lack of awareness and training regarding the resident's mental health conditions and associated triggers. A CNA was aware of the PTSD diagnosis but did not know the resident's specific triggers or how to prevent them. An agency RN was unaware of the resident's PTSD, schizophrenia, or depression diagnoses and relied on a care sheet that did not include these mental health conditions. The Interim Social Services Director acknowledged the absence of mental health diagnoses in care plans and was in the process of developing training to address this gap. The Director of Nursing and the Nurse Practitioner both expressed expectations that mental health diagnoses and PTSD triggers should be included in the resident's care plan. However, the responsibility for ensuring this information was included fell to the Social Services department, which had not completed the necessary Trauma Informed Care Assessments accurately. This lack of comprehensive care planning and staff awareness contributed to the facility's failure to provide appropriate trauma-informed care for the resident.
Delayed Call Light Response in LTC Facility
Penalty
Summary
The facility failed to ensure sufficient staffing to meet the needs of residents, specifically in responding to call lights in a timely manner. Two residents, who were cognitively intact and required assistance with activities of daily living, reported delays in call light responses. One resident, who was partially blind, experienced difficulty locating the call light, and the call light was often not within reach. The call light event logs indicated multiple instances where the call lights were on for extended periods, ranging from 10 to 39 minutes. Interviews with staff, including CNAs, LPNs, and the Director of Nursing, revealed that there was an expectation for call lights to be answered within 3 to 15 minutes. However, the actual response times were significantly longer, with some call lights remaining unanswered for up to 39 minutes. Staff members acknowledged receiving complaints from residents and their families about the delayed response times. The facility's policy on call light response did not specify an expected response time, contributing to the inconsistency in addressing call lights promptly. The facility's call light system was designed to notify staff through various means, including an application on staff phones, tablets in hallways, and a computer monitor at the nurse's station. Despite these systems, the staff did not consistently respond to call lights within the expected timeframe. The administrator and staff members recognized the issue and acknowledged the need for improvement in call light response times, as evidenced by the substantial delays recorded in the call light event logs.
Failure to Implement Enhanced Barrier Precautions
Penalty
Summary
The facility failed to ensure Enhanced Barrier Precautions (EBP) were consistently used when providing care to three residents, leading to a deficiency in infection prevention and control. The facility's policy on Transmission Based Precautions did not specifically include guidelines for EBP, which are necessary to prevent the spread of multidrug-resistant organisms. Observations revealed that staff did not consistently don personal protective equipment (PPE) such as gowns and gloves when entering the rooms of residents on EBP, despite signs indicating the requirement. Resident #3, who had a chronic ulcer on the left foot, was observed to have an EBP sign on the door, but a Certified Nursing Assistant (CNA) entered the room without donning a gown, only wearing gloves. The CNA was unsure of when PPE was required and admitted to not paying attention to the sign. Similarly, Resident #229, with a knee fracture, had an EBP sign, but a Licensed Practical Nurse (LPN) entered the room without a gown while changing the resident's bandage. The LPN did not follow the EBP guidelines, which require wearing a gown and gloves for interactions involving potential contact with the resident or contaminated areas. Resident #228, with urinary retention and an arm fracture, also had an EBP sign, but a Certified Medication Technician (CMT) entered the room without donning a gown or gloves while administering medications and a breathing treatment. The CMT believed PPE was only necessary for direct care, not for medication administration. Interviews with staff, including the Director of Nursing (DON), revealed inconsistencies in understanding and implementing EBP, contributing to the deficiency in infection control practices.
Failure to Document Comprehensive Wound Assessment and Obtain Timely Physician Orders for Pressure Ulcer Care
Penalty
Summary
A deficiency occurred when the facility failed to document a comprehensive wound assessment and obtain a physician's order for pressure ulcer care upon admission for one resident. The resident was admitted with multiple complex medical conditions, including traumatic brain hemorrhage, end-stage renal disease, diabetic neuropathy, multiple rib fractures, and a left femur fracture. Upon admission, the nursing assessment noted a coccyx wound and redness on the buttocks, but no detailed wound measurements or comprehensive assessment were documented at that time. The facility's Wound Management Policy requires evidence-based treatments and documentation of wound assessments in accordance with physician orders. However, the initial wound assessment was not comprehensively documented, and physician orders for wound care were not obtained until two days after admission. The weekly wound report later identified the coccyx wound as an unstageable pressure injury, but a comprehensive assessment was not completed until four days after admission. Interviews with staff revealed that the admitting nurse and wound nurse assessed the wound upon admission but failed to document detailed findings or obtain timely treatment orders. The LPN involved acknowledged not completing a comprehensive assessment and not securing physician orders immediately. The RN who eventually obtained the physician's order for wound care did not transcribe the order or document the treatment in the medical record until the following day.
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What surveyors actually found near you
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Independence
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Jackson Creek Post Acute | 0.5 mi | ★★★★★ | 21 | 0 |
| Monterey Park Rehabilitation & Health Care Center | 1.3 mi | ★★★★★ | 13 | 0 |
| Ignite Medical Resort Blue Springs | 1.5 mi | ★★★★★ | 0 | 0 |
| Abode Health And Wellness Center | 2 mi | ★★★★★ | 6 | 0 |
| Rehabilitation Center Of Independence, The | 2.5 mi | ★★★★★ | 1 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.