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Franklin County, Missouri · Nursing home

Sunset Health Care Center

2 of 5 overall from CMS

400 West Park Avenue, Union, MO 63084

Call (636) 583-2252Directions

At a glance

Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.

Sunset Health Care Center is a 120-bed nursing home in Union, Missouri (Franklin County). CMS rates it 2 of 5 stars overall as of Sep 2026. It reports 2.91 nurse staffing hours per resident per day, below the Missouri average of 3.43. CMS lists 1 fine totaling $8,281 in the past three years.

Certified beds
120
Residents per day (average)
116.7
Certified since
1989 (37 yrs)

For profit - Corporation Participates in Medicare and MedicaidPart of Mgm Healthcare (27 homes)

Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.

Terms used on this page
CMS
The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
Certified beds
The number of federally certified beds CMS lists for the home.
Deficiency or citation
A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
Actual harm
Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
Immediate jeopardy
Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
Inspection cycle
A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
Special Focus Facility (SFF)
A home CMS has placed under closer oversight because of its inspection record. More about the program

Questions to ask Sunset Health Care Center

Chosen from this home's public data.

  1. CMS lists 1 fine totaling $8,281 in the past three years. What changed after the most recent one?Penalties in CMS data
  2. About 97.2% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
  3. Registered nurse time is 0.24 hours per resident per day; the Missouri average is 0.46. Is an RN on site overnight?RN staffing in CMS data

More in what to ask on a nursing home tour.

CMS star ratings

The vertical line marks the Missouri average. Ratings run from 1 to 5. How to read CMS star ratings

Nurse staffing

Hours of care per resident per day, as the home reported to CMS.

What these roles do

Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.

How much nurse staffing is enough? All bars share one scale, 0 to 10 hours. The vertical line marks the Missouri average; the national average for all nursing staff is 3.86 hours.

Quality measures

CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the Missouri and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.

Long-stay residents

MeasureThis homeMissouriU.S.
★ Percentage of long-stay residents whose need for help with daily activities has increased 8.5% 18.1% 13.9%
Percentage of long-stay residents who lose too much weight 2.7% 5.3% 5.2%
★ Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0% 1.1% 0.8%
★ Percentage of long-stay residents with a urinary tract infection 0.9% 2.3% 1.6%
Percentage of long-stay residents who have depressive symptoms 30.0% 18.5% 12.8%
Percentage of long-stay residents who were physically restrained 0.0% 0.0% 0.1%
★ Percentage of long-stay residents experiencing one or more falls with major injury 3.4% 4.1% 3.2%
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 65.8% 84.1% 93.6%
★ Percentage of long-stay residents whose ability to walk independently worsened 6.7% 17.4% 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 17.1% 25.6% 19.5%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.9% 90.9% 95.5%
★ Percentage of long-stay residents with pressure ulcers 2.0% 4.5% 4.6%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 18.5% 17.8% 19.0%
★ Percentage of long-stay residents who received an antipsychotic medication 61.3% 23.5% 15.4%
★ Number of hospitalizations per 1000 long-stay resident days 3.15 2.11 1.90
★ Number of outpatient emergency department visits per 1000 long-stay resident days 2.17 2.33 1.78

Short-stay residents

MeasureThis homeMissouriU.S.
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 34.4% 65.7% 82.0%
★ Percentage of short-stay residents who newly received an antipsychotic medication 0.0% 2.2% 1.6%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 30.6% 63.5% 79.8%
★ Percentage of short-stay residents who were rehospitalized after a nursing home admission 20.0% 26.0% 23.8%
★ Percentage of short-stay residents who had an outpatient emergency department visit 10.0% 13.7% 12.0%

Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov

Inspection history

Inspectors cited 26 health deficiencies in the three most recent inspection cycles. Of these, 1 was at the immediate jeopardy level; the rest were graded as no actual harm. 3 were cited in connection with a complaint investigation. The most recent citation at the harm level or above was on May 30, 2025: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Deficiencies by inspection cycle
Standard inspectionHealthFire safety
May 30, 202556
Jan 5, 20241311
Jul 20, 2022810

Missouri homes averaged 11.4 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.

Health citations, three most recent inspection cycles (26)

  1. JImmediate jeopardy, isolated

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 12, 2025)

  2. EPotential for more than minimal harm, pattern

    Assure the security of all personal funds of residents deposited with the facility.

    Resident Rights · Deficient, Provider has date of correction (Jul 9, 2025)

  3. EPotential for more than minimal harm, pattern

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Jul 9, 2025)

  4. CPotential for minimal harm, widespread

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Resident Assessment and Care Planning · Deficient, Provider has date of correction (Jul 9, 2025)

  5. CPotential for minimal harm, widespread

    Provide activities to meet all resident's needs.

    Quality of Life and Care · Deficient, Provider has date of correction (Jul 9, 2025)

Show 21 more

  1. DPotential for more than minimal harm, isolated

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Complaint investigation · Freedom from Abuse, Neglect, and Exploitation · Past Non-Compliance (Mar 25, 2025)

  2. DPotential for more than minimal harm, isolated

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

    Complaint investigation · Resident Rights · Deficient, Provider has date of correction (Apr 21, 2025)

  3. FPotential for more than minimal harm, widespread

    Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

    Nutrition and Dietary · Deficient, Provider has date of correction (Feb 7, 2024)

  4. FPotential for more than minimal harm, widespread

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

    Nutrition and Dietary · Deficient, Provider has date of correction (Feb 7, 2024)

  5. FPotential for more than minimal harm, widespread

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Feb 7, 2024)

  6. FPotential for more than minimal harm, widespread

    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

    Infection Control · Deficient, Provider has date of correction (Feb 7, 2024)

  7. EPotential for more than minimal harm, pattern

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Resident Rights · Deficient, Provider has date of correction (Feb 7, 2024)

  8. EPotential for more than minimal harm, pattern

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Quality of Life and Care · Deficient, Provider has date of correction (Feb 7, 2024)

  9. EPotential for more than minimal harm, pattern

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

    Pharmacy Service · Deficient, Provider has date of correction (Feb 7, 2024)

  10. EPotential for more than minimal harm, pattern

    Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

    Administration · Deficient, Provider has date of correction (Feb 7, 2024)

  11. CPotential for minimal harm, widespread

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Resident Rights · Deficient, Provider has date of correction (Feb 7, 2024)

  12. CPotential for minimal harm, widespread

    Post nurse staffing information every day.

    Nursing and Physician Services · Deficient, Provider has date of correction (Feb 7, 2024)

  13. BPotential for minimal harm, pattern

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

    Resident Rights · Deficient, Provider has date of correction (Feb 7, 2024)

  14. DPotential for more than minimal harm, isolated

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Complaint investigation · Nutrition and Dietary · Deficient, Provider has date of correction (Nov 15, 2023)

  15. FPotential for more than minimal harm, widespread

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Nutrition and Dietary · Deficient, Provider has date of correction (Aug 17, 2022)

  16. EPotential for more than minimal harm, pattern

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Resident Rights · Deficient, Provider has date of correction (Aug 17, 2022)

  17. EPotential for more than minimal harm, pattern

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (Aug 17, 2022)

  18. EPotential for more than minimal harm, pattern

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Resident Rights · Deficient, Provider has date of correction (Aug 17, 2022)

  19. EPotential for more than minimal harm, pattern

    Post nurse staffing information every day.

    Nursing and Physician Services · Deficient, Provider has date of correction (Aug 17, 2022)

  20. EPotential for more than minimal harm, pattern

    Provide and implement an infection prevention and control program.

    Infection Control · Deficient, Provider has date of correction (Aug 17, 2022)

  21. DPotential for more than minimal harm, isolated

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Quality of Life and Care · Deficient, Provider has date of correction (Aug 17, 2022)

What severity letters A to L mean

Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".

Penalties, past three years

DateTypeAmount
May 30, 2025Fine$8,281

Missouri homes averaged 0.8 fines and $37,425 in fine amounts; the national averages are 0.9 and $30,972.

Cost

Not in the public data. CMS does not publish what a nursing home charges.

Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.

Compared within Missouri

Common questions

What is the CMS star rating for Sunset Health Care Center?

Sunset Health Care Center has an overall rating of 2 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 2, staffing is 2 and quality measures is 4.

How many beds does Sunset Health Care Center have?

Sunset Health Care Center has 120 certified beds. It averages 116.7 residents per day, about 97.2% of its certified beds.

How much nursing care do residents get at Sunset Health Care Center?

The home reports 2.91 hours of nurse staffing per resident per day, including 0.24 hours from registered nurses. The Missouri average is 3.43 hours and 0.46 hours from registered nurses.

Has Sunset Health Care Center been fined?

Yes. CMS lists 1 fine totaling $8,281 in the past three years.

Does Sunset Health Care Center accept Medicare or Medicaid?

CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.

Guides for families looking at this home

Nearest nursing homes

Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Franklin County

Who to call in Missouri

These offices serve residents of every nursing home in Missouri.

Missouri staffing, bed-hold and Medicaid rules · Residents' rights in every state

Call (636) 583-2252 Compare

Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 265390. See this home's official record on Medicare.gov

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