Sunset Health Care Center

400 West Park Avenue · Union, MO · 63084 · 6365832252

120 certified beds For profit - Corporation Chain: Mgm Healthcare

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection record is far worse than the national median (deficiency count and severity).

Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

RN staffing in the bottom 10% nationally

0.24 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.

Total nurse staffing below 3.0 hours per resident-day

2.97 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 36
Serious harm & abuse 20% 70
Staffing 20% 49
Federal penalties 15% 77
Trend 10% 51
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.973.48 min · 4.1 strong
RN hours / resident-day0.240.55–0.75
Weekend hours / resident-day2.68≈ weekday level
Nursing turnover / year30%median 45%
Fines (3-yr window)1 · $8,281

Inspection citations (26 in the current record)

  • Immediate jeopardy · J May 30, 2025

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

    Corrected July 12, 2025 · Quality of Life and Care

  • Potential for harm · E May 30, 2025

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

    Corrected July 9, 2025 · Resident Rights

  • Potential for harm · E May 30, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 9, 2025 · Infection Control

  • No harm found · C May 30, 2025

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

    Corrected July 9, 2025 · Resident Assessment and Care Planning

  • No harm found · C May 30, 2025

    Provide activities to meet all resident's needs.

    Corrected July 9, 2025 · Quality of Life and Care

  • Potential for harm · D April 7, 2025 · found via complaint

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

    Corrected March 25, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 7, 2025 · found via complaint

    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.

    Corrected April 21, 2025 · Resident Rights

  • Potential for harm · E January 5, 2024

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

    Corrected February 7, 2024 · Resident Rights

  • Potential for harm · E January 5, 2024

    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.

    Corrected February 7, 2024 · Quality of Life and Care

  • Potential for harm · E January 5, 2024

    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.

    Corrected February 7, 2024 · Pharmacy Service

  • Potential for harm · F January 5, 2024

    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.

    Corrected February 7, 2024 · Nutrition and Dietary

  • Potential for harm · F January 5, 2024

    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.

    Corrected February 7, 2024 · Nutrition and Dietary

  • Potential for harm · F January 5, 2024

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

    Corrected February 7, 2024 · Nutrition and Dietary

  • Potential for harm · E January 5, 2024

    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.

    Corrected February 7, 2024 · Administration

  • Potential for harm · F January 5, 2024

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

    Corrected February 7, 2024 · Infection Control

  • No harm found · B January 5, 2024

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

    Corrected February 7, 2024 · Resident Rights

  • No harm found · C January 5, 2024

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

    Corrected February 7, 2024 · Resident Rights

  • No harm found · C January 5, 2024

    Post nurse staffing information every day.

    Corrected February 7, 2024 · Nursing and Physician Services

  • Potential for harm · D October 20, 2023 · found via complaint

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

    Corrected November 15, 2023 · Nutrition and Dietary

  • Potential for harm · E July 20, 2022

    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.

    Corrected August 17, 2022 · Resident Rights

  • Potential for harm · E July 20, 2022

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

    Corrected August 17, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E July 20, 2022

    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.

    Corrected August 17, 2022 · Resident Rights

  • Potential for harm · D July 20, 2022

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

    Corrected August 17, 2022 · Quality of Life and Care

  • Potential for harm · E July 20, 2022

    Post nurse staffing information every day.

    Corrected August 17, 2022 · Nursing and Physician Services

  • Potential for harm · F July 20, 2022

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

    Corrected August 17, 2022 · Nutrition and Dietary

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Federal penalties

DateTypeAmount / length
May 30, 2025Fine$8,281

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 265390 · certified since August 9, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.