Sunset Home Inc
620 Second Avenue · Concordia, KS · 66901 · 7852432720
45 certified beds Non profit - Other
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
- Federal penalties on record: $8,678 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
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.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 6 · $59,976 |
Inspection citations (44 in the current record)
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Potential for harm · D March 26, 2025 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected April 15, 2025 · Resident Rights
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Potential for harm · D March 26, 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 April 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D March 26, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected April 15, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 26, 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 15, 2025 · Resident Rights
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Potential for harm · D March 26, 2025 · found via complaint
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 April 15, 2025 · Resident Rights
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Potential for harm · D March 26, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025 · found via complaint
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected April 15, 2025 · Quality of Life and Care
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Potential for harm · D March 26, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected April 15, 2025 · Pharmacy Service
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Potential for harm · D March 26, 2025 · found via complaint
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected April 15, 2025 · Pharmacy Service
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Potential for harm · E March 26, 2025 · found via complaint
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 April 15, 2025 · Pharmacy Service
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Potential for harm · F March 26, 2025 · found via complaint
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 April 15, 2025 · Nutrition and Dietary
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Potential for harm · F March 26, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected April 15, 2025 · Infection Control
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Actual harm · G December 16, 2024 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected December 31, 2024 · Resident Rights
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Actual harm · G October 19, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected November 3, 2023 · Quality of Life and Care
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Potential for harm · D July 31, 2023 · found via complaint
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.
Corrected August 31, 2023 · Resident Rights
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Potential for harm · D July 31, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected August 31, 2023 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 31, 2023 · found via complaint
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 August 31, 2023 · Quality of Life and Care
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Immediate jeopardy · K July 11, 2023
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected August 17, 2023 · Quality of Life and Care
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Potential for harm · E July 11, 2023
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected August 17, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2023
Assess the resident when there is a significant change in condition
Corrected August 17, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2023
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 17, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected August 17, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 11, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 17, 2023 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| December 16, 2024 | Fine | $8,678 |
| October 19, 2023 | Fine | $14,918 |
| September 11, 2023 | Fine | $10,489 |
| August 7, 2023 | Fine | $2,797 |
| July 17, 2023 | Fine | $6,293 |
| July 11, 2023 | Fine | $16,801 |
| July 11, 2023 | Payment Denial | 28 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 175422 · certified since September 8, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.