Sunset Lake Healthcare and Rehabilitation Center

832 Sunset Lake Boulevard · Venice, FL · 34292 · 9414925313

120 certified beds For profit - Limited Liability company Chain: Gold Fl Trust II

Why this verdict

  • Inspection record is far worse than the national median (deficiency count and severity).
  • Federal penalties on record: $319,770 in fines in the last 24 months.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

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Red flags

4 immediate-jeopardy citations in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

$319,770 in federal fines in the last 24 months

1 fine — CMS fines are reserved for verified, serious non-compliance.

66% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 23
Serious harm & abuse 20% 64
Staffing 20% 67
Federal penalties 15% 49
Trend 10% 92
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: 1 of 5 Staffing: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.683.48 min · 4.1 strong
RN hours / resident-day0.690.55–0.75
Weekend hours / resident-day3.32≈ weekday level
Nursing turnover / year66%median 45%
Fines (3-yr window)1 · $319,770

Inspection citations (30 in the current record)

  • Potential for harm · D April 16, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected June 2, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E April 16, 2025

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected June 2, 2025 · Quality of Life and Care

  • Potential for harm · E April 16, 2025

    Provide activities to meet all resident's needs.

    Corrected June 2, 2025 · Quality of Life and Care

  • Potential for harm · D April 16, 2025

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected June 2, 2025 · Quality of Life and Care

  • Potential for harm · E April 16, 2025

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

    Corrected June 2, 2025 · Quality of Life and Care

  • Potential for harm · E April 16, 2025

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected June 2, 2025 · Nursing and Physician Services

  • Potential for harm · F April 16, 2025

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

    Corrected June 2, 2025 · Nutrition and Dietary

  • Potential for harm · E April 16, 2025

    Provide and implement an infection prevention and control program.

    Corrected June 2, 2025 · Infection Control

  • Immediate jeopardy · L December 6, 2024 · found via complaint

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

    Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Immediate jeopardy · L December 6, 2024 · found via complaint

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

    Corrected December 30, 2024 · Quality of Life and Care

  • Immediate jeopardy · L December 6, 2024 · found via complaint

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Corrected December 30, 2024 · Administration

  • Immediate jeopardy · L December 6, 2024 · found via complaint

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Corrected December 30, 2024 · Administration

  • Potential for harm · D December 6, 2024 · found via complaint

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected December 30, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E December 6, 2024 · found via complaint

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected December 30, 2024 · Nursing and Physician Services

  • Potential for harm · F December 6, 2024 · found via complaint

    Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.

    Corrected December 30, 2024 · Administration

  • Actual harm · G March 9, 2023

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

    Corrected April 21, 2023 · Quality of Life and Care

  • Potential for harm · D March 9, 2023

    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 April 21, 2023 · Resident Rights

  • Potential for harm · D March 9, 2023

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Corrected April 21, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 9, 2023

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

    Corrected April 21, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 9, 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 April 21, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D March 9, 2023

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    Corrected April 21, 2023 · Quality of Life and Care

  • Potential for harm · D March 9, 2023

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected April 21, 2023 · Quality of Life and Care

  • Potential for harm · D March 9, 2023

    Provide enough food/fluids to maintain a resident's health.

    Corrected April 21, 2023 · Quality of Life and Care

  • Potential for harm · E March 9, 2023

    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 April 21, 2023 · Quality of Life and Care

  • Potential for harm · D July 23, 2021

    Honor the resident's right to organize and participate in resident/family groups in the facility.

    Corrected August 16, 2021 · Resident Rights

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

Federal penalties

DateTypeAmount / length
December 6, 2024Fine$319,770

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 105761 · certified since March 16, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.