nursing home in Union, MO
Sunset Health Care Center
400 West Park Avenue, Union, MO 63084 · (636) 583-2252
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★2
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Sunset Health Care Center at a glance
Sunset Health Care Center is a 120-bed for-profit nursing home in Union, Missouri (Franklin County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the Missouri average of 2.5.
Residents receive about 2.9 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 3.4 hours.
Its most recent standard health inspection (May 30, 2025) found 5 health citations. The Missouri average is 11.4.
Federal regulators fined it 1 time in the past three years, totaling $8,281.
Nursing staff turnover is 26.7% per year (state average 56%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 120
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Mgm Healthcare
- Medicare-certified since
- August 9, 1989
- Resident/family council
- Resident
- County
- Franklin County
- CMS Certification Number
- 265390
Ratings
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.5 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.8 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 2.2 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.8 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 2.7 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.91 hrs | 3.43 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.24 hrs | 0.46 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.97 hrs | 2.29 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.66 hrs | 3.01 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 26.7% | 56% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 16.7% | 47.8% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 1 | 1 | Better |
Inspections
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 11 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 3 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 129.8 | 111.8 | 80.6 | Worse |
Penalties
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 1 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $8,281 | $37,425 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 1 | 1 | Average |
Size
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 120 | 103 | 107 | |
| Average residents per day | 117 | 73 | 86 | |
| Occupancy | 97.3% | 72.4% | 80.9% |
Long-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 3.4% | 4.1% | 3.2% | Average |
| Long-stay residents with pressure ulcers (lower is better) | 2% | 4.5% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 61.3% | 23.5% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.9% | 2.3% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 1.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 8.5% | 18.1% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 6.7% | 17.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.7% | 5.3% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 30% | 18.5% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.1% | 25.6% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 18.5% | 17.8% | 19% | Average |
| Long-stay residents given a flu vaccine (higher is better) | 90.9% | 90.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 65.8% | 84.1% | 93.6% | Worse |
Short-stay residents
| Measure | This facility | Missouri avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2.2% | 1.6% | Better |
| Short-stay residents given a flu vaccine (higher is better) | 30.6% | 63.5% | 79.8% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 34.4% | 65.7% | 82% | Worse |
Inspection citations
State inspectors cited this home for 26 health deficiencies and 27 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 30, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected July 9, 2025 |
| May 30, 2025 Fire safety | Conduct testing and exercise requirements. Emergency Preparedness Deficiencies · Tag E0039 | F Potential harm, widespread | Corrected July 9, 2025 |
| May 30, 2025 Fire safety | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0914 | F Potential harm, widespread | Corrected July 9, 2025 |
| May 30, 2025 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | E Potential harm, pattern | Corrected July 9, 2025 |
| May 30, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | E Potential harm, pattern | Corrected July 9, 2025 |
| May 30, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | E Potential harm, pattern | Corrected July 9, 2025 |
| May 30, 2025 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | J Immediate jeopardy, isolated | Corrected July 12, 2025 |
| May 30, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected July 9, 2025 |
| May 30, 2025 Standard | Assure the security of all personal funds of residents deposited with the facility. Resident Rights Deficiencies · Tag F0570 | E Potential harm, pattern | Corrected July 9, 2025 |
| May 30, 2025 Standard | Provide activities to meet all resident's needs. Quality of Life and Care Deficiencies · Tag F0679 | C No harm, widespread | Corrected July 9, 2025 |
| May 30, 2025 Standard | 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 Deficiencies · Tag F0656 | C No harm, widespread | Corrected July 9, 2025 |
| April 7, 2025 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. Resident Rights Deficiencies · Tag F0622 | D Potential harm, isolated | Corrected April 21, 2025 |
| April 7, 2025 Complaint | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 | D Potential harm, isolated | Corrected March 25, 2025 |
| January 5, 2024 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Fire safety | Establish procedures for tracking staff and patients during an emergency. Emergency Preparedness Deficiencies · Tag E0018 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Fire safety | Establish roles under a Waiver declared by secretary. Emergency Preparedness Deficiencies · Tag E0026 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Fire safety | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Tag E0035 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Fire safety | Meet other general requirements that are deficient. Services Deficiencies · Tag K0500 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Fire safety | Have properly installed electrical wiring and gas equipment. Services Deficiencies · Tag K0511 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Standard | 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 Deficiencies · Tag F0801 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Standard | 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 Deficiencies · Tag F0803 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Standard | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Infection Control Deficiencies · Tag F0882 | F Potential harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected February 7, 2024 |
| January 5, 2024 Standard | 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 Deficiencies · Tag F0700 | E Potential harm, pattern | Corrected February 7, 2024 |
| January 5, 2024 Standard | 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 Deficiencies · Tag F0849 | E Potential harm, pattern | Corrected February 7, 2024 |
| January 5, 2024 Standard | 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 Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected February 7, 2024 |
| January 5, 2024 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | C No harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Standard | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Resident Rights Deficiencies · Tag F0623 | C No harm, widespread | Corrected February 7, 2024 |
| January 5, 2024 Standard | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. Resident Rights Deficiencies · Tag F0569 | B No harm, pattern | Corrected February 7, 2024 |
| October 20, 2023 Complaint | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | D Potential harm, isolated | Corrected November 15, 2023 |
| July 20, 2022 Fire safety | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Tag K0291 | F Potential harm, widespread | Corrected August 17, 2022 |
| July 20, 2022 Fire safety | Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0926 | F Potential harm, widespread | Corrected August 17, 2022 |
| July 20, 2022 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected August 17, 2022 |
| July 20, 2022 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | F Potential harm, widespread | Corrected August 17, 2022 |
| July 20, 2022 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected August 17, 2022 |
| July 20, 2022 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | F Potential harm, widespread | Corrected August 17, 2022 |
| July 20, 2022 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected August 17, 2022 |
| July 20, 2022 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected August 17, 2022 |
| July 20, 2022 Fire safety | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Miscellaneous Deficiencies · Tag K0741 | E Potential harm, pattern | Corrected August 17, 2022 |
| July 20, 2022 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | E Potential harm, pattern | Corrected August 17, 2022 |
| July 20, 2022 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected August 17, 2022 |
| July 20, 2022 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | E Potential harm, pattern | Corrected August 17, 2022 |
| July 20, 2022 Standard | 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 Deficiencies · Tag F0625 | E Potential harm, pattern | Corrected August 17, 2022 |
| July 20, 2022 Standard | 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 Deficiencies · Tag F0584 | E Potential harm, pattern | Corrected August 17, 2022 |
| July 20, 2022 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 17, 2022 |
| July 20, 2022 Standard | Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 | E Potential harm, pattern | Corrected August 17, 2022 |
| July 20, 2022 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected August 17, 2022 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $8,281 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 30, 2025 | Fine | $8,281 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| 3W ACQUISITIONS LLC Organization | 5% or greater direct ownership interest | 10% | 02/01/2016 |
| WEST PARK REALTY LLC Organization | 5% or greater indirect ownership interest | 100% | 02/01/2016 |
| JEREMIAS, BARUCH Individual | corporate officer | NOT APPLICABLE | 02/01/2016 |
| WINTER, CHAIM Individual | operational/managerial control | NOT APPLICABLE | 02/01/2016 |
| LOWE, JENNIFER Individual | w-2 managing employee | NOT APPLICABLE | 11/12/2020 |
Other nursing homes near Sunset Health Care Center
Union Nursing
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For-profit · 60 beds · Part of Community Care Centers
★★★★★4Above averageSt Clair Nursing Center
1035 Plaza Court North, Saint Clair, MO 63077 · 6.7 mi
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★★★★★5Much above averageGrandview Healthcare Center
201 Grand Ave, Washington, MO 63090 · 8 mi
For-profit · 102 beds · Part of James & Judy Lincoln
★★★★★2Below averagePacific Care Center
105 South Sixth Street, Pacific, MO 63069 · 14.5 mi
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★★★★★1Much below average- ★★★★★4Above average
Life Care Center of Sullivan
875 Dunsford Drive, Sullivan, MO 63080 · 19.2 mi
For-profit · 120 beds · Part of Life Care Centers of America
★★★★★4Above average
Frequently asked questions
What is Sunset Health Care Center's rating?
Sunset Health Care Center has 2 out of 5 stars on the CMS overall star rating. The average for Missouri nursing homes is 2.5 stars.
How many inspection citations did Sunset Health Care Center receive?
Its most recent standard health inspection found 5 citations, compared with a Missouri average of 11.4. Every citation is listed on this page with its severity.
Does Sunset Health Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Sunset Health Care Center?
It is for profit - corporation and part of Mgm Healthcare. The ownership section on this page lists the owners and managers reported to CMS.
Where is Sunset Health Care Center and how do I contact it?
Sunset Health Care Center is at 400 West Park Avenue, Union, MO 63084. Phone: (636) 583-2252.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.