Missouri › Franklin County › Union
Sunset Health Care Center
400 West Park Avenue, Union, MO 63084
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Sunset Health Care Center serves Union in Franklin County, Missouri and has taken Medicare and Medicaid residents since 1989.
CMS gives it 2 of 5 stars overall, equal to the Missouri median; the health inspection rating is 2, staffing 2 and quality measures 4.
Inspectors recorded 26 health deficiencies across the three most recent survey cycles (5, 13, 8 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 21.7 per 100 beds, fewer than the state median of 32.1.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 2.9 hours per resident per day (0.2 RN), close to the Missouri median of 3.4; nursing staff turnover is 26.7%.
Compared with county, state and nation
| Measure | This facility | Franklin Co. median | Missouri median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 4 | 2 | 3.0 |
| Health citations, 3 cycles | 26 | 24 | 31 | 28.7 |
| Citations per 100 beds | 21.7 | 23.3 | 32.1 | 26.8 |
| Total nurse hours per resident day | 2.9 | 3.1 | 3.4 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.4 | 0.7 |
| Nursing staff turnover | 26.7% | 56.2% | 56.1% | 45.8% |
| Fines listed | $8,281 | $0 | $0 | — |
County and state figures are medians across facilities (7 in the county, 487 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Missouri average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 May 2025, 5 Jan 2024.
Severity mix: J ×1 D ×4 E ×11 F ×5 B ×1 C ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 May 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Standard survey | 12 Jul 2025 |
| 30 May 2025 | F0570 | Assure the security of all personal funds of residents deposited with the facility. | E | Standard survey | 9 Jul 2025 |
| 30 May 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 9 Jul 2025 |
| 30 May 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | C | Standard survey | 9 Jul 2025 |
| 30 May 2025 | F0679 | Provide activities to meet all resident's needs. | C | Standard survey | 9 Jul 2025 |
| 7 Apr 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 25 Mar 2025 |
| 7 Apr 2025 | F0622 | 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. | D | Complaint investigation | 21 Apr 2025 |
| 5 Jan 2024 | F0801 | 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. | F | Standard survey | 7 Feb 2024 |
| 5 Jan 2024 | F0803 | 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. | F | Standard survey | 7 Feb 2024 |
| 5 Jan 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 7 Feb 2024 |
| 5 Jan 2024 | F0882 | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | Standard survey | 7 Feb 2024 |
| 5 Jan 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard survey | 7 Feb 2024 |
| 5 Jan 2024 | F0700 | 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. | E | Standard survey | 7 Feb 2024 |
| 5 Jan 2024 | F0761 | 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. | E | Standard survey | 7 Feb 2024 |
| 5 Jan 2024 | F0849 | 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. | E | Standard survey | 7 Feb 2024 |
| 5 Jan 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | C | Standard survey | 7 Feb 2024 |
| 5 Jan 2024 | F0732 | Post nurse staffing information every day. | C | Standard survey | 7 Feb 2024 |
| 5 Jan 2024 | F0569 | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | B | Standard survey | 7 Feb 2024 |
| 20 Oct 2023 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Complaint investigation | 15 Nov 2023 |
| 20 Jul 2022 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 17 Aug 2022 |
| 20 Jul 2022 | F0584 | 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. | E | Standard survey | 17 Aug 2022 |
| 20 Jul 2022 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Standard survey | 17 Aug 2022 |
| 20 Jul 2022 | F0625 | 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. | E | Standard survey | 17 Aug 2022 |
| 20 Jul 2022 | F0732 | Post nurse staffing information every day. | E | Standard survey | 17 Aug 2022 |
| 20 Jul 2022 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Aug 2022 |
| 20 Jul 2022 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 17 Aug 2022 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 30 May 2025 | Fine | $8,281 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Missouri average. Turnover: nursing staff 26.7%, RNs 16.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Missouri median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 8.5% | 17.6% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.6% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.9% | 1.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.4% | 3.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.3% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 6.7% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 4.1% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 61.3% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Sunset Healthcare Llc. Chain: Mgm Healthcare (27 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| 3w Acquisitions LLC | 5% or greater direct ownership interest | 10% | 02/01/2016 |
| West Park Realty LLC | 5% or greater indirect ownership interest | 100% | 02/01/2016 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Franklin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| St Clair Nursing Center | Saint Clair | 79 | 5 | 5 | 3 | 8 | 10.1 | $13K | 19 Feb 2026 |
| Life Care Center of Sullivan | Sullivan | 120 | 4 | 4 | 2 | 29 | 24.2 | — | 25 Jun 2026 |
| New Haven Care Center | New Haven | 90 | 4 | 5 | 2 | 13 | 14.4 | — | 21 Mar 2025 |
| Union Nursing | Union | 60 | 4 | 4 | 2 | 14 | 23.3 | — | 19 Nov 2025 |
| Grandview Healthcare Center | Washington | 102 | 2 | 3 | 2 | 24 | 23.5 | — | 14 Jan 2026 |
| Pacific Care Center | Pacific | 118 | 1 | 3 | 1 | 35 | 29.7 | — | 12 Feb 2026 |
All 7 facilities in Franklin County
Questions and answers
How many deficiencies has Sunset Health Care Center been cited for?
26 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Missouri median is 31 per facility.
Has Sunset Health Care Center been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Sunset Health Care Center compare?
Reported total nurse staffing is 2.9 hours per resident per day against a Missouri median of 3.4 and a national average of 3.9.
Who operates Sunset Health Care Center?
It is part of the Mgm Healthcare chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include 3w Acquisitions LLC and West Park Realty LLC. Individual owners and managers are not listed on this site.
When was Sunset Health Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 30 May 2025; the most recent standard health survey was 30 May 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.