Elder Care Record

Texas › Bosque County › Clifton

Sunset Home

1800 W 9th Street, Clifton, TX 76634

CCN 675826 · Government, hospital district · 128 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Sunset Home is a Government, hospital district nursing home in Clifton, Texas, certified for 128 beds and caring for about 122 residents a day.

CMS gives it 3 of 5 stars overall, equal to the Texas median; the health inspection rating is 3, staffing 2 and quality measures 3.

Inspectors recorded 13 health deficiencies across the three most recent survey cycles (4, 4, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 10.2 per 100 beds, fewer than the state median of 22.5.

CMS lists 2 penalties in the period covered: fines totalling $14K and 1 payment denial.

Reported nurse staffing is 2.6 hours per resident per day (0.3 RN), close to the Texas median of 3.3; nursing staff turnover is 37.2%.

13health deficiencies, 3 survey cycles1 at actual harm or worse
$14Kfines listed by CMS2 penalties in period
2.6nurse hours per resident per daystate median 3.3
95%occupancy (residents ÷ beds)122 residents a day

Compared with county, state and nation

MeasureThis facilityBosque Co. medianTexas medianUS average
Overall star rating3133.0
Health citations, 3 cycles13152528.7
Citations per 100 beds10.216.022.526.8
Total nurse hours per resident day2.62.83.33.9
RN hours per resident day0.30.30.40.7
Nursing staff turnover37.2%37.2%52.1%45.8%
Fines listed$14,020$29,243$16,801—

County and state figures are medians across facilities (3 in the county, 1177 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)4
Cycle 24
Cycle 35

Dark bar: this facility. Grey bar: Texas average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 May 2025, 11 Apr 2024.

Severity mix: J ×1 D ×6 E ×3 F ×3

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
29 May 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey28 Jun 2025
29 May 2025F0700Try 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.EStandard survey28 Jun 2025
29 May 2025F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DStandard survey28 Jun 2025
29 May 2025F0761Ensure 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.DStandard survey28 Jun 2025
26 Mar 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint investigation26 Apr 2025
11 Apr 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard survey3 May 2024
11 Apr 2024F0641Ensure each resident receives an accurate assessment.DStandard survey3 May 2024
11 Apr 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey3 May 2024
22 Nov 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FComplaint investigation12 Dec 2023
22 Nov 2023F0880Provide and implement an infection prevention and control program.DComplaint investigation12 Dec 2023
16 Feb 2023F0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EStandard survey14 Mar 2023
16 Feb 2023F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey14 Mar 2023
16 Feb 2023F0695Provide safe and appropriate respiratory care for a resident when needed.DStandard survey14 Mar 2023

Penalties

DateTypeAmountDetail
26 Mar 2025Payment denial—2 days
26 Mar 2025Fine$14,020

Staffing

Total nursing2.65 h
Nurse aides1.67 h
LPN0.64 h
RN0.34 h
Weekend total2.28 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Texas average. Turnover: nursing staff 37.2%, RNs 14.3%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityTexas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay14.9%14.9%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay0.0%0.0%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay2.4%0.3%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay3.9%3.0%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay2.3%0.7%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay18.5%12.4%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay2.2%3.4%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.9%8.3%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: government, hospital district. Legal business name: Bosque County Hospital District.

OrganisationRole in the CMS recordInterestSince
Bosque County Hospital District5% or greater direct ownership interest100%07/01/2019
Bosque County Hospital DistrictOperational/managerial controlNOT APPLICABLE07/01/2019
Lutheran Sunset MinistriesOperational/managerial controlNOT APPLICABLE07/01/2019
Bosque County Hospital DistrictAdp of the snfNOT APPLICABLE07/02/2025
Lutheran Sunset MinistriesAdp of the snfNOT APPLICABLE07/01/2019

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 Bosque County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
The Hilltop On MainMeridian941211516.0$29K3 Mar 2026
Willow Park Rehabilitation Health Care Centerabuse iconClifton1101122623.6$45K20 May 2026

All 3 facilities in Bosque County

Questions and answers

How many deficiencies has Sunset Home been cited for?

13 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Texas median is 25 per facility.

Has Sunset Home been fined?

Yes. CMS lists fines totalling $14K in the period covered, plus 1 payment denial.

How does staffing at Sunset Home compare?

Reported total nurse staffing is 2.6 hours per resident per day against a Texas median of 3.3 and a national average of 3.9.

Who operates Sunset Home?

Ownership type is government, hospital district. Organisations in the CMS ownership record include Bosque County Hospital District, Bosque County Hospital District and Lutheran Sunset Ministries. Individual owners and managers are not listed on this site.

When was Sunset Home last inspected?

The most recent survey or investigation in the CMS record is dated 29 May 2025; the most recent standard health survey was 29 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.