All states › Missouri › Union › Sunset Health Care Center
400 West Park Avenue Union, MO 63084 · Franklin County
All 2 nursing homes in Union, MO (2 take Medicaid)
CMS certification number 265390 · See this home on Medicare Care Compare
Is Sunset Health Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Sunset Health Care Center as of October 2026.
CMS rates it 2 out of 5 stars overall, below the Missouri average of 2.6.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 3.05 hours per resident per day at Sunset Health Care Center, below the Missouri median of 3.37 (US median: 3.72). About 0.26 of those hours are from registered nurses. On weekends it falls to 2.89 hours, 5% below its all-week average. 39% of nursing staff left within a year (Missouri median 56.8%). That is lower than most homes in Missouri, a sign of a steadier team.
About this nursing home
Paying for care at Sunset Health Care Center: Medicare and Medicaid
Sunset Health Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet Missouri's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on May 30, 2025 and found 5 deficiencies. In total, inspectors issued 26 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: 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.
What the inspections found
Over the last three years, inspectors issued 26 citations at Sunset Health Care Center across 5 inspection dates, 3 of them from complaint investigations. 1 was at the immediate-jeopardy level (J–L), CMS's most serious category, most recently on May 30, 2025. The most common areas cited were resident rights (7) and nutrition and dietary (5). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level J, May 30, 2025). 2 citations were under CMS's abuse, neglect and exploitation rules.
May 30, 2025 · 5 citations
JEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
EAssure the security of all personal funds of residents deposited with the facility.
EProvide and implement an infection prevention and control program.
CDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
CProvide activities to meet all resident's needs.
April 7, 2025 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
January 5, 2024 · 11 citations
FEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
FEnsure 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.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
ETry 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.
EEnsure 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.
EArrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
CProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
CPost nurse staffing information every day.
BNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
October 20, 2023 · 1 citation · includes complaint inspection
DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.
July 20, 2022 · 7 citations
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
EHonor 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.
EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.
ENotify 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.
EPost nurse staffing information every day.
EProvide and implement an infection prevention and control program.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Questions to ask on a tour of Sunset Health Care Center
- Inspectors cited the home at the immediate-jeopardy level on May 30, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 7, 2025. How are staff trained, and how are concerns reported?
- CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $8,281 in fines.
| Date | Type | Amount or length |
|---|---|---|
| May 30, 2025 | Fine | $8,281 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
| August 2026 | 2/5 | 2/5 | 2/5 | 4/5 |
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Location
Hospitals near Sunset Health Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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7.0 mi
St Johns Mercy Hospital WashingtonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 2h 39m for patients treated and sent home
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19.5 mi
Missouri Baptist Sullivan Hospital SullivanEmergency room ★★☆☆☆ Medicare overall 2 of 5Median ER visit 2h 55m for patients treated and sent home
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25.0 mi
Progress West Healthcare Center O'fallonEmergency room ★★★★☆ Medicare overall 4 of 5Median ER visit 3h 23m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
More nursing homes near Sunset Health Care Center › All nursing homes in Union ›
Compare Sunset Health Care Center with the 3 closest homes side by side ›
Higher-rated nursing homes within 10 miles
- St Clair Nursing Center · Saint Clair · 5 stars · 6.7 mi
- Union Nursing · Union · 4 stars · 3.5 mi
Other Mgm Healthcare nursing homes in Missouri
- Camelot Nursing and Rehabilitation Center · Farmington · 5 stars
- Jackson Manor · Jackson · 4 stars
- Oak Park Care Center · Saint Louis · 3 stars
- Sherbrooke Village · Saint Louis · 2 stars
- Spring Valley Health & Rehabilitation Center · Springfield · 2 stars
- Florissant Valley Health & Rehabilitation Center · Florissant · 1 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 27 Mgm Healthcare nursing homes ›
Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.