facebook tracking Sunset Health Care Center, Union MO: CMS Ratings
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Sunset Health Care Center

All states › Missouri › Union › Sunset Health Care Center

400 West Park Avenue Union, MO 63084 · Franklin County

(636) 583-2252

All 2 nursing homes in Union, MO (2 take Medicaid)

Accepts Medicare Accepts Medicaid 120 certified beds For profit

CMS certification number 265390 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 26 citations in the last three years. CMS imposed 1 penalty, including $8,281 in fines, in that time. For short-term rehab patients CMS rates quality 4 out of 5; for long-term residents, 4 out of 5.

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.

Nursing care per resident per day 3.05 hours
Below the Missouri median of 3.37 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.26 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.89 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 39% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 16.7% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds120
Residents per day 114 About 95% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceAugust 1989
Part of a chainMgm Healthcare
Legal business nameSUNSET HEALTHCARE LLC

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.

Immediate jeopardy · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Jul 12, 2025)

EAssure the security of all personal funds of residents deposited with the facility.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0570 · Deficient, Provider has date of correction (Jul 9, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 9, 2025)

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

Potential for minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0656 · Deficient, Provider has date of correction (Jul 9, 2025)

CProvide activities to meet all resident's needs.

Potential for minimal harm · Quality of Life and Care Deficiencies · Tag F0679 · Deficient, Provider has date of correction (Jul 9, 2025)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Mar 25, 2025)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0622 · Complaint inspection · Deficient, Provider has date of correction (Apr 21, 2025)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0801 · Deficient, Provider has date of correction (Feb 7, 2024)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0803 · Deficient, Provider has date of correction (Feb 7, 2024)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Feb 7, 2024)

FDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0882 · Deficient, Provider has date of correction (Feb 7, 2024)

EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Feb 7, 2024)

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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0700 · Deficient, Provider has date of correction (Feb 7, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Feb 7, 2024)

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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0849 · Deficient, Provider has date of correction (Feb 7, 2024)

CProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0623 · Deficient, Provider has date of correction (Feb 7, 2024)

CPost nurse staffing information every day.

Potential for minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Feb 7, 2024)

BNotify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0569 · Deficient, Provider has date of correction (Feb 7, 2024)

October 20, 2023 · 1 citation · includes complaint inspection

DEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0804 · Complaint inspection · Deficient, Provider has date of correction (Nov 15, 2023)

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.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Aug 17, 2022)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0584 · Deficient, Provider has date of correction (Aug 17, 2022)

EDevelop and implement policies and procedures to prevent abuse, neglect, and theft.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0607 · Deficient, Provider has date of correction (Aug 17, 2022)

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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Aug 17, 2022)

EPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Aug 17, 2022)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 17, 2022)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Aug 17, 2022)

Questions to ask on a tour of Sunset Health Care Center

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on April 7, 2025. How are staff trained, and how are concerns reported?
  3. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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.

DateTypeAmount or length
May 30, 2025 Fine $8,281

Rating history

CMS monthOverallInspectionStaffingQuality
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.

  • 7.0 mi
    St Johns Mercy Hospital Washington
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median ER visit 2h 39m for patients treated and sent home
  • 19.5 mi
    Missouri Baptist Sullivan Hospital Sullivan
    Emergency room ★★☆☆☆ Medicare overall 2 of 5
    Median ER visit 2h 55m for patients treated and sent home
  • 25.0 mi
    Progress West Healthcare Center O'fallon
    Emergency room ★★★★☆ Medicare overall 4 of 5
    Median 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

Union Nursing Union · 3.5 mi away ★★★★☆ Inspection 4/5 · Staffing 2/5 60 beds · Medicaid
St Clair Nursing Center Saint Clair · 6.7 mi away ★★★★★ Inspection 5/5 · Staffing 2/5 79 beds · Medicaid
Grandview Healthcare Center Washington · 8.0 mi away ★☆☆☆☆ Inspection 3/5 · Staffing 1/5 102 beds · Medicaid
Pacific Care Center Pacific · 14.5 mi away ★☆☆☆☆ Inspection 3/5 · Staffing 1/5 118 beds · Medicaid
New Haven Care Center New Haven · 15.6 mi away ★★★☆☆ Inspection 5/5 · Staffing 1/5 90 beds · Medicaid

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

Other Mgm Healthcare nursing homes in Missouri

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.

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https://www.nursinghomesineachstate.com/missouri/union/sunset-health-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.