Senior CareScorecard

Nursing home · Union, MO

Sunset Health Care Center

400 West Park Avenue, Union, MO 63084 · 120 certified beds · for profit ownership · part of Mgm Healthcare

Medicare & MedicaidFined $8,281 in 3 years
Medicare overall rating2 / 5Below averageDe Soto area 3.1 · Missouri 2.51 · U.S. 2.99
2/5Health inspections Below average
2/5Staffing Below average
4/5Quality measures Above average
4/5Short-stay (rehab) quality Above average
4/5Long-stay quality Above average

Source: CMS Provider Data, processed Sep 1, 2026.

The latest inspection, in plain English

Inspectors' most recent visit in the CMS data was on May 30, 2025, when they cited 5 problems. The most common area was quality of life and care (2 citations). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 5 are marked corrected in the CMS data. At its most recent standard inspection (May 30, 2025) it had 5 citations, compared with an average of 8.3 for De Soto-area homes, 11.4 in Missouri and 9.2 nationally.

Staffing and turnover

Nursing staff spend 2.91 hours per resident per day here, 15% less than the Missouri average (3.43) and 25% less than the U.S. average (3.86). Registered nurses account for 0.24 of those hours, versus 0.46 in Missouri and 0.68 nationally. Nursing staff turnover was 27% over the past year, 29 points lower than Missouri (56%) and 19 points lower than the U.S. (46%).

How Sunset Health Care Center compares

This home's latest CMS figures next to the averages for De Soto-area homes (11), Missouri (487) and the U.S. (14,680).

This homeDe Soto areaMissouriU.S.
Total nurse hours per resident per day2.913.263.433.86
Registered nurse hours per resident per day0.240.400.460.68
Weekend nurse hours per resident per day2.662.903.013.42
Nursing staff turnover (past year)27%60%56%46%
Registered nurse turnover (past year)17%53%48%43%
Citations at the most recent standard inspection58.311.49.2

Inspection history

Citations by inspection date in the current CMS data. Red bars include a citation rated actual harm or worse.

May 30, 20255standard · 1 harm-level citation
Apr 7, 20252complaint
Jan 5, 202411standard
Oct 20, 20231complaint
Jul 20, 20227standard

Medicare does not publish past star ratings in its current data, so we show inspection history instead.

Most recent 26 of 26 health citations, in CMS wording. Severity codes run from A (least serious) to L (most serious).

Show all citations
DateDeficiencySeverityStatus
May 30, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
J immediate jeopardyDeficient, Provider has date of correction
May 30, 2025Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
May 30, 2025Develop 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
CDeficient, Provider has date of correction
May 30, 2025Provide activities to meet all resident's needs.
Quality of life and care
CDeficient, Provider has date of correction
May 30, 2025Assure the security of all personal funds of residents deposited with the facility.
Resident rights
EDeficient, Provider has date of correction
Apr 7, 2025Protect 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 · complaint
DPast Non-Compliance
Apr 7, 2025Not 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 · complaint
DDeficient, Provider has date of correction
Jan 5, 2024Try 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
EDeficient, Provider has date of correction
Jan 5, 2024Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Resident rights
BDeficient, Provider has date of correction
Jan 5, 2024Post nurse staffing information every day.
Nursing and physician services
CDeficient, Provider has date of correction
Jan 5, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident rights
CDeficient, Provider has date of correction
Jan 5, 2024Arrange 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
EDeficient, Provider has date of correction
Jan 5, 2024Ensure 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
EDeficient, Provider has date of correction
Jan 5, 2024Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident rights
EDeficient, Provider has date of correction
Jan 5, 2024Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
Infection control
FDeficient, Provider has date of correction
Jan 5, 2024Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Jan 5, 2024Ensure 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
FDeficient, Provider has date of correction
Jan 5, 2024Employ 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
FDeficient, Provider has date of correction
Oct 20, 2023Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and dietary · complaint
DDeficient, Provider has date of correction
Jul 20, 2022Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and dietary
FDeficient, Provider has date of correction
Jul 20, 2022Honor 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
EDeficient, Provider has date of correction
Jul 20, 2022Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from abuse, neglect, and exploitation
EDeficient, Provider has date of correction
Jul 20, 2022Notify 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
EDeficient, Provider has date of correction
Jul 20, 2022Post nurse staffing information every day.
Nursing and physician services
EDeficient, Provider has date of correction
Jul 20, 2022Provide and implement an infection prevention and control program.
Infection control
EDeficient, Provider has date of correction
Jul 20, 2022Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of life and care
DDeficient, Provider has date of correction

Fines and penalties

DateTypeAmount
May 30, 2025Fine$8,281

Location

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Questions about Sunset Health Care Center

Answers computed from CMS data for this facility.

What is Sunset Health Care Center's Medicare rating?

Medicare rates Sunset Health Care Center 2 out of 5 stars overall (below average). The average for De Soto-area nursing homes is 3.1, for Missouri 2.51 and for the U.S. 2.99.

How did Sunset Health Care Center do on its last inspection?

Inspectors' most recent visit in the CMS data was on May 30, 2025, when they cited 5 problems. The most common area was quality of life and care (2 citations). 1 citation was rated as causing actual harm or immediate jeopardy to residents. 0 of 5 are marked corrected in the CMS data. At its most recent standard inspection (May 30, 2025) it had 5 citations, compared with an average of 8.3 for De Soto-area homes, 11.4 in Missouri and 9.2 nationally.

Has Sunset Health Care Center been fined?

Yes. CMS reports 1 fine totaling $8,281 in the past three years.

Does Sunset Health Care Center accept Medicaid?

Sunset Health Care Center is certified for both Medicare and Medicaid. Call (636) 583-2252 to ask whether a Medicaid bed is open.

Source: CMS Provider Data, processed 2026-09-01. Inspection findings reflect conditions on the survey date and may since have been corrected. Verify on Medicare Care Compare.