Denver, IA

Denver Sunset Home

4-star overall rating with 4-star inspections with 4 recent health deficiencies

235 North Mill Street, Denver, IA

(319) 984-5372

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

31

Certified beds

Average residents

30

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2011-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

No

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.68

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.61

Licensed practical nurse staffing · state 0.57 · national 0.87

Aide hours / resident day

2.42

Nurse aide staffing · state 2.53 · national 2.35

Total nurse hours

3.71

All reported nurse hours · state 3.83 · national 3.89

Licensed hours

1.29

RN + LPN hours · state 1.30 · national 1.54

Weekend hours

3.29

Weekend nurse staffing · state 3.35 · national 3.43

Weekend RN hours

0.41

Weekend registered nurse coverage · state 0.50 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.74

CMS adjusted RN staffing hours

Adjusted total hours

4.03

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 44% · national 46%

SNF VBP

Value-based purchasing

Program rank

7,315

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

30.11

Composite VBP score used to determine payment impact.

Payment multiplier

0.9858

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3

Baseline 50.00% · Performance 51.43% · Measure score 3 · Achievement 3 · Improvement 0

Adjusted total nurse staffing

3.02

Baseline 4.03 hours · Performance 3.94 hours · Measure score 3.02 · Achievement 3.02 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	13.11%	10.72% 2.4 pts worse	No Different than the National Rate · Eligible stays 26 · Observed rate 26.92% · Lower 95% interval 8.65%
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 20 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	0.56	1.02 0.5 pts better
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 17 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 17 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 13 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 58
Staff flu vaccination coverage	4%	42% 38 pts worse	Numerator 2 · Denominator 50
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 7 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.9	1.5 1.4 pts worse	1.9 1 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.9 · Observed 2.2 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.7	2.1 0.4 pts better	1.8 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.3 · Expected 1.3 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.9%	94.0% 4.9 pts better	93.4% 5.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 95.5% · Q3 100.0% · Q4 100.0% · 4Q avg 98.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	95.2% 4.8 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.2%	3.7% 0.5 pts worse	3.3% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.3% · Q4 11.5% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	4.0% 4 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	2.8%	4.9% 2.1 pts better	5.4% 2.6 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 2.8%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.2%	20.6% 11.4 pts better	19.6% 10.4 pts better	Long Stay · 2024Q4-2025Q3 · Q3 10.0% · Q4 9.5% · 4Q avg 9.2%
Percentage of long-stay residents who received an antipsychotic medication	1.8%	19.8% 18 pts better	16.7% 14.9 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	18.0%	18.5% 0.5 pts better	16.3% 1.7 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 18.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	20.6%	18.3% 2.3 pts worse	14.9% 5.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q4 15.0% · 4Q avg 20.6% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.8%	1.7% 0.9 pts better	1.0% 0.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 3.4% · Q3 0.0% · Q4 0.0% · 4Q avg 0.8% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.2%	2.5% 0.3 pts better	1.7% 0.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 4.8% · Q3 0.0% · Q4 4.2% · 4Q avg 2.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	20.6%	26.0% 5.4 pts better	19.8% 0.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 32.7% · Q3 14.9% · Q4 17.7% · 4Q avg 20.6%
Percentage of long-stay residents with pressure ulcers	11.7%	4.3% 7.4 pts worse	5.1% 6.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.3% · Q2 19.9% · Q3 0.0% · Q4 22.4% · 4Q avg 11.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	92.4%	84.3% 8.1 pts better	81.7% 10.7 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 92.4%
Percentage of short-stay residents who had an outpatient emergency department visit	22.3%	13.1% 9.2 pts worse	12.0% 10.3 pts worse	Short Stay · 20240701-20250630 · Adjusted 22.3% · Observed 19.0% · Expected 9.5% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	1.9% 1.9 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were rehospitalized after a nursing home admission	23.1%	21.3% 1.8 pts worse	23.9% 0.8 pts better	Short Stay · 20240701-20250630 · Adjusted 23.1% · Observed 19.0% · Expected 19.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-27 · Fire 2025-03-27

4 health deficiencies

Top issue: Resident Assessment and Care Planning (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-05-09 · Fire 2024-05-09

3 health deficiencies

Top issue: Quality of Life and Care (1 deficiency)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-01-19 · Fire 2023-01-19

1 health deficiencies

Top issue: Resident Rights (1 deficiency)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2024-05-09

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2024-06-05

F · Potential for more than minimal harm 2023-01-19

E30 · Emergency Preparedness Deficiencies

Fire Safety

List the names and contact information of those in the facility.

Corrected 2023-01-24

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-03-27

F655 · Resident Assessment and Care Planning Deficiencies

Health

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Corrected 2025-04-01

B · Minimal harm 2025-03-27

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2025-04-01

B · Minimal harm 2025-03-27

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2025-04-01

B · Minimal harm 2025-03-27

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2025-04-01

D · Potential for more than minimal harm 2024-05-09

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2024-05-15

D · Potential for more than minimal harm 2024-05-09

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2024-05-15

B · Minimal harm 2024-05-09

F625 · Resident Rights Deficiencies

Health

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.

Corrected 2024-05-15

B · Minimal harm 2023-01-19

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-01-20

Penalties and ownership

What sits behind the stars

Ownership

Baird, Sheila

Corporate Director · Individual

0% 1 facilities 2023-10-01

Baird, Wayne

Corporate Director · Individual

0% 1 facilities 2023-10-01

Boynton, Blair