Union, MO

Sunset Health Care Center

2-star overall rating with 2-star inspections with $12,740 in total fines with 7 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

400 West Park Avenue, Union, MO

(636) 583-2252

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

120

Certified beds

Average residents

113

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Mgm Healthcare

Operator or chain grouping

Approved since

1989-08-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

30 facilities

Chain averages 2 overall / 2 health / 2 staffing / 4 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.28

Registered nurse staffing · state 0.46 · national 0.68

LPN hours / resident day

0.77

Licensed practical nurse staffing · state 0.68 · national 0.87

Aide hours / resident day

2.07

Nurse aide staffing · state 2.33 · national 2.35

Total nurse hours

3.12

All reported nurse hours · state 3.47 · national 3.89

Licensed hours

1.05

RN + LPN hours · state 1.14 · national 1.54

Weekend hours

2.80

Weekend nurse staffing · state 3.04 · national 3.43

Weekend RN hours

0.25

Weekend registered nurse coverage · state 0.33 · national 0.47

Physical therapist

0.02

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.26

CMS adjusted RN staffing hours

Adjusted total hours

2.94

CMS adjusted total nurse staffing hours

Case-mix index

1.45

Higher values indicate more complex resident acuity

RN turnover

40%

Annual RN turnover · state 51% · national 45%

Total nurse turnover

36%

Annual nurse turnover · state 57% · national 46%

SNF VBP

Value-based purchasing

Program rank

13,374

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

Performance score

6.01

Composite VBP score used to determine payment impact.

Payment multiplier

0.9806

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 18.23% · Performance 22.95% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 5.41% · Performance 8.29% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.41

Baseline 44.78% · Performance 53.85% · Measure score 2.41 · Achievement 2.41 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.71 hours · Performance 2.18 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.86%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 85 · Observed rate 9.41% · Lower 95% interval 6.47%
Discharge to community 52.34%
50.57%
1.8 pts better
No Different than the National Rate · Eligible stays 33 · Observed rate 42.42% · Lower 95% interval 37.87%
Medicare spending per beneficiary 1.19
1.02
0.2 pts worse
Drug regimen review with follow-up 58.7%
95.27%
36.6 pts worse
Numerator 27 · Denominator 46
Falls with major injury 0%
0.77%
0.8 pts better
Numerator 0 · Denominator 46
Discharge self-care score 11.54%
53.69%
42.1 pts worse
Numerator 3 · Denominator 26
Discharge mobility score 11.54%
50.94%
39.4 pts worse
Numerator 3 · Denominator 26
Pressure ulcers or injuries, new or worsened 0%
2.29%
2.3 pts better
Numerator 0 · Denominator 46 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization 8.29%
7.12%
1.2 pts worse
No Different than the National Rate · Eligible stays 59 · Observed rate 13.56% · Lower 95% interval 4.83%
Staff COVID-19 vaccination coverage 0%
8.2%
8.2 pts worse
Numerator 0 · Denominator 108
Staff flu vaccination coverage 19.49%
42%
22.5 pts worse
Numerator 23 · Denominator 118
Discharge function score 19.23%
56.45%
37.2 pts worse
Numerator 5 · Denominator 26
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 19 · 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 3.5
2.1
1.4 pts worse
1.9
1.6 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.5 · Observed 2.9 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
2.3
0.3 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.7 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 64.6%
84.8%
20.2 pts worse
93.4%
28.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 67.6% · Q2 62.5% · Q3 65.4% · Q4 63.1% · 4Q avg 64.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 90.9%
90.9%
About the same
95.5%
4.6 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 90.9%
Percentage of long-stay residents experiencing one or more falls with major injury 4.2%
4.1%
0.1 pts worse
3.3%
0.9 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 3.8% · Q3 4.7% · Q4 4.5% · 4Q avg 4.2% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 30.9%
14.7%
16.2 pts worse
11.4%
19.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 31.0% · Q2 26.0% · Q3 32.6% · Q4 33.7% · 4Q avg 30.9%
Percentage of long-stay residents who lose too much weight 2.6%
5.5%
2.9 pts better
5.4%
2.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 6.0% · Q3 2.3% · Q4 1.1% · 4Q avg 2.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 16.9%
25.3%
8.4 pts better
19.6%
2.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.2% · Q2 18.0% · Q3 15.6% · Q4 18.8% · 4Q avg 16.9%
Percentage of long-stay residents who received an antipsychotic medication 64.1%
25.0%
39.1 pts worse
16.7%
47.4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 58.5% · Q2 62.5% · Q3 63.0% · Q4 70.0% · 4Q avg 64.1% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
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 8.7%
20.3%
11.6 pts better
16.3%
7.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 10.5% · Q2 9.0% · Q3 5.9% · Q4 9.4% · 4Q avg 8.7% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 11.2%
19.8%
8.6 pts better
14.9%
3.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 15.1% · Q2 11.8% · Q3 9.3% · Q4 8.8% · 4Q avg 11.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.0%
1.4%
1.4 pts better
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% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 1.2%
2.6%
1.4 pts better
1.7%
0.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.0% · Q3 1.0% · Q4 1.9% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 19.1%
18.1%
1 pts worse
19.8%
0.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 16.9% · Q2 17.4% · Q3 19.9% · Q4 22.0% · 4Q avg 19.1%
Percentage of long-stay residents with pressure ulcers 2.6%
5.0%
2.4 pts better
5.1%
2.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.9% · Q2 3.0% · Q3 2.9% · Q4 2.5% · 4Q avg 2.6% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 40.3%
66.4%
26.1 pts worse
81.7%
41.4 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 35.5% · Q2 51.5% · Q3 41.2% · Q4 30.8% · 4Q avg 40.3%
Percentage of short-stay residents who had an outpatient emergency department visit 16.2%
13.4%
2.8 pts worse
12.0%
4.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 21.4% · Expected 14.8% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 0.0%
2.2%
2.2 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 assessed and appropriately given the seasonal influenza vaccine 30.6%
63.5%
32.9 pts worse
79.7%
49.1 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 30.6%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 18.5%
25.3%
6.8 pts better
23.9%
5.4 pts better
Short Stay · 20240701-20250630 · Adjusted 18.5% · Observed 21.4% · Expected 27.7% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-05-30 · Fire 2025-05-30

7 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2024-01-05 · Fire 2024-01-05

11 health deficiencies

Top issue: Nutrition and Dietary (3 deficiencies)

11 fire-safety deficiencies

Top issue: Emergency Preparedness (5 deficiencies)

Cycle 3 Health 2022-07-20 · Fire 2022-07-20

8 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

10 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (3 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-05-30

E39 · Emergency Preparedness Deficiencies

Fire Safety

Conduct testing and exercise requirements.

Corrected 2025-07-09

F · Potential for more than minimal harm 2025-05-30

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2025-07-09

F · Potential for more than minimal harm 2025-05-30

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2025-07-09

E · Potential for more than minimal harm 2025-05-30

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-07-09

E · Potential for more than minimal harm 2025-05-30

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2025-07-09

E · Potential for more than minimal harm 2025-05-30

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-07-09

F · Potential for more than minimal harm 2024-01-05

E18 · Emergency Preparedness Deficiencies

Fire Safety

Establish procedures for tracking staff and patients during an emergency.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

E26 · Emergency Preparedness Deficiencies

Fire Safety

Establish roles under a Waiver declared by secretary.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

E30 · Emergency Preparedness Deficiencies

Fire Safety

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

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

E31 · Emergency Preparedness Deficiencies

Fire Safety

Provide emergency officials' contact information.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

E35 · Emergency Preparedness Deficiencies

Fire Safety

Provide family notifications of emergency plan.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

K346 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the fire alarm was out of service for more than 4 hours.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

K500 · Services Deficiencies

Fire Safety

Meet other general requirements that are deficient.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

K511 · Services Deficiencies

Fire Safety

Have properly installed electrical wiring and gas equipment.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-02-07

F · Potential for more than minimal harm 2022-07-20

K291 · Egress Deficiencies

Fire Safety

Install emergency lighting that can last at least 1 1/2 hours.

Corrected 2022-08-17

F · Potential for more than minimal harm 2022-07-20

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2022-08-17

F · Potential for more than minimal harm 2022-07-20

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2022-08-17

F · Potential for more than minimal harm 2022-07-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-08-17

F · Potential for more than minimal harm 2022-07-20

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2022-08-17

F · Potential for more than minimal harm 2022-07-20

K911 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the installation and maintenance of electrical systems.

Corrected 2022-08-17

F · Potential for more than minimal harm 2022-07-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2022-08-17

F · Potential for more than minimal harm 2022-07-20

K926 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk.

Corrected 2022-08-17

E · Potential for more than minimal harm 2022-07-20

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-08-17

E · Potential for more than minimal harm 2022-07-20

K741 · Miscellaneous Deficiencies

Fire Safety

Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

Corrected 2022-08-17

Inspection history

Recent health citations

J · Immediate jeopardy 2025-05-30

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-07-12

E · Potential for more than minimal harm 2025-05-30

F570 · Resident Rights Deficiencies

Health

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

Corrected 2025-07-09

E · Potential for more than minimal harm 2025-05-30

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-09

C · Minimal harm 2025-05-30

F656 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-07-09

C · Minimal harm 2025-05-30

F679 · Quality of Life and Care Deficiencies

Health

Provide activities to meet all resident's needs.

Corrected 2025-07-09

D · Potential for more than minimal harm 2025-04-07

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-03-25

D · Potential for more than minimal harm 2025-04-07

F622 · Resident Rights Deficiencies

Health

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Corrected 2025-04-21

F · Potential for more than minimal harm 2024-01-05

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

F803 · Nutrition and Dietary Deficiencies

Health

Ensure 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.

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2024-02-07

F · Potential for more than minimal harm 2024-01-05

F882 · Infection Control Deficiencies

Health

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

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-05

F550 · Resident Rights Deficiencies

Health

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

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-05

F700 · Quality of Life and Care Deficiencies

Health

Try 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.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-05

F761 · Pharmacy Service Deficiencies

Health

Ensure 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.

Corrected 2024-02-07

E · Potential for more than minimal harm 2024-01-05

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-02-07

C · Minimal harm 2024-01-05

F623 · Resident Rights Deficiencies

Health

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

Corrected 2024-02-07

C · Minimal harm 2024-01-05

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2024-02-07

B · Minimal harm 2024-01-05

F569 · Resident Rights Deficiencies

Health

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

Corrected 2024-02-07

D · Potential for more than minimal harm 2023-10-20

F804 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-11-15

F · Potential for more than minimal harm 2022-07-20

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2022-08-17

E · Potential for more than minimal harm 2022-07-20

F584 · Resident Rights Deficiencies

Health

Honor 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.

Corrected 2022-08-17

E · Potential for more than minimal harm 2022-07-20

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

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

Corrected 2022-08-17

E · Potential for more than minimal harm 2022-07-20

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 2022-08-17

E · Potential for more than minimal harm 2022-07-20

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2022-08-17

E · Potential for more than minimal harm 2022-07-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2022-08-17

D · Potential for more than minimal harm 2022-07-20

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2022-08-17

Penalties and ownership

What sits behind the stars

$12,740 2025-05-30

Fine

Fine · fine $12,740

Fine

Ownership

West Park Realty LLC

5% Or Greater Indirect Ownership Interest · Organization

100% 1 facilities 2016-02-01
10-26 Nationwide Tr

5% Or Greater Direct Ownership Interest · Organization

48% 30 facilities 2016-02-01
Bienstock, Judah

5% Or Greater Direct Ownership Interest · Individual

28% 19 facilities 2016-02-01
3w Acquisitions LLC

5% Or Greater Direct Ownership Interest · Organization

10% 2 facilities 2016-02-01
Sofia Sunset Resources LLC

5% Or Greater Direct Ownership Interest · Organization

5% 2 facilities 2016-02-01
Jeremias, Baruch

Corporate Officer · Individual

0% 29 facilities 2016-02-01
Lowe, Jennifer

W-2 Managing Employee · Individual

0% 1 facilities 2020-11-12
Winter, Chaim

Operational/Managerial Control · Individual

0% 5 facilities 2016-02-01

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