Sunset Home

Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Maysville, MO

CMS overall rating

1201 South Polk, Maysville, MO 64469-4028 View map

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Sunset Home accepts Medicare, Medicaid, and private pay.

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Sunset Home accepts Medicare, Medicaid, and private pay.

Overview of Sunset Home

Sunset Home is a 60-bed nursing home at 1201 South Polk in Maysville, Missouri, operated by N & R of Maysville, LLC in DeKalb County. The facility has availability at 56 percent occupancy, below Missouri’s 66.6 percent average. Accepted are Medicare, Medicaid, and private pay, averaging 153 days stay length, geared toward long-term skilled nursing care. Resident transportation to medical appointments exists.

The facility is rated 1 star by CMS, 62 percent below Missouri average, driven by below-average health inspection and staffing sub-ratings. Quality measures run modestly above state average. Across 5 inspections since 2023, the facility recorded 34 total citations, 1 serious and 33 moderate, with no critical findings, recent fines, and recent payment denials. Nurse hours run 3h 48m per resident daily, aligned with Missouri’s average.

Sunset Home suits long-term Medicaid residents in rural DeKalb County needing ongoing skilled nursing care.

Facility Direct Line (816) 449-2158

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to state averages

Total nursing care / resident

3h 48m per day

vs avg

3 of 6 metrics below state avg

Standout metric LPN / LVN is +37% above state avg

Staff type	Hours / Day / Resident	vs state avg
Registered Nurse (RN) RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.	22m per day	▼ 50% State avg: 44m per day · National avg: 41m per day
LPN / LVN Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.	52m per day	▲ 37% State avg: 38m per day · National avg: 52m per day
Nurse Aide Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.	2h 10m per day	■ Avg State avg: 2h 8m per day · National avg: 2h 20m per day
Weekend Total Nursing Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.	3h 20m per day	▲ 8% State avg: 3h 5m per day · National avg: 3h 26m per day
Physical Therapist Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.	0m per day	▼ 92% State avg: 3m per day · National avg: 4m per day
Weekend RN Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.	18m per day	▼ 47% State avg: 34m per day · National avg: 28m per day

Capacity and availability

153 days

60-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

Walk Score: 37 / 100

Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate

52%

Lower than the Missouri average: 66.6%

Occupied beds

31 / 60

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility

StatusActive

IssuanceFebruary 23, 2026

ExpirationFebruary 22, 2028

CountyDekalb

License Number053412

CMS Certification Number265745

Certification TypeMedicare / Medicaid

Sunset Home is legally operated by N & R Of Maysville, LLC, and administered by Brenda Moore.

Corporate EntityN & R OF MAYSVILLE, LLC

Owner NameN & R Of Maysville, LLC

Skilled Nursing Facility

60 units

Total beds

60 units

Rehabilitation Services

24-Hour Staffing

Dedicated Alzheimer's Unit

Skilled Nursing Care

Physical And Occupational Therapies

Dietitians

Behavioral And Alzheimer’s Care

Hospice

Pets not allowed

Since 2019 · 7 years of data 102 deficiencies 13 inspections

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. Missouri state average

Overall vs. MO average

Latest Inspection August 14, 2024 Life Safety

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.	This Facility	MO Average	vs. MO Avg
Total deficiencies Formal regulatory issues recorded by inspectors across all inspection types.	102	35	This facility has 191% more total deficiencies than a typical Missouri assisted living residence (102 vs. MO avg 35).↑ 191% worse
Deficiencies per year Average deficiencies per year since 2019.	14.6	5	This facility has 192% more deficiencies per year than a typical Missouri assisted living residence (14.6 vs. MO avg 5).↑ 192% worse
Deficiencies per inspection Average deficiencies per inspection.	7.8	2.9	This facility has 169% more deficiencies per inspection than a typical Missouri assisted living residence (7.8 vs. MO avg 2.9).↑ 169% worse

Inspections State inspections evaluate whether the facility meets health and safety standards.	This Facility	MO Average	vs. MO Avg
Total inspections Combined count of all routine and focused inspections. Excludes complaint investigations.	13	12	This facility has had 8% more total inspections than the Missouri average (13 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 8% more

Inspections since 2023

Total health inspections 5

State average N/A

Last Health inspection on Nov 2025

Total health citations

State average N/A

Citations per inspection

6.8

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

32 of 34 citations resulted from standard inspections; and 2 of 34 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)

Critical health citations

In line with State average

State average: N/A

Serious health citations

In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

33 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 3 years)

Quality of Care serious citation Nov 05, 2025

Corrected

Nursing Services moderate citation Jul 23, 2025

Corrected

Nursing Services moderate citation Jul 23, 2025

Corrected

Nutrition moderate citation Jul 23, 2025

Corrected

Total staff 44

Employees 24

Contractors 20

Staff to resident ratio 1.91 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 13

Average shift 8.3 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 9,975

Nursing staff breakdown

6 hours

9.6 hours

8.6 hours

Contractor staffing

737 contractor hours this quarter

Certified Nursing Assistant: 6 Licensed Practical Nurse: 2 Speech Language Pathologist: 2 Medication Aide/Technician: 2 Occupational Therapy Aide: 2 Physical Therapy Aide: 2 Registered Nurse: 2 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1

Staff by category


Certified Nursing Assistant	8	6	14	2,827	92	100%	8.6
Licensed Practical Nurse	4	2	6	2,226	92	100%	9.6
Medication Aide/Technician	3	2	5	1,429	91	99%	11.5
Nurse Aide in Training	3	0	3	1,293	79	86%	9.6
Dental Services Staff	3	0	3	547	64	70%	5.6
Administrator	1	0	1	479	60	65%	8
Clinical Nurse Specialist	1	0	1	473	60	65%	7.9
Nurse Practitioner	1	0	1	443	55	60%	8.1
Physical Therapy Assistant	0	1	1	109	35	38%	3.1
Speech Language Pathologist	0	2	2	69	26	28%	2.6
Occupational Therapy Aide	0	2	2	29	3	3%	7.3
Registered Nurse	0	2	2	24	4	4%	6
Physical Therapy Aide	0	2	2	19	9	10%	2.1
Respiratory Therapy Technician	0	1	1	10	8	9%	1.3

14 Certified Nursing Assistant

% of Days 100%

6 Licensed Practical Nurse

% of Days 100%

5 Medication Aide/Technician

% of Days 99%

3 Nurse Aide in Training

% of Days 86%

3 Dental Services Staff

% of Days 70%

1 Administrator

% of Days 65%

1 Clinical Nurse Specialist

% of Days 65%

1 Nurse Practitioner

% of Days 60%

1 Physical Therapy Assistant

% of Days 38%

2 Speech Language Pathologist

% of Days 28%

2 Occupational Therapy Aide

% of Days 3%

2 Registered Nurse

% of Days 4%

2 Physical Therapy Aide

% of Days 10%

1 Respiratory Therapy Technician

% of Days 9%

View All Staffing Data

Total fines amount $13K

82% lower than State average

State average: $73K

Number of fines 1

59% fewer fines than State average

State average: 2.4

Payment Denials 1

45% more payment denials than State average

State average: 0.7

Fines amount comparison

This facility $13K

State average $73K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

High-risk clinical events score 7.8

29% better than State average

State average: 10.9

Functional decline score 13.1

33% better than State average

State average: 19.5

Long-stay resident measures

Significantly below average State avg: 2.7

Need for Help with Daily Activities Increased 10.3%

48% better than State average

State average: 19.8%

Walking Ability Worsened 20.2%

In line with State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 8.8%

51% better than State average

State average: 18.1%

Falls with Major Injury 0.9%

79% better than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 1.2%

77% better than State average

State average: 5.0%

Urinary Tract Infection 6.1%

124% worse than State average

State average: 2.7%

Lost Too Much Weight 6.3%

12% worse than State average

State average: 5.6%

Depressive Symptoms 0.0%

100% better than State average

State average: 12.8%

Antipsychotic Use 39.3%

79% worse than State average

State average: 22.0%

Pneumococcal Vaccine 67.2%

21% worse than State average

State average: 85.2%

Influenza Vaccine 96.6%

6% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 2.38

17% worse than State average

State average: 2.04

ED visits per 1,000 days 2.06

8% better than State average

State average: 2.25

Short-stay resident measures

Below average State avg: 2.1

Pneumococcal Vaccine 27.9%

58% worse than State average

State average: 66.6%

Re-hospitalized after SNF stay 25.4%

In line with State average

State average: 26.2%

Emergency department visits 17.6%

26% worse than State average

State average: 14.0%

Falls with major injury 2.0%

155% worse than State average

State average: 0.8%

Ability to care for self at discharge 43.6%

19% worse than State average

State average: 53.7%

Successful return to home or community 49.1%

In line with State average

State average: 50.6%

Breakdown by payment type

Medicare

39% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

20% of new residents, often for short stays.

Typical stay 1 years

Medicaid

41% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Total residents 23

Medicare

4.3% of residents

Medicaid

65.2% of residents

Private pay or other

30.4% of residents

Financial Trends

Historical financial and operational data for Sunset Home from 2011–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 56.4% ↓ 7.5pp vs 2022

Net Patient Income -$555.8K ↓ ~$412.7K vs 2022

Payroll Costs $1.2M ↑ ~$57.1K vs 2022

Operating Margin -23.3% ↓ 17.9pp vs 2022

Metric	2011	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	78.8%	81.1%	77.7%	88.9%	90.7%	90.2%	89.9%	91.5%	90.1%	79.0%	69.4%	63.9%	56.4%
Beds	60	60	60	60	60	60	60	60	60	60	60	60	60
Net Income	$183,398	$238,174	$325,479	$391,432	$568,778	$490,625	$368,638	$531,009	$567,791	$1,039,212	$510,661	-$54,624	-$495,218
Gross Revenue	$2,877,394	$2,819,377	$2,757,685	$3,771,586	$3,551,204	$3,534,634	$3,333,888	$3,790,460	$4,009,655	$3,679,432	$3,412,229	$2,921,920	$2,603,533
Operating Expenses	$2,235,782	$2,424,191	$2,259,518	$2,713,858	$2,659,254	$2,684,857	$2,629,872	$2,735,632	$2,862,733	$2,683,668	$2,666,121	$2,820,564	$2,946,147
Net Patient Income	$179,116	$234,525	$319,619	$383,273	$560,366	$484,769	$361,700	$524,979	$564,203	$506,648	$191,894	-$143,049	-$555,798
Net Patient Revenue	$2,414,898	$2,658,716	$2,579,137	$3,097,131	$3,219,620	$3,169,626	$2,991,572	$3,260,611	$3,426,936	$3,190,316	$2,858,015	$2,677,515	$2,390,349
Payroll Costs	$1,127,804	$1,248,364	$1,151,692	$1,207,975	$1,223,099	$1,281,887	$1,326,025	$1,287,398	$1,368,495	$1,207,051	$992,894	$1,131,150	$1,188,225
Operating Margin %	7.4%	8.8%	12.4%	12.4%	17.4%	15.3%	12.1%	16.1%	16.5%	15.9%	6.7%	-5.3%	-23.3%
Medicare %	7.2%	4.3%	3.3%	7.3%	3.5%	3.3%	2.5%	4.9%	6.1%	3.8%	6.9%	4.3%	4.7%
Medicaid %	80.2%	85.4%	84.8%	77.1%	80.0%	74.1%	69.9%	71.2%	71.8%	76.5%	73.7%	69.8%	68.2%
Private %	12.6%	10.3%	11.9%	15.6%	16.5%	22.6%	27.5%	23.8%	22.2%	19.7%	19.3%	25.9%	27.2%
Net Patient Revenue/Day	$140	$149	$152	$159	$162	$160	$152	$163	$174	$184	$188	$191	$194
Cost/Day	$130	$136	$133	$139	$134	$136	$134	$137	$145	$155	$175	$202	$239
Avg Length of Stay	100.3 days	168.0 days	215.5 days	145.3 days	183.8 days	287.0 days	191.2 days	213.2 days	129.0 days	148.2 days	140.7 days	157.1 days	152.5 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Net patient revenue

$2.4M

Net patient income

-$555.8K

For-profit Operated by a single business entity.

Net patient revenue

$2.4M

Net patient income

-$555.8K

Other income

$60.6K

Payroll costs

$1.2M 49.7% of net patient revenue

Other operating costs

$1.8M

Total costs

$2.9M

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under Medicaid (41% of admissions), and a typical Medicaid stay runs around 1 - 2 years.

Coverage residents most often arrive under.

Medicare 39%

Private pay 20%

Medicaid 41%

Coverage residents most often leave under.

Medicare 22%

Private pay 31%

Medicaid 47%

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The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.


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Nursing Home Explorer

Who is the owner of Sunset Home?

Sunset Home is legally operated by N & R Of Maysville, LLC, and administered by Brenda Moore.

Is Sunset Home in a walkable area?

Sunset Home has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Sunset Home?

According to MO state health department records, Sunset Home's license number is 053412.

When does Sunset Home's license expire?

According to MO state health department records, Sunset Home's license expires on February 22, 2028.

What is the occupancy rate at Sunset Home?

Sunset Home's occupancy is 52%.

Are pets allowed at Sunset Home?

No, Sunset Home has a no-pet policy.

Does Sunset Home operate as a for-profit or non-profit?

Sunset Home is registered as a for-profit in MO.

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Sunset Home

Overview of Sunset Home

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Therapy & Rehabilitation

Staffing & Medical

Memory & Specialized Care

Additional Services

Additional Policies & Features

Amenities & Lifestyle

Contact Sunset Home

Inspection History

Inspection Scorecard This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Missouri state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Deficiencies Deficiencies are formal regulatory issues recorded during state inspections.

Inspections State inspections evaluate whether the facility meets health and safety standards.

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

14 Certified Nursing Assistant

6 Licensed Practical Nurse

5 Medication Aide/Technician

3 Nurse Aide in Training

3 Dental Services Staff

1 Administrator

1 Clinical Nurse Specialist

1 Nurse Practitioner

1 Physical Therapy Assistant

2 Speech Language Pathologist

2 Occupational Therapy Aide

2 Registered Nurse

2 Physical Therapy Aide

1 Respiratory Therapy Technician

Penalties and fines

Fines amount comparison

Fines amount comparison

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly long-term care residents

Admissions

Discharges

Places of interest near Sunset Home

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