2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Sunset Health Care Center is a nursing home in Union, MO, offering rehabilitation and skilled nursing. With a compassionate and home-like atmosphere, the community ensures older adults have a comfortable stay. Residents can also maintain their independence, with 24-hour care, nutritious meals, and recreational programs. Through a person-centered approach to care, the community also strives to provide the best possible care tailored to residents’ unique needs and habits.
Arts and crafts, fun events, and light exercises help residents stay happy and learn new hobbies. Spacious common areas and accessible hallways also ensure residents’ comfort and safety. With its ideal setting in the quiet residential area of Union, near Union City Park and Union City Lake, residents experience a stress-free retirement. This nursing home is a trusted choice for senior living in Missouri, especially with its commitment to older adults’ welfare.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Hours per resident per day vs Missouri averages
Total nursing care
This home is ranked 230th out of 268 homes we track in Missouri for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
2h 51m
24% below state avg
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.
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.
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.
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.
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.
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.
All 6 underlying metrics fall below the state average
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
34% fewer staff per resident than Missouri average
10% worse than Missouri average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 8 RN Staff are full-time employees. No contractors work on this role.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.9 hoursAssists with medical care and medications.
All 19 LPN Staff are full-time employees. No contractors work on this role.
19
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursHelps with daily care and mobility.
All 40 CNA Staff are full-time employees. No contractors work on this role.
40
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,350 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 40 | 0 | 40 | 12,139 | 92 | 100% | 7.4 |
| Licensed Practical Nurse | 19 | 0 | 19 | 6,272 | 92 | 100% | 7.9 |
| Medication Aide/Technician | 14 | 0 | 14 | 5,308 | 92 | 100% | 9.5 |
| Nurse Aide in Training | 15 | 0 | 15 | 3,436 | 92 | 100% | 7.7 |
| Registered Nurse | 8 | 0 | 8 | 1,841 | 92 | 100% | 5.9 |
| Other Dietary Services Staff | 6 | 0 | 6 | 1,497 | 92 | 100% | 5.6 |
| RN Director of Nursing | 4 | 0 | 4 | 1,484 | 67 | 73% | 6.2 |
| Physical Therapy Aide | 0 | 3 | 3 | 571 | 67 | 73% | 7.2 |
| Mental Health Service Worker | 1 | 0 | 1 | 360 | 60 | 65% | 6 |
| Administrator | 1 | 0 | 1 | 342 | 63 | 68% | 5.4 |
| Nurse Practitioner | 1 | 0 | 1 | 340 | 63 | 68% | 5.4 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 336 | 49 | 53% | 6.5 |
| Dietitian | 1 | 0 | 1 | 264 | 61 | 66% | 4.3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 244 | 49 | 53% | 5 |
| Speech Language Pathologist | 0 | 2 | 2 | 229 | 41 | 45% | 5.3 |
| Qualified Social Worker | 0 | 2 | 2 | 171 | 38 | 41% | 4.5 |
| Physical Therapy Assistant | 0 | 3 | 3 | 73 | 30 | 33% | 2.4 |
| Medical Director | 0 | 1 | 1 | 39 | 13 | 14% | 3 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 24 | 3 | 3% | 8 |
| Occupational Therapy Aide | 1 | 0 | 1 | 8 | 1 | 1% | 8 |
Includes penalties issued in 2025
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
83% lower than Missouri averageMissouri average: $73K
59% fewer fines than Missouri averageMissouri average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Missouri averageMissouri average: 0.7
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 30, 2025 · $13K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2025Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.1
44% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.3
32% better than Missouri averageMissouri average: 19.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
30% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
8.5%
59% better than Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.6%
In line with Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
12% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
2.4%
51% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
0.8%
72% better than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
2.3%
58% better than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
34.4%
168% worse than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
57.6%
162% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.4%
22% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
In line with Missouri averageMissouri average: 90.9%
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
42.2%
37% worse than Missouri averageMissouri average: 66.6%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.6%
52% worse than Missouri averageMissouri average: 63.5%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
33% of new residents, usually for short-term rehab.
22% of new residents, often for short stays.
46% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
114Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Sunset Health Care Center from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #64 / 251Payroll costs — State benchmarkedThis home is ranked 64th out of 251 homes we track in Missouri. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Missouri average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #145 / 251Payroll % of net patient revenue — State benchmarkedThis home is ranked 145th out of 251 homes we track in Missouri. Shows payroll as a percentage of net patient revenue versus the Missouri average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in Missouri that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
No pets allowed
Building Type: 2-story
Rehabilitative Support
On-site Medical Care and Health Services
Most residents stay for extended periods and receive ongoing daily care.
New residents most often arrive under Medicaid (46% of admissions), and a typical Medicaid stay runs around 7 - 8 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
400 W Park Ave, Union, MO 63084
Add your location
Info below is compiled from CMS reports & the MO Dept. of Health & Senior Services (DHSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The Missouri average is: 54.9% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| St. Clair Nursing Center | NH HOS MC SNF | St Clair | 79
Facility
79
MO AVG
96
Rank
#273 / 450 |
73.4%
Facility
73.4%
MO AVG
66.5
Rank
#159 / 407 | +10% | 3.81
Facility
3.81
MO AVG
3.74
Rank
#116 / 268 | -19% | +2% | $12.7k
Facility
$12.7k
MO AVG
$76.9k
Rank
#170 / 276 | 7
Facility
7
MO AVG
36.5
Rank
#6 / 274 | 2.3
Facility
2.3
MO AVG
5.7
Rank
#10 / 274 | - | 58 | A+ |
48
Facility
48
MO AVG
46
Rank
#261 / 545 | St. Clair Nursing LLC | $5.7MFiscal year ending 12/2023
Facility
$5.7MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#125 / 251 | $3.1MFiscal year ending 12/2023
Facility
$3.1MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#131 / 251 | 55.5%Fiscal year ending 12/2023
Facility
55.5%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#105 / 251 | 265495 | ||||
| Sunset Health Care Center | NH | Union (Esquire Estates) | 120
Facility
120
MO AVG
96
Rank
#87 / 450 |
97.3%
Facility
97.3%
MO AVG
66.5
Rank
#10 / 407 | +46% | 2.84
Facility
2.84
MO AVG
3.74
Rank
#230 / 268 | -18% | -24% | $8.3k
Facility
$8.3k
MO AVG
$76.9k
Rank
#158 / 276 | 26
Facility
26
MO AVG
36.5
Rank
#109 / 274 | 5.2
Facility
5.2
MO AVG
5.7
Rank
#136 / 274 | 1 | 117 | - |
39
Facility
39
MO AVG
46
Rank
#326 / 545 | West Park Realty LLC | $8.8MFiscal year ending 12/2023
Facility
$8.8MFiscal year ending 12/2023
MO AVG
$7.4M
Rank
#64 / 251 | $4.5MFiscal year ending 12/2023
Facility
$4.5MFiscal year ending 12/2023
MO AVG
$3.9M
Rank
#64 / 251 | 51.3%Fiscal year ending 12/2023
Facility
51.3%Fiscal year ending 12/2023
MO AVG
54.9%
Rank
#145 / 251 | 265390 |
Sunset Health Care Center is located in Union, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Sunset Health Care Center is in the Esquire Estates neighborhood of Union.
Sunset Health Care Center has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Sunset Health Care Center's occupancy is 91.8%.
No, Sunset Health Care Center has a no-pet policy.
Sunset Health Care Center is registered as a for-profit.
Sunset Health Care Center is located at 400 W Park Ave, Union, MO 63084.
(636) 583-2252 will put you in contact with the team at Sunset Health Care Center.
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