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4/5
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.
4/5
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.
Operated by Sheila Baird, Denver Sunset Home is a nonprofit nursing facility in Denver, Iowa. It provides long-term skilled nursing, memory care, and rehabilitation to residents of Bremer County. The 31-bed facility is dually licensed as a Nursing Facility and Skilled Nursing Facility and accepts Medicare, Medicaid, and private pay.
The facility earned a 5-star CMS overall rating, roughly 54% above Iowa averages, with above-average scores across Health Inspection, Staffing, and Quality measures. Across inspections from 2020 to 2025, the facility received an average of 4.2 deficiencies per year, close to Iowa’s average of 4.4.
The most recent annual survey in March 2025 identified four administrative deficiencies involving notification timing, bed holds documentation, assessment coding, and care plan completeness. The facility achieved full compliance by April 1, 2025. In 2022, a substantiated complaint involved inadequate supervision and training for standing lift use, resulting in a resident fall. There were no fines, Immediate Jeopardy findings, or license actions recorded.
Nurse staffing averages 4 hours and 30 minutes per resident per day, about 2% above Iowa’s average of 4 hours and 25 minutes. The facility’s occupancy rate is 87%, well above the state’s average of 75.4%, showing consistent demand in a small community.
The facility offers private and semi-private rooms with private half baths, individual thermostat controls in each resident room, emergency generator backup, and Sunday church services. A resident pet cat contributes to the facility’s home-like setting.
Denver Sunset Home is best suited for residents seeking long-term skilled nursing or memory care in a small, community-rooted setting in Bremer County. Its consistent compliance record and nonprofit structure are oriented toward continuity of care.
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.
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.
This home is ranked 80th out of 241 homes in Iowa 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.
| 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.
| 47m per day | ▲ 7% 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.
| 31m per day | ▼ 9% State avg: 34m 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 40m per day | ▲ 5% State avg: 2h 32m 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 36m per day | ▲ 8% State avg: 3h 21m 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.
| 3m per day | ▲ 31% State avg: 2m 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.
| 36m per day | ▲ 19% State avg: 30m per day · National avg: 28m per day |
Higher than the Iowa average: 75.4%Denver Sunset Home is administrated by Blair Boynton.
In Iowa, the Department of Inspections, Appeals, and Licensing conducts unannounced health and safety surveys to monitor compliance and protect residents in long-term care settings.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Iowa state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 25 | 27 | This facility has 7% fewer total deficiencies than a typical Iowa nursing home (25 vs. IA avg 27).↓ 7% better |
|
Deficiencies per year
Average deficiencies per year since 2020.
| 4.2 | 4.5 | This facility has 7% fewer deficiencies per year than a typical Iowa nursing home (4.2 vs. IA avg 4.5).↓ 7% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 1.7 | 1.8 | This facility has 6% fewer deficiencies per inspection than a typical Iowa nursing home (1.7 vs. IA avg 1.8).↓ 6% better |
Inspections
| This Facility | IA Average | vs. IA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 15 | 15 | This facility has total inspections in line with the Iowa average (15 vs. IA avg 15).— At avg |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Iowa average 4.9
Last Health inspection on Mar 2025
Iowa average 21.7
Iowa average 4.11
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 8 citations resulted from standard inspections.
100% better than Iowa averageIowa average: 0.6
100% better than Iowa averageIowa average: 0.9
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
101% more staff per resident than Iowa average
12% worse than Iowa average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
10 total: 3 full-time employees and 7 contractors.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.2 hoursAssists with medical care and medications.
All 5 LPN Staff are full-time employees. No contractors work on this role.
5
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.8 hoursHelps with daily care and mobility.
67 total: 26 full-time employees and 41 contractors.
67
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,423 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 26 | 41 | 67 | 6,715 | 92 | 100% | 6.9 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,312 | 89 | 97% | 7.8 |
| Registered Nurse | 3 | 7 | 10 | 1,289 | 92 | 100% | 6.2 |
| Dietitian | 1 | 0 | 1 | 466 | 68 | 74% | 6.9 |
| Administrator | 1 | 0 | 1 | 461 | 59 | 64% | 7.8 |
| Nurse Practitioner | 1 | 0 | 1 | 446 | 65 | 71% | 6.9 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 266 | 44 | 48% | 6 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 111 | 47 | 51% | 2.4 |
| Physical Therapy Aide | 0 | 4 | 4 | 64 | 46 | 50% | 1.4 |
| Medication Aide/Technician | 1 | 1 | 2 | 59 | 9 | 10% | 6.5 |
| Occupational Therapy Aide | 0 | 2 | 2 | 34 | 11 | 12% | 3 |
| Mental Health Service Worker | 0 | 1 | 1 | 29 | 14 | 15% | 2 |
| Qualified Social Worker | 0 | 3 | 3 | 20 | 20 | 22% | 1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 19 | 3 | 3% | 6.3 |
| Physical Therapy Assistant | 0 | 2 | 2 | 19 | 24 | 26% | 0.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 13 | 12 | 13% | 1.1 |
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
10.5
In line with Iowa averageIowa average: 10.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.3
6% better than Iowa averageIowa average: 21.6
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
20.3%
8% worse than Iowa averageIowa average: 18.8%
Percent of long-stay residents whose ability to move independently worsened
20.7%
5% worse than Iowa averageIowa average: 19.7%
Percent of low risk long-stay residents who lose control of their bowels or bladder
19.8%
24% better than Iowa averageIowa average: 26.2%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
71% better than Iowa averageIowa average: 3.6%
Percent of long-stay high risk residents with pressure ulcers
8.9%
103% worse than Iowa averageIowa average: 4.4%
Percent of long-stay residents with a urinary tract infection
1.1%
56% better than Iowa averageIowa average: 2.5%
Percent of long-stay residents who lose too much weight
1.4%
71% better than Iowa averageIowa average: 5.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Iowa averageIowa average: 3.9%
Percent of long-stay residents who received an antipsychotic medication
5.4%
71% better than Iowa averageIowa average: 19.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
99.0%
5% better than Iowa averageIowa average: 94.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Iowa averageIowa average: 95.3%
Number of hospitalizations per 1,000 long-stay resident days.
2.92
97% worse than Iowa averageIowa average: 1.48
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.66
21% better than Iowa averageIowa average: 2.09
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
91.6%
8% better than Iowa averageIowa average: 85.1%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Iowa averageIowa average: 1.8%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
23.1%
8% worse than Iowa averageIowa average: 21.3%
Percentage of short-stay residents who had an outpatient emergency department visit.
22.3%
70% worse than Iowa averageIowa average: 13.1%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
19% of new residents, usually for short-term rehab.
66% of new residents, often for short stays.
15% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
26Data 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 Denver Sunset Home from 2011–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #218 / 242Payroll — State benchmarkedThis home is ranked 218th out of 242 homes in Iowa. Shows total annual staff payroll benchmarked to the Iowa average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (66% of admissions), and a typical private pay stay runs around 2 - 3 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Denver's city center to Denver Sunset Home's address, calculated via Google Maps.
Add your location
Denver Sunset Home is located in Denver, Iowa.
Here are the financial assistance programs available to residents in Iowa.
The information below is reported by the Iowa Department of Inspections, Appeals, and Licensing.
| Mill Pond |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Ankeny | 60
Facility
60
IA AVG
71
Rank
#214 / 407 |
98.3%
Facility
98.3%
IA AVG
75.4%
Rank
#14 / 401 | +30% | 4.91
Facility
4.91
IA AVG
4.30
Rank
#52 / 241 | -16% | +14% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 9
Facility
9
IA AVG
21.7
Rank
#62 / 241 | 3.0
Facility
3.0
IA AVG
4.1
Rank
#81 / 241 | - | 57 | - |
16
Facility
16
IA AVG
45
Rank
#439 / 528 | Phs Management, LLC | $13.9M
Facility
$13.9M
IA AVG
$7.0M
Rank
#32 / 242 | $6.9M
Facility
$6.9M
IA AVG
$3.1M
Rank
#34 / 242 | 49.4%
Facility
49.4%
IA AVG
46.3%
Rank
#177 / 242 | 165261 | ||||
| Denver Sunset Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Denver | 31
Facility
31
IA AVG
71
Rank
#388 / 407 |
87.1%
Facility
87.1%
IA AVG
75.4%
Rank
#84 / 401 | +15% | 4.51
Facility
4.51
IA AVG
4.30
Rank
#80 / 241 | -20% | +5% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 8
Facility
8
IA AVG
21.7
Rank
#50 / 241 | 2.7
Facility
2.7
IA AVG
4.1
Rank
#67 / 241 | - | 28 | - |
51
Facility
51
IA AVG
45
Rank
#213 / 528 | Sheila Baird | $3.1M
Facility
$3.1M
IA AVG
$7.0M
Rank
#231 / 242 | $2.1M
Facility
$2.1M
IA AVG
$3.1M
Rank
#218 / 242 | 68%
Facility
68%
IA AVG
46.3%
Rank
#32 / 242 | 165603 | ||||
| Valley View Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Des Moines (Fairmont Park) | 79
Facility
79
IA AVG
71
Rank
#117 / 407 |
100.0%
Facility
100.0%
IA AVG
75.4%
Rank
#1 / 401 | +33% | 5.52
Facility
5.52
IA AVG
4.30
Rank
#22 / 241 | +29% | +29% | $9.1k
Facility
$9.1k
IA AVG
$53.4k
Rank
#170 / 246 | 19
Facility
19
IA AVG
21.7
Rank
#139 / 241 | 3.2
Facility
3.2
IA AVG
4.1
Rank
#94 / 241 | 2 | 75 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Elim Care Inc | $9.7M
Facility
$9.7M
IA AVG
$7.0M
Rank
#70 / 242 | $7.0M
Facility
$7.0M
IA AVG
$3.1M
Rank
#32 / 242 | 71.8%
Facility
71.8%
IA AVG
46.3%
Rank
#13 / 242 | 165507 | ||||
| Ramsey Village Continuing Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Des Moines (Drake) | 78
Facility
78
IA AVG
71
Rank
#119 / 407 |
85.8%
Facility
85.8%
IA AVG
75.4%
Rank
#93 / 401 | +14% | 4.04
Facility
4.04
IA AVG
4.30
Rank
#148 / 241 | -46% | -6% | $0
Facility
$0
IA AVG
$53.4k
Rank
#1 / 246 | 31
Facility
31
IA AVG
21.7
Rank
#188 / 241 | 4.4
Facility
4.4
IA AVG
4.1
Rank
#156 / 241 | 1 | 70 | - |
38
Facility
38
IA AVG
45
Rank
#305 / 528 | Claremont House Inc. | $12.4M
Facility
$12.4M
IA AVG
$7.0M
Rank
#43 / 242 | $8.5M
Facility
$8.5M
IA AVG
$3.1M
Rank
#20 / 242 | 68.5%
Facility
68.5%
IA AVG
46.3%
Rank
#29 / 242 | 165514 | ||||
| Ridgecrest Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Davenport (Northwest Boulevard) | 82
Facility
82
IA AVG
71
Rank
#100 / 407 |
67.1%
Facility
67.1%
IA AVG
75.4%
Rank
#202 / 401 | -11% | 3.98
Facility
3.98
IA AVG
4.30
Rank
#148 / 241 | +31% | -7% | $118.9k
Facility
$118.9k
IA AVG
$53.4k
Rank
#223 / 246 | 43
Facility
43
IA AVG
21.7
Rank
#213 / 241 | 7.2
Facility
7.2
IA AVG
4.1
Rank
#220 / 241 | 3 | 55 | - |
41
Facility
41
IA AVG
45
Rank
#287 / 528 | Michael Beaderstadt | $15.8M
Facility
$15.8M
IA AVG
$7.0M
Rank
#20 / 242 | $8.1M
Facility
$8.1M
IA AVG
$3.1M
Rank
#23 / 242 | 51.1%
Facility
51.1%
IA AVG
46.3%
Rank
#156 / 242 | 165049 |
Denver Sunset Home has a walk score of 51. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
According to IA state health department records, Denver Sunset Home's license number is 90099.
Denver Sunset Home's occupancy is 87%.
The team at Denver Sunset Home can be reached at [email protected].
Blair Boynton is the administrator of Denver Sunset Home.
Denver Sunset Home has 31 beds.
Yes — there is 1 photo of Denver Sunset Home in the photo gallery on this page.
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