Missouri average 6.6
Last Health inspection on Oct 2025

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Sunnyview Nursing Home & Apartments is a 28-bed skilled nursing facility in Trenton, Grundy County, Missouri, administrated by Penny Buswell and privately owned. The facility serves Medicare, Medicaid, and private-pay residents with an average length of stay of 341 days and current occupancy of 33.9%.
Sunnyview offers skilled nursing care, short-term rehabilitation, and therapeutic services including physical, occupational, and speech pathology. The facility maintains on-site nurse aide training, mental health services, and an active resident council.
Nursing staffing exceeds Missouri state benchmarks in most categories. Total nursing care averages 4 hours 28 minutes per resident per day, 18% above state average and ranking 47th among 276 Missouri facilities. Licensed Practical Nurse hours of 53 minutes per day exceed state average by 29%, and Certified Nursing Aide hours of 2 hours 52 minutes per day are 24% above benchmark. Registered nurse coverage of 21 minutes per day is 25% below state average, and weekend registered nurse presence of 12 minutes per day is 40% below benchmark.
Quality of care metrics reveal significant clinical challenges. Falls with major injury occur in 7.4% of long-stay residents, 84% worse than Missouri’s benchmark of 4.0%. Urinary tract infection rates of 5.9% are 115% worse than state average of 2.7%. Functional decline reaches 25.0, 29% worse than state average.
Walking ability decline affects 26.5% of residents, 28% worse than state average. Long-stay hospitalization rates of 3.26 per 1,000 days are 57% worse than state benchmark. Positive measures include pneumococcal vaccination at 99.4% and influenza vaccination at 97.8%, both significantly better than state.
Financial performance shows operational stress. The facility reported a $260,600 operating loss in fiscal 2024 against $5.2 million revenue. Payroll represents 76.8% of revenue, the 17th highest percentage statewide. Occupancy of 33.9% remains critically low.
Regulatory compliance reveals serious deficiencies. Nine inspections since 2019 identified 45 citations including 2 critical violations for abuse or neglect. Four complaint investigations between April 2023 and October 2025 documented critical failures.
April 2023 documented failure to timely report sexual abuse. A resident with Alzheimer’s disease and severe cognitive impairment reported he had been raped. August 2023 documented inappropriate sexual comments toward a resident with severe cognitive impairment. September 2024 identified environmental deficiencies.
September 2025 documented failure to update care plans following resident elopement.
October 2025 resulted in a critical citation for abuse or neglect, the facility’s second critical citation in six years. Federal penalties totaled $36,000, with $17,000 assessed in September 2025.
CMS ratings are 1/5 overall, 2/5 for health inspection, 5/5 for staffing, and 1/5 for quality measures.
Families should review the facility’s protocols for reporting abuse, environmental remediation, and fall and infection prevention measures before considering placement.
Sunnyview Nursing Home & Apartments is legally operated by Grundy County Nursing Home District, and administrated by Jerome Doerhoff.
Key information about the people who lead and staff this community.
In Missouri, the Department of Health and Senior Services, Division of Regulation and Licensure performs the inspections and unannounced surveys required for all long-term care providers.
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
| 0 | 7 | This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7).↓ 100% better |
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsMissouri average 6.6
Last Health inspection on Oct 2025
Missouri average 36.5
Missouri average 5.67
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
39 of 45 citations resulted from standard inspections; and 6 of 45 resulted from complaint investigations.
Missouri average: 0.7
Missouri average: 1
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Manages medical care and health needs.
This role is partially covered by contractors.
Assists with medical care and medications.
This role is partially covered by contractors.
Helps with daily care and mobility.
This role is partially covered by contractors.
Total hours from contractors
1,340 contractor hours this quarter
| Certified Nursing Assistant | 31 | 16 | 47 | 7,057 | 92 | 100% | 9.4 |
| Licensed Practical Nurse | 10 | 5 | 15 | 4,149 | 92 | 100% | 9.6 |
| Nurse Aide in Training | 14 | 0 | 14 | 4,030 | 92 | 100% | 10.5 |
| Medication Aide/Technician | 11 | 1 | 12 | 3,987 | 92 | 100% | 9.8 |
| Registered Nurse | 9 | 3 | 12 | 1,257 | 87 | 95% | 7.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 945 | 89 | 97% | 6.7 |
| Nurse Practitioner | 1 | 0 | 1 | 477 | 62 | 67% | 7.7 |
| Administrator | 2 | 0 | 2 | 414 | 52 | 57% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 375 | 44 | 48% | 8.5 |
| Dietitian | 1 | 0 | 1 | 216 | 45 | 49% | 4.8 |
| Speech Language Pathologist | 0 | 2 | 2 | 180 | 23 | 25% | 7.8 |
| Physical Therapy Aide | 0 | 2 | 2 | 179 | 23 | 25% | 7.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 25 | 3 | 3% | 8.4 |
| Physical Therapy Assistant | 0 | 2 | 2 | 24 | 9 | 10% | 2.7 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 15 | 3 | 3% | 5 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 14 | 6 | 7% | 2.4 |
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)
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Sep 19, 2025 · $17K
Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
33% of new residents, usually for short-term rehab.
45% of new residents, often for short stays.
21% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents 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.
Historical financial and operational data for Sunnyview Nursing Home & Apartments based on CMS SNF Cost Reports.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
0.0 miles from city center
Estimated distance in miles from Trenton's city center to Sunnyview Nursing Home & Apartments's address, calculated via Google Maps.
Add your location
Sunnyview Nursing Home & Apartments is located in TRENTON, Missouri.
Here are the financial assistance programs available to residents in Missouri.
The information below is reported by the Missouri Department of Health and Senior Services, Division of Regulation and Licensure.
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| Sunnyview Nursing Home & Apartments |
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).
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The legal owner and operator of Sunnyview Nursing Home & Apartments is Grundy County Nursing Home District.
Sunnyview Nursing Home & Apartments has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MO state health department records, Sunnyview Nursing Home & Apartments's license number is 053217, 053235.
According to MO state health department records, Sunnyview Nursing Home & Apartments's license expires on November 30, 2027.
Jerome Doerhoff is the administrator of Sunnyview Nursing Home & Apartments.
Sunnyview Nursing Home & Apartments has 122 beds.
Yes — there are 5 photos of Sunnyview Nursing Home & Apartments in the photo gallery on this page.
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