Sunnyview Nursing Home & Apartments

Nursing Home & Skilled Nursing · Trenton, MO

CMS overall rating

1311 East 28Th St, Trenton, MO 64683-1103 View map

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Sunnyview Nursing Home & Apartments accepts Medicare, Medicaid, and private pay.

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Sunnyview Nursing Home & Apartments accepts Medicare, Medicaid, and private pay.

Overview of Sunnyview Nursing Home & Apartments

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.

Facility Direct Line (660) 359-5647 jerry.doerhoff@sunnyviewnursinghome.com

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

4h 28m per day

vs avg

3 of 6 metrics below state avg

Standout metric Nurse Aide is +23% 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.	20m per day	▼ 30% State avg: 28m 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.	47m per day	▲ 15% State avg: 41m 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 51m per day	▲ 23% State avg: 2h 19m 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 27m per day	▲ 13% State avg: 3h 3m 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: 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.	10m per day	▼ 49% State avg: 20m per day · National avg: 28m per day

Capacity and availability

341 days

122-bed community

A larger shared setting that may offer more common spaces and organized community services.

16 years in operation

A community with a solid operating history and experience delivering ongoing care.

Walk Score: 39 / 100

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

BBB Rating: A+ (Not Accredited)

An independent rating from the Better Business Bureau based on factors such as complaint history, transparency, and business practices.
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About this community

Occupancy

Occupancy rate

48%

Lower than the Missouri average: 66.6%

Occupied beds

58 / 122

Average occupied beds in Missouri homes 72 beds

Facility TypeSkilled Nursing Facility, Residential Care Facility

StatusActive

IssuanceDecember 1, 2025

ExpirationNovember 30, 2027

CountyGrundy

License Number053217, 053235

Certification TypeMedicare / Medicaid

Sunnyview Nursing Home & Apartments is legally operated by Grundy County Nursing Home District, and administered by Jerome Doerhoff.

Corporate EntityGRUNDY COUNTY NURSING HOME DISTRICT

Owner NameGrundy County Nursing Home District

Skilled Nursing Facility

94 units

Residential Care Facility

28 units

Total beds

122 units

Staffing

Key information about the people who lead and staff this community.

ContactPatrisha Smith, Administrator (per BBB, record updated Jul 2026)

Pets not allowed

Since 2018 · 8 years of data 175 deficiencies 34 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 2018 vs. Missouri state average

Overall vs. MO average

Latest Inspection October 3, 2025 Complaint Investigation

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.	175	35	This facility has 400% more total deficiencies than a typical Missouri assisted living residence (175 vs. MO avg 35).↑ 400% worse
Deficiencies per year Average deficiencies per year since 2018.	21.9	4.4	This facility has 398% more deficiencies per year than a typical Missouri assisted living residence (21.9 vs. MO avg 4.4).↑ 398% worse
Deficiencies per inspection Average deficiencies per inspection.	5.1	2.9	This facility has 76% more deficiencies per inspection than a typical Missouri assisted living residence (5.1 vs. MO avg 2.9).↑ 76% 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.	34	12	This facility has had 183% more total inspections than the Missouri average (34 vs. MO avg 12). More inspections can mean more regulatory scrutiny rather than worse care.↑ 183% more

Show Inspection Reports

Inspections since 2019

Total health inspections 9

State average N/A

Last Health inspection on Oct 2025

Total health citations

State average N/A

Citations per inspection

State average N/A

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.

Breakdown of citation severity (last 7 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

2 critical citations State average: N/A

0 serious citations State average: N/A

43 moderate citations State average: N/A

0 minor citations State average: N/A

Citations history (last 7 years)

Abuse/Neglect critical citation Oct 03, 2025

Corrected

Care Planning moderate citation Sep 19, 2025

Corrected

Environmental moderate citation Sep 10, 2024

Corrected

Infection Control moderate citation Jul 25, 2024

Corrected

Total staff 118

Employees 83

Contractors 35

Staff to resident ratio 2.11 : 1

0% compared with State average

State average ratio: 0 : 0

Avg staff/day 28

Average shift 9.1 hours

0% compared with State average

State average: 0 hours

Total staff hours (quarter) 23,342

Nursing staff breakdown

7.5 hours

9.6 hours

9.4 hours

Contractor staffing

1,340 contractor hours this quarter

Certified Nursing Assistant: 16 Licensed Practical Nurse: 5 Registered Nurse: 3 Speech Language Pathologist: 2 Physical Therapy Aide: 2 Physical Therapy Assistant: 2 Respiratory Therapy Technician: 2 Medication Aide/Technician: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category


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

47 Certified Nursing Assistant

% of Days 100%

15 Licensed Practical Nurse

% of Days 100%

14 Nurse Aide in Training

% of Days 100%

12 Medication Aide/Technician

% of Days 100%

12 Registered Nurse

% of Days 95%

3 Other Dietary Services Staff

% of Days 97%

1 Nurse Practitioner

% of Days 67%

2 Administrator

% of Days 57%

1 Mental Health Service Worker

% of Days 48%

1 Dietitian

% of Days 49%

2 Speech Language Pathologist

% of Days 25%

2 Physical Therapy Aide

% of Days 25%

1 Occupational Therapy Aide

% of Days 3%

2 Physical Therapy Assistant

% of Days 10%

1 Occupational Therapy Assistant

% of Days 3%

2 Respiratory Therapy Technician

% of Days 7%

View All Staffing Data

Total fines amount $36K

50% lower than State average

State average: $73K

Number of fines 2

18% fewer fines than State average

State average: 2.4

Payment Denials 0

100% fewer payment denials than State average

State average: 0.7

Fines amount comparison

This facility $36K

State average $73K

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Sep 19, 2025 · $17K

Civil Money Penalty Sep 19, 2025

$17K

Last updated: Jan 2026

High-risk clinical events score 13.7

25% worse than State average

State average: 10.9

Functional decline score 25.0

29% worse than State average

State average: 19.5

Long-stay resident measures

Significantly below average

Need for Help with Daily Activities Increased 24.8%

26% worse than State average

State average: 19.8%

Walking Ability Worsened 26.5%

28% worse than State average

State average: 20.6%

Low Risk Residents with Bowel/Bladder Incontinence 23.8%

31% worse than State average

State average: 18.1%

Falls with Major Injury 7.4%

84% worse than State average

State average: 4.0%

High Risk Residents with Pressure Ulcers 4.1%

18% better than State average

State average: 5.0%

Urinary Tract Infection 5.9%

115% worse than State average

State average: 2.7%

Lost Too Much Weight 5.4%

In line with State average

State average: 5.6%

Depressive Symptoms 2.1%

83% better than State average

State average: 12.8%

Antipsychotic Use 21.8%

In line with State average

State average: 22.0%

Pneumococcal Vaccine 99.4%

17% better than State average

State average: 85.2%

Influenza Vaccine 97.8%

8% better than State average

State average: 90.9%

Hospitalizations per 1,000 days 3.26

57% worse than State average

State average: 2.08

ED visits per 1,000 days 2.88

23% worse than State average

State average: 2.35

Short-stay resident measures

Below average

Pneumococcal Vaccine 98.7%

48% better than State average

State average: 66.6%

Antipsychotic medication increase 0.0%

100% better than State average

State average: 2.2%

Influenza Vaccine 87.0%

37% better than State average

State average: 63.5%

Re-hospitalized after SNF stay 27.1%

7% worse than State average

State average: 25.3%

Emergency department visits 11.6%

13% better than State average

State average: 13.4%

Falls with major injury 0.0%

100% better than State average

State average: 0.8%

Breakdown by payment type

Medicare

33% of new residents, usually for short-term rehab.

Typical stay 3 - 4 months

Private pay

45% of new residents, often for short stays.

Typical stay 1 years

Medicaid

21% of new residents, often for long-term daily care.

Typical stay 4 - 5 years

Total residents 56

Medicare

5.4% of residents

Medicaid

35.7% of residents

Private pay or other

58.9% of residents

Programs & Services

Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Financial Trends

Historical financial and operational data for Sunnyview Nursing Home & Apartments from 2012–2024, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 06/2024.

Occupancy Rate 33.9% ↑ 0.9pp vs 2023

Net Patient Income -$554.3K ↑ ~$185.5K vs 2023

Payroll Costs $3.7M ↑ ~$481.4K vs 2023

Operating Margin -10.7% ↑ 4.5pp vs 2023

Metric	2012	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023	2024
Occupancy %	67.5%	64.8%	59.6%	62.7%	56.4%	52.2%	53.1%	48.1%	49.0%	32.9%	31.0%	33.0%	33.9%
Beds	154	154	154	154	154	154	154	154	154	154	154	154	154
Net Income	$629,755	$43,057	-$40,200	-$105,677	-$281,889	-$193,124	$399,987	$106,370	$692,347	$23,445	-$658,728	-$435,455	-$260,606
Gross Revenue	$6,654,351	$6,178,751	$7,055,068	$7,382,932	$6,819,370	$6,394,940	$6,812,488	$6,426,892	$6,487,544	$5,178,942	$4,352,528	$4,644,439	$4,942,066
Operating Expenses	$5,657,976	$6,060,999	$6,601,360	$7,031,168	$6,670,759	$6,069,377	$5,821,819	$5,869,121	$5,974,772	$5,551,757	$5,180,654	$5,587,098	$5,725,346
Net Patient Income	$382,775	-$230,126	-$253,209	-$302,543	-$493,272	-$410,283	$182,368	-$112,369	-$78,909	-$766,921	-$887,755	-$739,799	-$554,298
Net Patient Revenue	$6,040,751	$5,830,873	$6,348,151	$6,728,625	$6,177,487	$5,659,094	$6,004,187	$5,756,752	$5,895,863	$4,784,836	$4,292,899	$4,847,299	$5,171,048
Payroll Costs	$3,427,600	$3,757,644	$4,114,455	$4,330,394	$4,202,814	$3,789,422	$3,579,930	$3,506,328	$3,686,351	$3,438,363	$2,998,989	$3,216,166	$3,697,612
Operating Margin %	6.3%	-4.0%	-4.0%	-4.5%	-8.0%	-7.3%	3.0%	-2.0%	-1.3%	-16.0%	-20.7%	-15.3%	-10.7%
Medicare %	6.9%	3.7%	6.9%	5.9%	6.6%	7.2%	7.4%	7.3%	4.3%	10.9%	10.6%	5.4%	6.6%
Medicaid %	59.8%	59.3%	56.7%	59.2%	58.6%	59.8%	57.5%	62.4%	65.6%	61.6%	60.7%	63.6%	61.8%
Private %	33.3%	37.0%	36.3%	34.9%	34.8%	33.0%	35.1%	30.3%	30.1%	27.5%	28.7%	31.0%	31.6%
Net Patient Revenue/Day	$159	$160	$190	$191	$194	$193	$201	$213	$213	$259	$246	$261	$271
Cost/Day	$149	$166	$197	$199	$210	$207	$195	$217	$216	$301	$297	$301	$300
Avg Length of Stay	176.8 days	535.7 days	200.5 days	223.2 days	187.1 days	222.3 days	233.4 days	229.2 days	297.2 days	362.1 days	968.7 days	364.1 days	341.3 days

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Net patient revenue

$5.2M

Net patient income

-$554.3K

Government Operated by federal authorities.

Net patient revenue

$5.2M

Net patient income

-$554.3K

Other income

$293.7K

Payroll costs

$3.7M 71.5% of net patient revenue

Other operating costs

$2.0M

Total costs

$5.7M

TYPE OF STAY

Mix of rehab and long-term care

This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.

New residents most often arrive under private pay (45% of admissions), and a typical private pay stay runs around 1 years.

Coverage residents most often arrive under.

Medicare 33%

Private pay 45%

Medicaid 21%

Coverage residents most often leave under.

Medicare 21%

Private pay 30%

Medicaid 48%

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.

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


Laclede Groves	NH AL IL MC	St. Louis	-	251	-	35	-
Republic Nursing and Rehab	NH SNF	Republic	-	127	-	48	Private / Semi-Private Rooms
Chaffee Nursing Center	NH HOS SNF	Chaffee	-	71	-	25	Studio
Heisinger Bluffs	NH AL IL MC RC SNF	Jefferson City	-	111	-	32	1 Bed / 2 Bed / 3 Bed
Sunnyview Nursing Home & Apartments	NH SNF	Trenton	-	122	A+	39	-

Nursing Home Explorer

Who is the owner of Sunnyview Nursing Home & Apartments?

Sunnyview Nursing Home & Apartments is legally operated by Grundy County Nursing Home District, and administered by Jerome Doerhoff.

Is Sunnyview Nursing Home & Apartments in a walkable area?

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.

What is the license number of Sunnyview Nursing Home & Apartments?

According to MO state health department records, Sunnyview Nursing Home & Apartments's license number is 053217, 053235.

When does Sunnyview Nursing Home & Apartments's license expire?

According to MO state health department records, Sunnyview Nursing Home & Apartments's license expires on November 30, 2027.

What is the occupancy rate at Sunnyview Nursing Home & Apartments?

Sunnyview Nursing Home & Apartments's occupancy is 48%.

Are pets allowed at Sunnyview Nursing Home & Apartments?

No, Sunnyview Nursing Home & Apartments has a no-pet policy.

Is Sunnyview Nursing Home & Apartments a government-operated facility?

Sunnyview Nursing Home & Apartments is a government-operated nursing facility in MO.

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Sunnyview Nursing Home & Apartments

Overview of Sunnyview Nursing Home & Apartments

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Type Of Units

Staffing

Leadership

Additional Policies & Features

Contact Sunnyview Nursing Home & Apartments

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 2019

Breakdown of citation severity (last 7 years)

Citations history (last 7 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

47 Certified Nursing Assistant

15 Licensed Practical Nurse

14 Nurse Aide in Training

12 Medication Aide/Technician

12 Registered Nurse

3 Other Dietary Services Staff

1 Nurse Practitioner

2 Administrator

1 Mental Health Service Worker

1 Dietitian

2 Speech Language Pathologist

2 Physical Therapy Aide

1 Occupational Therapy Aide

2 Physical Therapy Assistant

1 Occupational Therapy Assistant

2 Respiratory Therapy Technician

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mix of rehab and long-term care

Admissions

Discharges

Places of interest near Sunnyview Nursing Home & Apartments

Calculate Travel Distance to Sunnyview Nursing Home & Apartments

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