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.
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 253rd out of 282 homes 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.
| 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.
| 14m per day | ▼ 48% 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.
| 44m per day | ▲ 9% 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.
| 1h 59m per day | ▼ 14% 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.
| 2h 41m per day | ▼ 12% State avg: 3h 3m per day · National avg: 3h 27m 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.
| 1m per day | ▼ 49% 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.
| 9m per day | ▼ 55% State avg: 20m per day · National avg: 29m per day |
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
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%
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.
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 #81 / 292Payroll — State benchmarkedThis home is ranked 81st out of 292 homes in Missouri. Shows total annual staff payroll benchmarked to the Missouri average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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 #196 / 292Payroll % — State benchmarkedThis home is ranked 196th out of 292 homes in Missouri. Shows payroll as a percentage of revenue versus the Missouri average. Well-run Missouri facilities typically land around 60–71% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Missouri that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
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).
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
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.
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%.
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.
Yes — Sunset Health Care Center is a CMS-certified provider of Medicare and Medicaid.
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