Total staff
127
Employees
113
Contractors
14
Mostly long-term care residents
Most residents stay for extended periods and receive ongoing daily care.
Sunset Health Care Center
Nursing Home · Union, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Sunset Health Care Center
Nursing Home · Union, MO
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
Sunset Health Care Center accepts Medicare, Medicaid, and private pay.
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.
Quality ratings
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 breakdown
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.
Total nursing care / resident
This home is ranked 248th out of 276 homes in Missouri. 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.
This home is ranked 248th out of 276 homes in Missouri. 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 39m per day
Rank #248 / 276Nurse hours — State benchmarkedThis home is ranked 248th out of 276 homes in Missouri. Shows adjusted nurse hours per resident per day benchmarked to the Missouri average, with a ranking across 276 Missouri SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs Missouri avg
-29%
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 36m per day |
Types of Care at Sunset Health Care Center
Nursing Home
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
91.8%
Rank #29 / 283Occupancy rate — State benchmarkedThis home is ranked 29th out of 283 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 283. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
198 days
Occupancy rate
91.8%
Rank #29 / 283Occupancy rate — State benchmarkedThis home is ranked 29th out of 283 homes in Missouri. Shows this facility's occupancy rate versus the Missouri average, with its Statewide rank out of 283. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
198 days
Walk Score: 39 / 100 Rank #329 / 562Walk Score — State benchmarkedThis home is ranked 329th out of 562 homes in Missouri. Shows how walkable this facility's neighborhood is compared to the average Walk Score across Missouri SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Staff to resident ratio
1.11:1
34% worse than Missouri average
Avg staff/day
52
Average shift
7.3 hours
10% worse than Missouri average
Total staff hours (quarter)
34,977
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
5.9 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
19
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.4 hoursNo contractors work on this role.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3.9%
1,350 contractor hours this quarter
Physical Therapy Aide: 3
Physical Therapy Assistant: 3
Qualified Social Worker: 2
Respiratory Therapy Technician: 2
Speech Language Pathologist: 2
Medical Director: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
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 |
40 Certified Nursing Assistant
% of Days
100%
19 Licensed Practical Nurse
% of Days
100%
14 Medication Aide/Technician
% of Days
100%
15 Nurse Aide in Training
% of Days
100%
8 Registered Nurse
% of Days
100%
6 Other Dietary Services Staff
% of Days
100%
4 RN Director of Nursing
% of Days
73%
3 Physical Therapy Aide
% of Days
73%
1 Mental Health Service Worker
% of Days
65%
1 Administrator
% of Days
68%
1 Nurse Practitioner
% of Days
68%
2 Clinical Nurse Specialist
% of Days
53%
1 Dietitian
% of Days
66%
2 Respiratory Therapy Technician
% of Days
53%
2 Speech Language Pathologist
% of Days
45%
2 Qualified Social Worker
% of Days
41%
3 Physical Therapy Assistant
% of Days
33%
1 Medical Director
% of Days
14%
1 Occupational Therapy Assistant
% of Days
3%
1 Occupational Therapy Aide
% of Days
1%
Penalties and fines
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)
Total fines amount
$13K Rank #1 / 283Federal fines — State benchmarkedThis home is ranked 1st out of 283 homes in Missouri. Shows this facility's cumulative CMS federal fine dollars versus the Missouri average among facilities with fines, and where it ranks among 283 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
83% lower than Missouri averageMissouri average: $73K
Number of fines
1
59% fewer fines than Missouri averageMissouri average: 2.4
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
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
Fines amount comparison
Fines amount comparison
This facility
$13K
Missouri average
$73K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
May 30, 2025 · $13K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2025
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
May 30, 2025
$13K
Last updated: Jan 2026
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
6.1
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
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.3
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
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
Percent of long-stay residents whose need for help with daily activities has increased
13.8%
30% better than Missouri averageMissouri average: 19.8%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
8.5%
Percent of long-stay residents whose ability to move independently worsened
8.5%
59% better than Missouri averageMissouri average: 20.6%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
17.6%
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%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.6%
12% better than Missouri averageMissouri average: 4.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
2.4%
Percent of long-stay high risk residents with pressure ulcers
2.4%
51% better than Missouri averageMissouri average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
0.8%
Percent of long-stay residents with a urinary tract infection
0.8%
72% better than Missouri averageMissouri average: 2.7%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.3%
Percent of long-stay residents who lose too much weight
2.3%
58% better than Missouri averageMissouri average: 5.6%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
34.4%
Percent of long-stay residents who have depressive symptoms
34.4%
168% worse than Missouri averageMissouri average: 12.8%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
57.6%
Percent of long-stay residents who received an antipsychotic medication
57.6%
162% worse than Missouri averageMissouri average: 22.0%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
66.4%
22% worse than Missouri averageMissouri average: 85.2%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
90.9%
In line with Missouri averageMissouri average: 90.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
42.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
42.2%
37% worse than Missouri averageMissouri average: 66.6%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than Missouri averageMissouri average: 2.2%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
30.6%
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.
Breakdown by payment type
Medicare
33% of new residents, usually for short-term rehab.
Typical stay
27 days
Private pay
22% of new residents, often for short stays.
Typical stay
3 - 4 months
Medicaid
46% of new residents, often for long-term daily care.
Typical stay
7 - 8 months
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
114
Medicare
10
8.8% of residents
Medicaid
64
56.1% of residents
Private pay or other
40
35.1% 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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Financial Trends
Historical financial and operational data for Sunset Health Care Center based on CMS SNF Cost Reports.
Occupancy Rate
91.8%
↑ 1.1pp vs 2022
Net Income
-$79.7K
↓ ~$306.9K vs 2022
Total Payroll
$5.0M
↑ ~$329.4K vs 2022
Profit Margin
-0.8%
↓ 3.3pp vs 2022
Finances and operations
Privately-owned community
Home revenue
$10.3M
Operating loss
-$79.7K
Privately-owned community
Home revenue
$10.3M Rank #67 / 286Revenue — State benchmarkedThis home is ranked 67th out of 286 homes in Missouri. Shows this facility's annual revenue compared to the Missouri SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating loss
-$79.7K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #78 / 286Payroll — State benchmarkedThis home is ranked 78th out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$5.0M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #78 / 286Payroll — State benchmarkedThis home is ranked 78th out of 286 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$5.4M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$10.4M
What does this home offer?
Building Type: 2-story
Rehabilitative Support
On-site Medical Care and Health Services
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Sunset Health Care Center
0.5 miles from city center
Estimated distance in miles from Union's city center to Sunset Health Care Center's address, calculated via Google Maps.
Calculate Travel Distance to Sunset Health Care Center
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Financial Assistance for
Nursing Home in Missouri
Sunset Health Care Center is located in Union, Missouri.
Here are the financial assistance programs available to residents in Missouri.
Frequently Asked Questions about Sunset Health Care Center
What neighborhood is Sunset Health Care Center in?
Sunset Health Care Center is in the Esquire Estates neighborhood.
Is Sunset Health Care Center in a walkable area?
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.
What is the occupancy rate at Sunset Health Care Center?
Sunset Health Care Center's occupancy is 91.8%.
What is the address of Sunset Health Care Center?
Sunset Health Care Center is located at 400 W Park Ave, Union, MO 63084.
What is the phone number of Sunset Health Care Center?
(636) 583-2252 will put you in contact with the team at Sunset Health Care Center.
Is Sunset Health Care Center Medicare or Medicaid certified?
Yes — Sunset Health Care Center is a CMS-certified provider of Medicare and Medicaid.
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