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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 Home is a 60-bed nursing home at 1201 South Polk in Maysville, Missouri, operated by N & R of Maysville, LLC in DeKalb County. The facility has availability at 56 percent occupancy, below Missouri’s 66.6 percent average. Accepted are Medicare, Medicaid, and private pay, averaging 153 days stay length, geared toward long-term skilled nursing care. Resident transportation to medical appointments exists.
The facility is rated 1 star by CMS, 62 percent below Missouri average, driven by below-average health inspection and staffing sub-ratings. Quality measures run modestly above state average. Across 5 inspections since 2023, the facility recorded 34 total citations, 1 serious and 33 moderate, with no critical findings, recent fines, and recent payment denials. Nurse hours run 3h 48m per resident daily, aligned with Missouri’s average.
Sunset Home suits long-term Medicaid residents in rural DeKalb County needing ongoing skilled nursing 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 124th 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.
| 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.
| 38m per day | ▼ 14% 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.
| 55m per day | ▲ 45% State avg: 38m 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 13m per day | ▲ 4% State avg: 2h 8m 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 6m per day | ■ Avg State avg: 3h 5m 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.
| 1m per day | ▼ 67% 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.
| 28m per day | ▼ 18% State avg: 34m per day · National avg: 28m per day |
Lower than the Missouri average: 66.6%Sunset Home is legally operated by N & R Of Maysville, Llc, and administrated by Brenda Moore.
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.
This scorecard compares key inspection, citation, 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.
Inspections
| This Facility | MO Average | vs. MO Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 0 | 7 | This facility has 100% fewer total inspections than a typical Missouri nursing home (0 vs. MO avg 7).↓ 100% better |
Missouri average 6.6
Last Health inspection on Nov 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.
32 of 34 citations resulted from standard inspections; and 2 of 34 resulted from complaint investigations.
100% better than Missouri averageMissouri average: 0.7
In line with Missouri averageMissouri average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
13% better than Missouri average
0% compared with 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 2 RN Staff are contractors.
2
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6 hoursAssists with medical care and medications.
6 total: 4 full-time employees and 2 contractors.
6
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.6 hoursHelps with daily care and mobility.
14 total: 8 full-time employees and 6 contractors.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
737 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 8 | 6 | 14 | 2,827 | 92 | 100% | 8.6 |
| Licensed Practical Nurse | 4 | 2 | 6 | 2,226 | 92 | 100% | 9.6 |
| Medication Aide/Technician | 3 | 2 | 5 | 1,429 | 91 | 99% | 11.5 |
| Nurse Aide in Training | 3 | 0 | 3 | 1,293 | 79 | 86% | 9.6 |
| Dental Services Staff | 3 | 0 | 3 | 547 | 64 | 70% | 5.6 |
| Administrator | 1 | 0 | 1 | 479 | 60 | 65% | 8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 473 | 60 | 65% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 443 | 55 | 60% | 8.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 109 | 35 | 38% | 3.1 |
| Speech Language Pathologist | 0 | 2 | 2 | 69 | 26 | 28% | 2.6 |
| Occupational Therapy Aide | 0 | 2 | 2 | 29 | 3 | 3% | 7.3 |
| Registered Nurse | 0 | 2 | 2 | 24 | 4 | 4% | 6 |
| Physical Therapy Aide | 0 | 2 | 2 | 19 | 9 | 10% | 2.1 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 10 | 8 | 9% | 1.3 |
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)
82% 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.
1
45% more payment denials than Missouri averageMissouri average: 0.7
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.
7.8
29% better than Missouri averageMissouri average: 10.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
13.1
33% better than Missouri averageMissouri average: 19.5
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
10.3%
48% better than Missouri averageMissouri average: 19.8%
Percent of long-stay residents whose ability to move independently worsened
20.2%
In line with Missouri averageMissouri average: 20.6%
Percent of low risk long-stay residents who lose control of their bowels or bladder
8.8%
51% better than Missouri averageMissouri average: 18.1%
Percent of long-stay residents experiencing one or more falls with major injury
0.9%
79% better than Missouri averageMissouri average: 4.0%
Percent of long-stay high risk residents with pressure ulcers
1.2%
77% better than Missouri averageMissouri average: 5.0%
Percent of long-stay residents with a urinary tract infection
6.1%
124% worse than Missouri averageMissouri average: 2.7%
Percent of long-stay residents who lose too much weight
6.3%
12% worse than Missouri averageMissouri average: 5.6%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Missouri averageMissouri average: 12.8%
Percent of long-stay residents who received an antipsychotic medication
39.3%
79% worse than Missouri averageMissouri average: 22.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
67.2%
21% worse than Missouri averageMissouri average: 85.2%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
6% better than Missouri averageMissouri average: 90.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.38
17% worse than Missouri averageMissouri average: 2.04
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.06
8% better than Missouri averageMissouri average: 2.25
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
27.9%
58% worse than Missouri averageMissouri average: 66.6%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
25.4%
In line with Missouri averageMissouri average: 26.2%
Percentage of short-stay residents who had an outpatient emergency department visit.
17.6%
26% worse than Missouri averageMissouri average: 14.0%
Percentage of SNF residents who experience falls with major injury during their stay.
2.0%
155% worse than Missouri averageMissouri average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
43.6%
19% worse than Missouri averageMissouri average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
49.1%
In line with Missouri averageMissouri average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
39% of new residents, usually for short-term rehab.
20% of new residents, often for short stays.
41% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
23Data 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 Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #253 / 286Payroll — State benchmarkedThis home is ranked 253rd 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Maysville's city center to Sunset Home's address, calculated via Google Maps.
Add your location
Sunset Home is located in MAYSVILLE, 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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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 Sunset Home is N & R Of Maysville, Llc.
Sunset Home has a walk score of 37. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
According to MO state health department records, Sunset Home's license number is 053412.
According to MO state health department records, Sunset Home's license expires on February 22, 2028.
Sunset Home's occupancy is 56%.
Brenda Moore is the administrator of Sunset Home.
Sunset Home has 60 beds.
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