Sunset Home INC

Nursing Home · Concordia, KS

CMS overall rating 1/5 Non profit - Other

CMS certification number175422

Contact & location

620 Second Avenue
Concordia, KS 66901
Cloud County

Phone: (785) 243-2720
ZIP code: 66901 – all care providers

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Facility details

Certified beds: 45
Residents per day: 36.1 (80% occupied)
Ownership: Non profit - Other
Legal name: Sunset Home, INC.
Medicare certified since: September 8, 1997
Participates in: Medicare and Medicaid
Council: Resident council

CMS star ratings

Overall★★★★★ 1/5

State avg 3.1

Health inspections★★★★★ 1/5

State avg 2.9

Staffing★★★★★ 1/5

State avg 3.5

Quality measures★★★★★ 3/5

State avg 3.2

Long-stay quality★★★★★ 4/5

Short-stay quality★★★★★ 2/5

Staffing

Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.

Total nurse staffing: —
Registered nurses (RN): —
Licensed practical nurses: —
Nurse aides: —
Weekend total: —
Nursing staff turnover: —
RN turnover: —

Inspections

Last standard inspection: March 26, 2025
Health deficiencies (last cycle): 14.0 (state 9.5 · U.S. 9.3)
From complaints: 14
Citations on record (3 years): 41 health · 39 fire safety · includes immediate jeopardy

Date	Citation	Severity	Status
2025-03-26	Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801 · Nutrition and Dietary Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies · complaint inspection	F No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies · complaint inspection	E No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. F0622 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625 · Resident Rights Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2025-03-26	Ensure each resident’s drug regimen must be free from unnecessary drugs. F0757 · Pharmacy Service Deficiencies · complaint inspection	D No actual harm, potential for more than minimal harm	Corrected 2025-04-15
2024-12-16	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550 · Resident Rights Deficiencies · complaint inspection	G Actual harm	Corrected 2024-12-31
2023-10-19	Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686 · Quality of Life and Care Deficiencies · complaint inspection	G Actual harm	Corrected 2023-11-03
2023-07-11	Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. F0678 · Quality of Life and Care Deficiencies	K Immediate jeopardy to resident health or safety	Corrected 2023-08-17
2023-07-11	Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. F0867 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868 · Administration Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. F0882 · Infection Control Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. F0636 · Resident Assessment and Care Planning Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. F0726 · Nursing and Physician Services Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761 · Pharmacy Service Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Assess the resident when there is a significant change in condition F0637 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2023-08-17
2023-07-11	Ensure residents have reasonable access to and privacy in their use of communication methods. F0576 · Resident Rights Deficiencies	C No actual harm, potential for minimal harm	Corrected 2023-08-17
2022-01-10	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812 · Nutrition and Dietary Deficiencies	F No actual harm, potential for more than minimal harm	Corrected 2022-02-04
2022-01-10	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582 · Resident Rights Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-02-04
2022-01-10	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. F0804 · Nutrition and Dietary Deficiencies	E No actual harm, potential for more than minimal harm	Corrected 2022-02-04
2022-01-10	Reasonably accommodate the needs and preferences of each resident. F0558 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-02-04
2022-01-10	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625 · Resident Rights Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-02-04
2022-01-10	Provide enough food/fluids to maintain a resident's health. F0692 · Quality of Life and Care Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-02-04
2022-01-10	Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-02-04
2022-01-10	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758 · Pharmacy Service Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-02-04
2022-01-10	Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. F0849 · Administration Deficiencies	D No actual harm, potential for more than minimal harm	Corrected 2022-02-04

Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results

Fines & penalties

3 penalties in the last three years, including $34,085 in fines.

Date	Type	Amount
2024-12-16	Fine	$8,678
2023-10-19	Fine	$14,918
2023-09-11	Fine	$10,489

Ownership & management

Name	Role	Since
Freeborn, Joann (individual)	Corporate Director · NOT APPLICABLE
Hayden, Jarold (individual)	Corporate Director · NOT APPLICABLE
Johnson, Eric (individual)	Corporate Director · NOT APPLICABLE
Worthen, Gregory (individual)	Corporate Director · NOT APPLICABLE
Shore, Teresa (individual)	Operational/managerial Control · NOT APPLICABLE
Ryser, Caitlan (individual)	W-2 Managing Employee · NOT APPLICABLE
Shore, Teresa (individual)	W-2 Managing Employee · NOT APPLICABLE

Frequently asked questions

What is the rating of Sunset Home INC?

Sunset Home INC has a 1-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.1-star average in Kansas.

How many beds does Sunset Home INC have?

It has 45 certified beds and cares for about 36 residents per day.

Has Sunset Home INC been fined?

Yes. CMS lists 3 penalties totaling $34,085 in the last three years.

What is the phone number of Sunset Home INC?

(785) 243-2720. The facility is located at 620 Second Avenue, Concordia, KS 66901.

Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.