Sunset Home
1800 W 9th Street, Clifton, TX 76634 · Bosque County · 128 certified beds · avg 122 residents/day · certified since May 15, 2000
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Mar 26, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Apr 26, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (13)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 29, 2025 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| May 29, 2025 | E · Potential for harm, repeated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. |
| May 29, 2025 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| May 29, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Mar 26, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Apr 11, 2024 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Apr 11, 2024 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Nov 22, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · from a complaint |
| Nov 22, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint |
| Feb 16, 2023 | E · Potential for harm, repeated | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 16, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 16, 2023 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 5 | 0 | F |
| 2024 | 3 | 0 | F |
| 2025 | 5 | 1 | J ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $14,020, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Mar 26, 2025 | Fine | $14,020 |
| Mar 26, 2025 | Payment Denial | 2 days from Apr 24, 2025 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Texas avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.09 | 3.46 | 3.95 | bottom 30% in Texas; bottom 17% in the U.S. |
| Registered Nurse hours | 0.40 | 0.44 | 0.69 | top 48% in Texas; bottom 22% in the U.S. |
| Weekend total nurse staffing | 2.66 | 3.04 | 3.50 | bottom 27% in Texas; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.29 | 0.34 | 0.48 | bottom 49% in Texas; bottom 30% in the U.S. |
| Total nursing staff turnover (%) | 37.2 | 55.3 | 45.8 | top 15% in Texas; top 29% in the U.S. |
| RN turnover (%) | 14.3 | 54.6 | 42.9 | top 3% in Texas; top 7% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.65, RN 0.34, weekend 2.28. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: 2/5
Who owns this facility
Government - Hospital district
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bosque County Hospital District | Organization | 5% or Greater Direct Ownership Interest | 100% | 07/01/2019 |
| Abright, Stephanie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/05/2019 |
| Allen, Lance | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2019 |
| Allen, Lance | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2019 |
| Bennett, Leslie | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/06/2018 |
| Blossom, Thomas | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/22/2020 |
| Bosque County Hospital District | Organization | Operational/Managerial Control | NOT APPLICABLE | 07/01/2019 |
| Bosque County Hospital District | Organization | ADP of the SNF | NOT APPLICABLE | 07/02/2025 |
| Bratcher, Nancy | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/06/2018 |
| Clifton, George | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/26/2018 |
| Dunbar, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/01/2023 |
| Erickson, John | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/26/2018 |
| Ferguson, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/03/2020 |
| Gloff, Vicki | Individual | Corporate Director | NOT APPLICABLE | 07/01/2019 |
| Gloff, Vicki | Individual | ADP of the SNF | NOT APPLICABLE | 07/01/2019 |
| Hecker, Michael | Individual | Corporate Director | NOT APPLICABLE | 05/10/2006 |
| Hecker, Michael | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/10/2006 |
| Hecker, Michael | Individual | ADP of the SNF | NOT APPLICABLE | 05/10/2006 |
| Heinley, Virginia | Individual | Managing Control - Governing Body | NOT APPLICABLE | 05/05/2019 |
| Hopkins, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 11/26/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Willow Park Rehabilitation Health Care Center | 1.1 mi | Clifton, TX | ★☆☆☆☆ | 1/5 | abuse |
| The Hilltop on Main | 11.8 mi | Meridian, TX | ★☆☆☆☆ | 2/5 | |
| Whitney Nursing and Rehabilitation Center | 19.7 mi | Whitney, TX | ★★☆☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 675826.