Nursing homes › Kansas › Sunset Home Inc
620 Second Avenue, Concordia, KS 66901 · 7852432720 · 45 certified beds
CMS lists no chain affiliation for this facility. Ownership type on record: Non profit - Other.
All-time on record: 44 deficiency citations, including 1 at immediate-jeopardy level. Below: citations from 2023 onward (severity letters explained in methodology).
| Survey date | Deficiency | Sev. | Type | 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. | F | complaint | corrected 2025-04-15 |
| 2025-03-26 | Provide and implement an infection prevention and control program. | F | complaint | 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. | E | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-04-15 |
| 2025-03-26 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2025-04-15 |
| 2025-03-26 | Respond appropriately to all alleged violations. | D | complaint | 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. | D | complaint | 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. | D | complaint | corrected 2025-04-15 |
| 2025-03-26 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | complaint | 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. | D | complaint | corrected 2025-04-15 |
| 2025-03-26 | Provide enough food/fluids to maintain a resident's health. | D | complaint | 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. | D | complaint | corrected 2025-04-15 |
| 2025-03-26 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | complaint | 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. | G | complaint | corrected 2024-12-31 |
| 2023-10-19 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | complaint | corrected 2023-11-03 |
| 2023-07-31 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | D | complaint | corrected 2023-08-31 |
| 2023-07-31 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | complaint | corrected 2023-08-31 |
| 2023-07-31 | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | complaint | corrected 2023-08-31 |
| 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. | K | Health | corrected 2023-08-17 |
| 2023-07-11 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Health | 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. | F | Health | corrected 2023-08-17 |
| 2023-07-11 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | F | Health | corrected 2023-08-17 |
| 2023-07-11 | Provide and implement an infection prevention and control program. | F | Health | 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. | F | Health | 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. | E | Health | 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. | E | Health | 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. | E | Health | corrected 2023-08-17 |
| 2023-07-11 | Assess the resident when there is a significant change in condition | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | 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. | D | Health | corrected 2023-08-17 |
| 2023-07-11 | Ensure residents have reasonable access to and privacy in their use of communication methods. | C | Health | corrected 2023-08-17 |
| Date | Type | Amount |
|---|---|---|
| 2024-12-16 | Fine | $8,678 |
| 2023-10-19 | Fine | $14,918 |
| 2023-09-11 | Fine | $10,489 |
| 2023-08-07 | Fine | $2,797 |
| 2023-07-17 | Fine | $6,293 |
| Name | Role | Type | % | Since |
|---|---|---|---|---|
| FREEBORN, JOANN | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2022 |
| HAYDEN, JAROLD | Corporate Director | Individual | NOT APPLICABLE | since 09/03/2003 |
| JOHNSON, ERIC | Corporate Director | Individual | NOT APPLICABLE | since 02/27/2015 |
| WORTHEN, GREGORY | Corporate Director | Individual | NOT APPLICABLE | since 01/01/2022 |
| SHORE, TERESA | Operational/Managerial Control | Individual | NOT APPLICABLE | since 03/21/2016 |
Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 175422. Corrections: data@carerecords.org.