Quick answers
- Where is Sunset Home?
- 1800 W 9th Street, Clifton, TX 76634, in Bosque County, Texas.
- What is the phone number of Sunset Home?
- (254) 675-8637, as listed by Medicare (CMS).
- What is the Medicare star rating of Sunset Home?
- Medicare overall rating: 4 out of 5 stars (CMS data updated 2026-10-01).
- Has Sunset Home been fined?
- Medicare lists 1 fine totaling $14,020 and 1 payment denial.
- What did inspectors find at Sunset Home?
- In its last three inspection cycles (November 22, 2023 to July 30, 2026), Medicare lists 13 health citations; the most serious was level J. 1 was level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (November 22, 2023 to July 30, 2026), Sunset Home had 13 health citations; the most serious was level J (immediate jeopardy to resident health or safety). 1 of them was level G or higher (actual harm or immediate jeopardy). It was fined $14,020 in total (1 fine, the latest on March 26, 2025) and had 1 Medicare payment denial. Nurse staffing is 2.90 hours per resident per day; the Texas average is 3.42 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: July 30, 2026 — 3 health citations
Inspections in this cycle: July 30, 2026 (standard health inspection).
Show 3 citations (levels A to F, no actual harm)
F0565 Level E
“Honor the resident's right to organize and participate in resident/family groups in the facility.”
F0761 Level E
“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.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Previous cycle: May 29, 2025 — 5 health citations
Inspections in this cycle: March 26, 2025 (complaint investigation); May 29, 2025 (standard health inspection).
F0689 Level J
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
immediate jeopardy to resident health or safety; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 4 less serious citations (levels A to F)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0700 Level E
“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.”
F0550 Level D
“Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.”
F0761 Level D
“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.”
Earlier cycle: April 11, 2024 — 5 health citations
Inspections in this cycle: November 22, 2023 (complaint investigation); April 11, 2024 (standard health inspection).
Show 5 citations (levels A to F, no actual harm)
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0812 Level F
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0641 Level D
“Ensure each resident receives an accurate assessment.”
F0656 Level D
“Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.”
F0880 Level D
“Provide and implement an infection prevention and control program.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (7)
K0353 Level D
“Inspect, test, and maintain automatic sprinkler systems.”
K0353 Level F
“Inspect, test, and maintain automatic sprinkler systems.”
K0355 Level F
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0761 Level F
“To conduct inspection, testing and maintenance of fire doors by qualified individuals.”
K0222 Level E
“Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.”
K0324 Level E
“Provide properly protected cooking facilities.”
K0372 Level E
“Ensure smoke barriers are constructed to a 1 hour fire resistance rating.”
Fines and payment denials
Total fines over about the last three years: $14,020 (1 fine). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| March 26, 2025 | Fine | $14,020 |
| March 26, 2025 | Payment denial | from April 24, 2025, 2 days |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | Texas | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.34 | 0.44 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.62 | 0.94 | 0.86 |
| Nurse aide hours per resident per day | 1.94 | 2.03 | 2.35 |
| Total nurse staff hours per resident per day | 2.90 | 3.42 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 2.45 | 2.99 | 3.43 |
| RN hours per resident per day on the weekend | 0.27 | 0.35 | 0.48 |
| Nursing staff turnover (per year) | 35.1% | 50.8% | 45.3% |
| RN turnover (per year) | 14.3% | 49.8% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.6 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Legal business name: Bosque County Hospital District.
Owners and managers Medicare lists (3)
| Name | Role | Share | Since |
|---|---|---|---|
| Bosque County Hospital District | Direct owner | 100% | July 1, 2019 |
| Bosque County Hospital District | Management company (operational or managerial control) | NOT APPLICABLE | July 1, 2019 |
| Lutheran Sunset Ministries | Management company (operational or managerial control) | NOT APPLICABLE | July 1, 2019 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 128 |
| Average residents per day | 119.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | Government – hospital district |
| Legal business name | Bosque County Hospital District |
| First approved by Medicare/Medicaid | 2000-05-15 |
| Part of a continuing care retirement community | Yes |
| Resident and family councils | Resident and family councils |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 1800 W 9th Street, Clifton, TX 76634 |
| County | Bosque County |
| State | Texas |
| Phone | (254) 675‑8637 |
| CMS Certification Number | 675826 |
| Name in Medicare records | SUNSET HOME |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Willow Park Rehabilitation Health Care Center1.1 mi · Clifton, TX · 1 of 5 stars
- The Hilltop on Main12 mi · Meridian, TX · 1 of 5 stars
- Whitney Nursing and Rehabilitation Center20 mi · Whitney, TX · 2 of 5 stars
- Hillside Medical Lodge26 mi · Gatesville, TX · 3 of 5 stars
- McGregor Wellness & Rehabilitation26 mi · Mc Gregor, TX · 1 of 5 stars
Nearest hospital emergency rooms
- Goodall Witcher Hospital2.3 mi · Clifton, TX · Critical Access Hospital
- Baylor Scott & White Medical Center Hillcrest26 mi · Waco, TX · Acute Care Hospital
- Coryell Memorial Hospital26 mi · Gatesville, TX · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13