Sunset Nursing and Rehabilitation Center, Inc
232 Academy Street · Boonville, NY · 13309 · 3159424301
120 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (3 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results are getting worse cycle over cycle, not better.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
3 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$86,555 in federal fines in the last 24 months
1 fine — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.26 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.35 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.26 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 34% | median 45% |
| Fines (3-yr window) | 1 · $86,555 |
Inspection citations (27 in the current record)
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Immediate jeopardy · K November 12, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K November 12, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Immediate jeopardy · K November 12, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected December 3, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 12, 2025 · found via complaint
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Corrected December 3, 2025 · Quality of Life and Care
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Potential for harm · F November 12, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected December 3, 2025 · Administration
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Potential for harm · D November 12, 2025 · found via complaint
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.
Corrected December 3, 2025 · Administration
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Potential for harm · E November 12, 2025 · found via complaint
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.
Corrected December 3, 2025 · Administration
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Potential for harm · D June 27, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · D June 27, 2025
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected September 19, 2025 · Resident Rights
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Potential for harm · E June 27, 2025
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.
Corrected September 19, 2025 · Pharmacy Service
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Potential for harm · D June 27, 2025
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 19, 2025 · Nutrition and Dietary
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Potential for harm · D June 27, 2025
Provide and implement an infection prevention and control program.
Corrected September 19, 2025 · Infection Control
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Potential for harm · D June 27, 2025
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected September 19, 2025 · Environmental
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Potential for harm · D November 6, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 3, 2024 · Quality of Life and Care
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Potential for harm · E November 6, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 3, 2024 · Nutrition and Dietary
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Potential for harm · D November 6, 2023 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected January 3, 2024 · Resident Rights
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Potential for harm · D November 6, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 3, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 2023 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected January 3, 2024 · Quality of Life and Care
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Potential for harm · D November 6, 2023 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected January 3, 2024 · Quality of Life and Care
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Immediate jeopardy · J July 21, 2021
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 13, 2021 · Quality of Life and Care
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Potential for harm · D July 21, 2021
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected September 13, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D July 21, 2021
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected September 13, 2021 · Resident Assessment and Care Planning
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Potential for harm · D July 21, 2021
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected September 13, 2021 · Quality of Life and Care
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Potential for harm · E July 21, 2021
Provide enough food/fluids to maintain a resident's health.
Corrected September 13, 2021 · Quality of Life and Care
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Potential for harm · D July 21, 2021
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected September 13, 2021 · Pharmacy Service
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 12, 2025 | Fine | $86,555 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335587 · certified since April 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.