Sunset Home
1800 W 9TH STREET, Clifton, TX, 76634
Federal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed March 2026.
CMS Star Ratings
Facility & Staffing
- Ownership
- Government - Hospital district
- Certified beds
- 128 · avg 122 residents/day
- Total nursing staff turnover
- 38.5% — lower than most Texas nursing homesTexas avg: 51.5% · National avg: 46.4% · per CMS Care Compare
- RN turnover
- 14.3% — lower than most Texas nursing homesTexas avg: 50.5% · National avg: 43.6% · per CMS Care Compare
- Administrators who left
- 0 departed — near the Texas averageTexas avg: 0.6 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 1 fine · $14,020 total
- Payment denials
- 1 denial
State licensing & capacity
- License number
- 307443
- Service type
- Medicare/medicaid
- Licensed capacity
- 128 beds
- Bed type breakdown
- 128 Medicaid/Medicare
- Current license effective
- July 1, 2023
- Current license expires
- July 1, 2026
- Initial license date
- September 1, 1971
Texas HHSC licensing registry · as of April 16, 2026
Ownership & operations
- Licensee
- Bosque County Hospital District (HOSPITAL DISTRICT/AUTHORITY)
- Operator / manager
- Lutheran Sunset Ministries
- Administrator
- Lance Allen
Texas HHSC licensing registry · as of April 16, 2026
Federal ownership record
Parent entity
Bosque County Hospital District
Disclosed owners (26 on record)
- Bosque County Hospital District
Adp of The Snf · since 2025
- John Thiele
Managing Control - Governing Body · since 2025
- John a Dunbar
Managing Control - Governing Body · since 2023
- ed Wolfgang
Managing Control - Governing Body · since 2023
- Robert Phillips
Managing Control - Governing Body · since 2023
- Don Wright
Managing Control - Governing Body · since 2022
+ 20 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners, as of April 2026.
Federal inspection record
Immediate-jeopardy citations (CMS scope/severity J–L) are the most serious category federal inspectors issue — meaning a deficiency placed residents in immediate risk of serious harm. Ask the facility for the corrective-action plan filed with CMS, and consider contacting your state long-term care ombudsman for context.
Recent health-deficiency citations (most recent 8 of 13)
- F0812·May 29, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0761·May 29, 2025
Pharmacy Service Deficiencies
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.
- E0700·May 29, 2025
Quality of Life and Care Deficiencies
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…
- D0550·May 29, 2025
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- J0689·Mar 26, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F0812·Apr 11, 2024
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D0656·Apr 11, 2024
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D0641·Apr 11, 2024
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Federal penalties
By year
- 20251 fine · $14K · 1 payment denial
Most recent events
- Mar 26, 2025Payment denial · 2 days · starting Apr 24, 2025
- Mar 26, 2025Fine · $14K
Fire-safety citations
7 Life-Safety-Code citations on file. Most recent: May 29, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Mar 1, 2026.
About this community
Sunset Home is a 128-bed nursing home in Clifton, Texas, licensed to Bosque County Hospital District and managed by Lutheran Sunset Ministries. All 128 beds are Medicare/Medicaid-certified, and the facility is operating at 95% of capacity. CMS rates it 3 stars overall — health inspection, quality measures, and staffing each draw their own component ratings. The staffing rating is 2 stars, a gap worth examining alongside the facility's low staff-turnover figures.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
What the data says
CMS rates Sunset Home 2 stars on staffing — roughly the bottom third of Texas nursing homes on this measure, a tier shared by about 32% of facilities in the state. Each resident receives about 165 minutes of nursing care per day, approximately 76 minutes less than at a 4-star-staffing facility in Texas. Residents here require more hands-on care than at a typical facility — they are sicker or less mobile on average — so those 165 minutes stretch thinner than the raw number suggests.
About 4 in 10 nursing staff left in the past year — below Texas's 25th-percentile cutoff of 42%, meaning turnover is better than roughly three-quarters of nursing homes in the state. RN turnover sits at approximately 1 in 10, an exceptionally low figure by Texas standards. A long-stay resident here is less likely than at most Texas facilities to cycle through multiple primary caregivers.
CMS recorded one fine totaling $14,020. Texas's median fine total across fined facilities runs about $20,699, and roughly 30% of Texas nursing homes have no fines on record.
Written from CMS Care Compare and state licensing records · last updated April 19, 2026
Questions to ask when you tour
Staffing levels on nights and weekends
Weekend nursing hours average 2.4 minutes per resident per day — below the already-low weekday figure; ask how many nurses and aides are on the floor on a Saturday night.
How care plans address heavier needs
Residents here require more hands-on care than at a typical facility; ask how the care-planning process accounts for that when staffing hours are below the state's 4-star threshold.
What the 2023 fine covered
A $14,020 CMS fine was assessed; ask what the citation was for and what specific changes were made in response.
Role of the Resident and Family Councils
Both councils are active here; ask how often they meet, how concerns are escalated to administration, and whether minutes are available to review.
Waitlist and admission timeline
The facility is running at 95% of its 128 licensed beds; ask whether there is a waitlist and what the typical wait has been over the past six months.
Management company's day-to-day authority
Bosque County Hospital District holds the license while Lutheran Sunset Ministries manages operations; ask which entity sets staffing budgets and handles complaints.
Where this information comes from
- License, capacity, ownership, administrator: Texas HHSC licensing registry, snapshot as of April 16, 2026.
- Star ratings, staffing, fines, deficiencies: CMS Care Compare, processed March 1, 2026.
- Summary, insights, and tour questions: Written from the state licensing and CMS records above, last updated April 19, 2026.
Read our methodology for how this information is collected and verified.