Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

SUNSET HOME

CLIFTON, TX · 128 certified beds · Last Life Safety survey May 29, 2025

CMS Certification Number 675826 · first certified May 2000

Also on this campus

The same campus holds a state-licensed assisted living facility, with its own state record on the Assisted Living Index: College Hill Assisted Living (1700 W 9th St). Matched by the telephone number the two records share. The records are separate and are never added together.

Ownership

Independently operated (no chain recorded by CMS) · Government - Hospital district

  • Ownership changed July 1, 2019 (change of ownership)from GOODALL-WITCHER HOSPITAL AUTHORITY
7
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
6
Inspection & testing records
Of the citations on file

Position within TX

7 citations — more than 44% of the 1,177 certified nursing homes in TX. Compared within TX rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 1 citation; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (July 2026 to August 2026), and past the point by which nine in ten TX facilities have been surveyed. This facility’s last Life Safety survey was May 2025. Facilities in TX are typically surveyed 13–14 months after the last one (median 14), measured over 1,905 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

1 inspection-and-testing tag has been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

2 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 7 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in TX, and nationally. Surveyors differ markedly between states, so the TX figure is the meaningful one.

This facility7TX median7National median11
Citations on file over three years, compared
MeasureCitations
This facility7
Median facility in TX7
Median facility nationally11

Survey history

Citations at each Life Safety survey
02023-0262024-0412025-05
Citations at each Life Safety survey
Survey dateCitations
February 16, 20230
April 11, 20246
May 29, 20251

Most-cited tags

Most-cited tags at this facility
K-03532K-03551K-07611K-03721K-02221K-03241
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-05-29
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.12024-04-11
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12024-04-11
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12024-04-11
K-0222Add 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.12024-04-11
K-0324Provide properly protected cooking facilities.12024-04-11

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Egress Deficiencies 1
  • Miscellaneous Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Egress Deficiencies1
Miscellaneous Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

May 29, 2025 — 1 citation

Citations issued on May 29, 2025
TagWhat the surveyor checksStatus
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (July 12, 2025)

April 11, 2024 — 6 citations

Citations issued on April 11, 2024
TagWhat the surveyor checksStatus
K-0222Add 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.Deficient, Provider has date of correction (March 15, 2025)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (March 15, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 13, 2025)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (March 13, 2025)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (March 15, 2025)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (March 13, 2025)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.