Lilisity

Nursing home

Sunset Nursing and Rehabilitation Center

232 Academy Street, Boonville, NY 13309 · Map
For profit - Limited Liability company · 120 certified beds

Special Focus Facility candidate
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Sunset Nursing and Rehabilitation Center is a Medicare-certified nursing home in Boonville, New York. CMS rates it 1 out of 5 stars overall (3/5 for staffing, 1/5 for health inspections). Nurse staffing is 3.22 hours per resident per day, below the New York average of 3.65. Its most recent inspection on Jun 27, 2025 cited 13 deficiencies. Note: it is a CMS Special Focus Facility under enhanced oversight and it carries a CMS abuse icon.

1 out of 5Overall CMS rating
1 out of 5Health inspections
3 out of 5Staffing
120 bedsCertified beds
  • CMS abuse iconThis facility has an active abuse icon on its CMS record.
  • Special Focus Facility candidateCMS lists this facility as a candidate for enhanced oversight.

CMS quality ratings

Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.

Overall rating1/5
Health inspections1/5
Staffing3/5
Quality measures3/5
Long-stay quality4/5
Short-stay quality3/5

How Sunset Nursing and Rehabilitation Center compares

This facility vs. the New York and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.

MetricThis facilityNew York avgNational avgCompared with the state
Total nurse staffing (hrs/resident/day)3.223.653.89below avg
RN staffing (hrs/resident/day)0.250.700.68below avg
Aide staffing (hrs/resident/day)2.102.182.34below avg
Nursing staff turnover34.0%40.5%46.4%below avg
Deficiencies cited, last inspection13.07.69.5above avg

Staffing

Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.

3.22Total nurse hrs/resident/day
0.25RN hrs/resident/day
0.88LPN hrs/resident/day
2.10Aide hrs/resident/day
2.57Weekend nurse hrs/resident/day

Staff turnover

Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.

Total nursing staff34.0%
Registered nurses25.0%
Administrator changes1 in last year

Recent health inspection

CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.

Jun 27, 2025Most recent inspection
13Deficiencies found
439Health inspection score
0Fines
  • Every deficiency from the November 12, 2025 inspection was corrected by December 3, 2025

What inspectors found at Sunset Nursing and Rehabilitation Center

Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.

  • Immediate jeopardy

    Respond appropriately to all alleged violations.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 12, 2025 · Full report (PDF)
  • Immediate jeopardy

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 12, 2025 · Full report (PDF)
  • Immediate jeopardy

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Freedom from Abuse, Neglect, and Exploitation Deficiencies · Nov 12, 2025 · Full report (PDF)
  • Potential for harm

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Administration Deficiencies · Nov 12, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Administration Deficiencies · Nov 12, 2025 · Full report (PDF)
Show all 12 deficiencies
  • Potential for harm

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

    Quality of Life and Care Deficiencies · Nov 12, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Administration Deficiencies · Nov 12, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Pharmacy Service Deficiencies · Jun 27, 2025 · Full report (PDF)
  • Potential for harm

    Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

    Environmental Deficiencies · Jun 27, 2025 · Full report (PDF)
  • Potential for harm

    Provide and implement an infection prevention and control program.

    Infection Control Deficiencies · Jun 27, 2025 · Full report (PDF)
  • Potential for harm

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

    Nutrition and Dietary Deficiencies · Jun 27, 2025 · Full report (PDF)
  • Potential for harm

    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.

    Resident Rights Deficiencies · Jun 27, 2025 · Full report (PDF)

Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.

About this facility

Address
232 Academy Street
Boonville, NY 13309
CMS certification #
335587
Ownership
For profit - Limited Liability company
Certified beds
120
Avg residents/day
111.0
Provider type
Medicare and Medicaid
First certified
1977-04-01
Setting
Urban

Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →

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Location and nearby

Explore the area around Sunset Nursing and Rehabilitation Center using Google Maps.

Other public records

  • Website says Works with hospice
  • Staff pay 1 federal wage case with violations found, since 2014
Full public records, with dates and sources

Care and services

From the community’s website

What Sunset Nursing and Rehabilitation Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.

  • Offers hospice care on site or works with hospice providers. Sunset Nursing & Rehabilitation Center Partners with Hospice & Palliative Care to Expand Compassionate End-of-Life Services – 6/4/26 (page, checked Oct 12, 2026)
  • Smoke-free. We Are a Smoke-Free Facility (page, checked Oct 15, 2026)

Staff pay and workplace safety

Federal records about how the employer here treats its staff.

Federal wage and hour cases

The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.

  • Findings for Mar 2, 2014 to Feb 27, 2016. Violations found: Overtime. Back wages: $21,984 owed to 78 employees. Employer as DOL recorded it: Sunset Nursing Home (Sunset Nursing and Rehabilitation Center, Inc). Case 1784692.

Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.

Location and nearby care

Nearest hospital with an emergency room
Rome Memorial Hospital, Inc, Rome. 18.2 miles away, straight line. CMS overall hospital rating: 2 of 5 stars.
Nearest Medicare nursing home
Bethany Gardens Skilled Living Center, Rome. 17.9 miles away, straight line.
Nearest home health agency office
Lewis County General Hospital Chha, Lowville. 23.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
Nearest pharmacy
Rite Aid. 0.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
Area
USDA classes ZIP code 13309 as rural (rural area).
Hospice
2 Medicare hospices tell CMS they serve ZIP code 13309.
Lewis County General Hospital Hospice, office in Lowville, 23.4 miles away, straight line
Nearest geriatric medicine practice
Trustees Of The Masonic Hall And Asylum Fund, Utica. 28.1 miles away, straight line. 1 geriatric medicine doctor listed there.

Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.

Emergency and natural hazard risk

Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.

Flood zone
Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
FEMA National Risk Index
Overall: relatively low. By hazard: hurricane very low, inland flooding relatively moderate, wildfire very low, tornado relatively low, heat wave very low, earthquake relatively low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)

A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.

What we checked

Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.

SourceData as ofWhat we found
U.S. Department of Labor wage and hour casesOct 15, 2026See above
OSHA workplace safety inspections since 2016Oct 15, 2026Nothing on record
New York State Department of Health kitchen inspectionsOct 15, 2026No kitchen matched
Hurricane evacuation zone mapsNot in a mapped zone
FEMA flood mapSee above
USDA wildfire riskApr 15, 2026Not shown: FEMA rates wildfire risk here very low
FEMA National Risk IndexSee above
CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmaciesSee above
HUD Multifamily Properties - AssistedJul 6, 2026Nothing on record
State Veterans Homes (NASVH directory)Sep 20, 2026Nothing on record
CMS Hospice - General InformationAug 19, 2026Nothing on record
CMS Home Health Care AgenciesMay 27, 2026Nothing on record
The community’s own websiteSee above

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Frequently asked questions

Is Sunset Nursing and Rehabilitation Center a good nursing home?

CMS gives Sunset Nursing and Rehabilitation Center an overall rating of 1 out of 5 stars, including 3/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.

How is Sunset Nursing and Rehabilitation Center staffed?

Sunset Nursing and Rehabilitation Center reports 3.22 total nurse hours per resident per day, compared with the New York average of 3.65.

Has Sunset Nursing and Rehabilitation Center had inspection problems?

Its most recent CMS inspection cited 13 deficiencies. This facility is on CMS's Special Focus list for enhanced oversight.

How many beds does Sunset Nursing and Rehabilitation Center have?

Sunset Nursing and Rehabilitation Center is certified for 120 beds.