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Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 92 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
This facility has areas of concern that warrant careful consideration. Registered Nurse hours are 18% of the EveryPlace reference benchmark; ask how RN coverage is allocated across shifts. The latest standard survey recorded 15 findings, above the MO average of 12.0. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.
Fountain Care at Sunset Hills (often referred to as Chestnut Rehab) faces severe, recurring allegations regarding patient neglect, including untreated bedsores, poor hygiene, and inadequate medical monitoring. While some visitors praise the physical appearance of the therapy gym and the friendliness of specific staff members, these positive reports are frequently overshadowed by alarming accounts of unresponsive care and communication failures.
Quality Themes
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Concerns
Rating Trends
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Distribution · 130 analyzed
This facility actively engages with reviewer feedback.
Personalized based on this facility's data
Key Review Excerpts
“My aunt is laying there developing bed sores because y'all don't do your rounds. I know how to call the state and report you.”
“My mother has also lost a ton of weight due to them not feeding her. There was also a man who jumped out of the window and severely hurt himself!”
“The therapy gym at chestnut is beautiful and all of the therapists were amazing. They were able to get my grandmother strong enough to return home in time for the holidays!”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
7
measures
9
measures
1
measures
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents vaccinated for pneumonia
Residents needing more daily help over time
Residents vaccinated for the flu
Residents whose walking got worse
Residents who lost too much weight
Short-stay residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
This facility faces a concerning pattern of complaint-driven issues, with families filing reports that led to 32 deficiencies across areas including abuse/neglect prevention, treatment and care delivery, and medication management. Recent complaints in 2025 and 2024 repeatedly cite failures to follow doctor's orders and provide appropriate care, while abuse prevention policies have been cited multiple times since 2023. Though the facility corrects violations when cited, the recurring nature of these core care issues, particularly those triggering family complaints, suggests ongoing challenges in maintaining consistent quality care standards.
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Egress Deficiencies
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.
Egress Deficiencies
Install emergency lighting that can last at least 1 1/2 hours.
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Construction Deficiencies
Use approved construction type or materials.
Egress Deficiencies
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
Smoke Deficiencies
Inspect, test, and maintain automatic sprinkler systems.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Miscellaneous Deficiencies
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Resident Rights Deficiencies
Allow residents to self-administer drugs if determined clinically appropriate.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Nutrition and Dietary Deficiencies
Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.
Environmental Deficiencies
Make sure that a working call system is available in each resident's bathroom and bathing area.
Resident Rights Deficiencies
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Resident Rights Deficiencies
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 Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Federal Penalties
Fine
Oct 21, 2024
$57,899
Payment Denial
Oct 21, 2024
50-day denial
Fine
Jul 23, 2024
$33,248
Fine
Dec 22, 2023
$14,518
Fine
Aug 10, 2023
$13,923
Fountain Care at Sunset Hills
for profit
Owners
Chestnut Holdings Group LLC
Owner · Organization
Brecher, Mendel
Owner (parent company)
Lichtman, Chana
Owner (parent company)
Zimmerman, Jacob
Owner (parent company)
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
92 reviews from families & visitors
Official Website
Visit chestnutrehab.com
Medicare data downloads
Original nursing home datasets
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