Fountain Care at Sunset Hills
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 91 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Low overall rating (1/5 stars)
- Low staffing rating (1/5 stars)
- Above-median deficiencies (15 vs median 10)
- High staff turnover (78%)
- High RN turnover (100%)
Bottom 25% in MO · Critically understaffed (RN) · Very high staff turnover · $119,588 in fines
What this means for your family
While the facility features a modern, well-regarded rehabilitation gym, the recurring reports of patient neglect and poor communication are critical red flags. Families should exercise extreme caution and consider performing unannounced visits at various times of the day to verify the level of care provided.
Google Reviews
Google Reviews
91 reviews on Google“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
Tap a score for detailsStrengths
- Modern, well-equipped therapy gym
- Visually appealing lobby and common areas
- Some staff members noted as friendly and attentive
Concerns
- Patient neglect leading to severe bedsores and infections (mentioned by 6 reviewers)
- Poor communication and lack of responsiveness from administration (mentioned by 5 reviewers)
- Unsanitary conditions and persistent odors (mentioned by 4 reviewers)
- Slow response times to call lights and basic patient needs (mentioned by 4 reviewers)
- Inadequate nutrition and weight loss (mentioned by 3 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 128 analyzed
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1I noticed your team is very active in responding to online feedback; how do you translate that commitment to responsiveness into daily communication with families regarding their loved one's care?
- 2Given the facility's size of 166 residents, what specific protocols are in place to ensure call lights are answered promptly and that staff remain attentive to individual needs throughout the day?
- 3Could you walk me through your current process for monitoring skin integrity and nutrition, and how you involve families in tracking these health markers?
- 4I see you have a well-equipped therapy gym; how do you integrate these resources into the daily routines of residents to ensure they stay active and engaged?
- 5What steps is the facility taking to improve consistency in sanitation and cleanliness throughout the common areas and resident rooms?
- 6How does your nursing team manage medication administration to ensure accuracy and safety for residents with complex health needs?
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!”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Jan 27, 2026Complaint3
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.
Apr 24, 2025Routine19
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.
Apr 24, 2025Complaint3
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.
Jan 17, 2025Complaint1
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Dec 3, 2024Complaint2
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.
Oct 21, 2024Complaint4
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
Ownership & Operations
Who Operates This Facility
Fountain Care at Sunset Hills
for profit
Ownership & Management
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
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
91 reviews from families & visitors
Official Website
Visit chestnutrehab.com
Medicare data downloads
Original nursing home datasets
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