Sunset Drive - a Prospera Community
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 35 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.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Above-median deficiencies (29 vs median 4.0)
- High staff turnover (65%)
- High RN turnover (52%)
Bottom 25% in ND · Meets national RN staffing standard · Worst in GOOD SAMARITAN SOCIETY chain · $41,552 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
While some families have had positive experiences, the recent trend of reviews indicates serious concerns regarding staffing levels and patient safety. We strongly recommend that you conduct an unannounced visit and specifically ask about their current nurse-to-patient ratios and fall prevention protocols.
Google Reviews
Google Reviews
35 reviews analyzed“Sunset Drive - A Prospera Community receives polarized feedback, with older reviews praising the facility's cleanliness and staff, while recent reviews highlight severe concerns regarding neglect and understaffing. Families have reported critical failures in basic care, such as unassisted falls and neglected meal assistance, contrasting sharply with positive experiences shared by others.”
Quality Themes
Tap a score for detailsStrengths
- Clean, well-maintained building
- Compassionate and friendly staff
- Effective therapy services
Concerns
- Severe understaffing leading to neglect (mentioned by 3 reviewers)
- Failure to provide basic care and assistance with meals (mentioned by 2 reviewers)
- Lack of follow-through on care plans and safety precautions (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution
How They Respond to Reviews
Questions for Your Tour
- 1Given that the facility has a high number of recent state violations, what specific steps is leadership taking to improve oversight and ensure consistent compliance with care standards?
- 2I noticed some feedback regarding challenges with mealtime assistance; how do you ensure that residents who need extra help with eating receive the attention they require during dining hours?
- 3With a 4/5 staffing rating but some concerns about consistency in daily care, how do you ensure that care plans are followed precisely for each resident throughout all shifts?
- 4Communication is a top priority for our family; what is your standard process for keeping us updated on changes in our loved one’s health or any adjustments to their care plan?
- 5What does a typical daily activity schedule look like to keep residents engaged, and how do you encourage participation for those who might be more reserved?
- 6In the event of a medical emergency or a sudden change in condition, what is your protocol for notifying family members and coordinating with local hospitals?
Personalized based on this facility's data
Key Review Excerpts
“My father was at Sunset Drive GOOD Samaritan for only a few days. He fell out of bed. No precautions were put in place such as a fall mat beside his bed after his fall. He fell out of bed again today and hit his head.”
“My brother was placed there for end of life care. I assumed it included comfort care. The place is seriously understaffed. Why they keep excepting new patients when they do not have the staff to care for them, is beyond me.”
“My Grandma was there at the end of her life. This facility and staff were amazing. Not only did they care for my Grandma like their own, they also cared for us, that were with her pretty much 24/7.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
3
measures
8
measures
6
measures
Residents on antipsychotic medication
Residents needing more daily help over time
Residents with depression symptoms
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
This facility shows a concerning pattern with numerous complaints filed by families leading to 44 out of 70 total deficiencies, indicating ongoing resident and family dissatisfaction. The most recurring issues involve resident care quality standards, protecting residents from abuse and neglect, and maintaining proper safety conditions. While the facility corrects violations when cited, problems persist across multiple years in the same core areas, suggesting systemic challenges rather than isolated incidents.
Feb 5, 2026Complaint1
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Dec 10, 2025Complaint1
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Aug 25, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Jul 28, 2025Complaint3
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies
Provide care and assistance to perform activities of daily living for any resident who is unable.
Nursing and Physician Services Deficiencies
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Jul 24, 2025Complaint1
Emergency Preparedness Deficiencies
Develop Emergency Preparedness policies and procedures.
Jul 9, 2025Complaint1
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Federal Penalties
Fine
May 15, 2025
$8,412
Fine
May 15, 2025
$33,814
Payment Denial
May 15, 2025
25-day denial
Ownership & Operations
Who Operates This Facility
Sunset Drive - a Prospera Community
nonprofit
Chain Affiliation
Good Samaritan Society
89 facilities nationwide
Chain avg rating: 3.0/5 · Rank 74 of 88 (Worst)
Ownership & Management
Owners
Sanford
Owner · Organization
The Evangelical Lutheran Good Samaritan Society
Owner (parent company) · Organization
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
35 reviews from families & visitors
Official Website
Visit good-sam.com
Medicare data downloads
Original nursing home datasets
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