Sunset Lake Healthcare and Rehabilitation Center
Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.
based on 238 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 (2/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (8 vs median 6.0)
- High staff turnover (66%)
- High RN turnover (64%)
Bottom 25% in FL · Below recommended RN staffing · Below chain average · $319,770 in fines
What this means for your family
Sunset Lake offers a highly regarded rehabilitation therapy program that has helped many residents regain independence. However, the facility has a pattern of serious safety and communication concerns. If you choose this facility, ensure you have a plan for frequent, in-person visits to monitor your loved one's care and be prepared to advocate aggressively for their needs.
Google Reviews
Google Reviews
238 reviews on Google“Sunset Lake Health and Rehabilitation Center receives polarized feedback, with many residents and families praising the rehabilitation therapy team, the facility's cleanliness, and the attentive nursing staff. However, a significant number of reviewers report critical failures in patient safety, including neglect, slow response times to call lights, and poor communication regarding medical care. Families should be aware that while many have positive experiences, there are recurring, serious allegations of understaffing and inadequate clinical oversight.”
Quality Themes
Tap a score for detailsStrengths
- Highly effective physical and occupational therapy teams
- Clean, well-maintained facility and courtyard
- Attentive and compassionate nursing and CNA staff
- Responsive and professional administrative leadership
Concerns
- Severe understaffing leading to slow response times (mentioned by 12 reviewers)
- Inadequate medical care and neglect of patient needs (mentioned by 9 reviewers)
- Poor communication with family members (mentioned by 6 reviewers)
- Poor food quality and lack of dietary accommodation (mentioned by 5 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 181 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 use that family input to improve your daily communication processes?
- 2Given the current staffing levels, what specific protocols do you have in place to ensure residents receive timely assistance when they press their call lights?
- 3I see your therapy team is highly regarded; how do they coordinate with the nursing staff to ensure a resident's medical needs are fully met during their recovery?
- 4What steps are you taking to address concerns regarding the variety and quality of meal options to ensure they meet the specific dietary needs of all residents?
- 5With the current facility size of 120 residents, how do you ensure that each family member stays well-informed about their loved one's health status and medication changes?
- 6Can you walk me through the daily activity schedule and how you encourage residents to utilize the courtyard and common areas for social engagement?
Personalized based on this facility's data
Key Review Excerpts
“My mother was in there and almost died for three days she was complaining of severe pain. They told her that she was fine and her vitals were fine so the third day my sister and I called an ambulance which ticked off Donna one of the nurses and she told me that’s on you, not me I outrank any EMT and there’s nothing wrong with her.”
“Within 2 weeks, he was up on his feet walking several steps and feeding himself again. The administrator and nursing team met with me individually to make sure his needs were met as we expected.”
“My 93 year old neighbor was sent here for rehab after breaking her hip. They're SEVERELY understaffed. Call lights on for hours. No answer at the main number most of the time.”
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
14
measures
1
measures
2
measures
Residents on anti-anxiety or sleep medication
Residents whose bladder or bowel control got worse
Residents whose walking got worse
Residents needing more daily help over time
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
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
Families filed reports leading to 12 complaint-triggered deficiencies, including serious concerns about resident protection from abuse and neglect that prompted a recent December 2024 inspection. The facility has recurring problems with accident prevention and safety supervision, care planning, and daily living assistance that have persisted across multiple surveys from 2021 to 2024. While all deficiencies show correction dates, the pattern of repeated issues in core care areas suggests ongoing quality challenges.
Apr 16, 2025Routine12
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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 activities to meet all resident's needs.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Smoke Deficiencies
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Smoke Deficiencies
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous Deficiencies
Ensure that any exit in an area undergoing construction, repair, or improvements shall be inspected daily to ensure its ability to be used instantly in case of emergency.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Dec 6, 2024Complaint12
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.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Administration Deficiencies
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Administration Deficiencies
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Emergency Preparedness Deficiencies
Develop and maintain an Emergency Preparedness Program (EP).
Emergency Preparedness Deficiencies
Conduct risk assessment and an All-Hazards approach.
Emergency Preparedness Deficiencies
Address subsistence needs for staff and patients.
Emergency Preparedness Deficiencies
Establish policies and procedures including evacuation.
Miscellaneous Deficiencies
Provide a written emergency evacuation plan.
Administration Deficiencies
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Nursing and Physician Services Deficiencies
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Mar 9, 2023Routine11
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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.
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Quality of Life and Care Deficiencies
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
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.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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 care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Quality of Life and Care Deficiencies
Provide enough food/fluids to maintain a resident's health.
Jul 23, 2021Routine6
Resident Assessment and Care Planning Deficiencies
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor the resident's right to organize and participate in resident/family groups in the facility.
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Pharmacy Service Deficiencies
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Resident Assessment and Care Planning Deficiencies
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Federal Penalties
Fine
Dec 6, 2024
$319,770
Ownership & Operations
Who Operates This Facility
Sunset Lake Healthcare and Rehabilitation Center
for profit
Chain Affiliation
Gold FL Trust II
36 facilities nationwide
Chain avg rating: 3.1/5 · Rank 33 of 46
Ownership & Management
Owners
Sunset Lake Snf Holdco LLC
Owner · 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
238 reviews from families & visitors
Official Website
Visit sunsetlakehrc.com
Medicare data downloads
Original nursing home datasets
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