In their own words
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The record
CMS Care Compare · Aug 2026| Overall | ★☆☆☆☆ 1 of 5 |
| Health inspection | ★☆☆☆☆ 1 of 5 |
| Staffing | ★☆☆☆☆ 1 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
Staffing · hours per resident per day
Medication & safety · share of long-stay residents
| Federal fines | $105,665 · 3 penalties |
| Abuse icon | Not flagged |
| Conflict flags in latest reconcile | 5 |
MO does not publish a state inspection feed Palmelle can verify. This record is built from federal data only.
What the pattern says
Palmelle pattern checks · v1Warehouse warning signs — read the findings below before touring.
- Staffing below the line. Residents get 3 hr 33 min of nursing time a day against a national norm of 3 hr 37 min, and 80% of nurses leave each year — thin staffing is the first warehouse warning sign.
- Antipsychotic use runs high. 18% of long-stay residents are on antipsychotics against a 14% national median — ask what share have a qualifying diagnosis.
- The falls number is the outlier: 3× the national rate. 5.6% of long-stay residents had a fall with major injury vs 1.6% nationally. Combined with the staffing picture, ask hard questions: one bad cluster, a reporting artifact, or a real problem.
- $105,665 in federal fines. 3 penalties in the last 36 months — the citation detail is in the record above.
These checks are computed the same way for every facility. Good patterns and bad ones both print.
Nearby & comparable
Same records, same rulesQuestions families ask
What is the CMS rating for FOUNTAIN CARE AT SUNSET HILLS?
FOUNTAIN CARE AT SUNSET HILLS has an overall CMS Care Compare rating of 1 out of 5 stars.
Has FOUNTAIN CARE AT SUNSET HILLS been cited for resident harm?
FOUNTAIN CARE AT SUNSET HILLS has $105,665 in federal fines across 3 penalties in the last 36 months. Details appear in the record above.
What should I ask on a tour?
Ask about staff-to-resident ratios by shift, weekend coverage, and any measure flagged red in the record above — those are the places this facility's numbers leave open questions.