251 Sunset Place, Guin, AL 35563 · Marion County · (205) 468-3331
71 certified beds, about 57 residents a day · For profit - Corporation · Medicare and Medicaid since 1977
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015149 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on July 27, 2023, inspectors cited 2 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 9 health citations since August 2018 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.21 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 1.19 of those hours.
36.5% of nursing staff left within the year CMS measured (Alabama average 46.9%).
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
Inspectors wroteBased on observation, interview, the facility's Diet Manual, the facility's policies for Menu Planning and Portion Control, and the facility's 2023 Spring/Summer Menus for Week 2, Wednesday; the facility failed to ensure the residents on Mechanical Soft and Puree diets received the portion sizes per the approved menu at lunch on Wednesday, July 26, 2023. This had the potential to affect 23 of 53 residents receiving meals from the kitchen.
Inspectors wroteBased on observations, interviews, resident record review, and a facility policy titled Weight Monitoring, the facility failed to ensure Resident Identifier (RI) #55 received an Ensure supplement as ordered with meals. This deficient practice affected RI #55 one of two residents sampled for nutrition.
Inspectors wroteBased on observation, interview and review of a facility policy titled, Cleaning Dishes/Dish Machine, the facility failed to ensure that food dish pans were allowed to air dry prior to stacking and storing. This had the potential to affect 67 of 67 residents receiving meals from the kitchen.
Inspectors wroteBased on observation, interview, a facility policy titled, Garbage Disposal and the 2017 Food Code the facility failed to ensure that the outside garbage disposal area was free of debris. This had the potential to affect all 69 residents residing in the facility
Inspectors wroteBased on observation, interviews, medical review, and a facility policy titled Standard Precautions: Infection Control, the facility failed to ensure a Licensed Practical Nurse (LPN), Employee Identifier (EI) #3, washed her hands or used hand sanitizer after she removed her gloves, touched the top of the waste container on the left side of the medication cart with both hands, and prior to touching Resident Identifier (RI) #24's medication cup, on the medication tray on top of the medication cart. This affected one of two Licensed Nurses and one of three residents observed during medication pass. Findings Include: A review of a facility policy titled Standard Precautions Infection Control, with a date implemented of 11/28/2017, revealed . Policy Explanation and Compliance Guidelines: . (p. 1) e. Perform hand hygiene: . vi. After removing gloves . (p. 5) After touching . [...]
Inspectors wroteBased on medical records, interviews, and a facility document titled, Comprehensive Resident Assessment (Minimum Data Set), the facility failed to ensure a Significant Change in Status Minimum Data Set (MDS) was completed on three sampled residents after being admitted to hospice. This affected Resident Identifier's (RI) #2, 43 and 115, three of six facility residents on hospice. Findings Include: A review of a facility policy titled Comprehensive Resident Assessment (Minimum Data Set), with an implemented date of 10/01/1991, documented: The facility shall conduct a comprehensive, accurate .assessment of each resident's functional capacity .2. Promptly after significant change in the resident's physical or mental condition . 1. RI #2 was admitted to the facility on [DATE]. [...]
Inspectors wroteBased on observation, interview and review of a facility policy titled, Medications Multi-Dose Vials, the facility failed to ensure Resident Identifier (RI) #16's vial of insulin contained an opened date on the vial and package containing RI #16's insulin. This deficient practice affected RI #16, one of 7 residents observed during medication administration. Findings Include: A review of a facility policy titled, Medication Multi-Dose Vials Revised 01/29/13, revealed: .POLICY: To assure safety and infection control when multi-dose vials are utilized. PROCEDURE: 1. When a multi-dose vial (MDV) is opened initially, it should be dated. 2. There is a 28 day limitation on the use of MDV Insulins. RI #16 was readmitted to the facility on [DATE] with diagnoses including, Chronic Kidney Disease. On 08/28/18 at 10:43 a.m. [...]
Inspectors wroteBased on observations, interviews, medical record reviews and review of facility policies titled, Glove Usage and Handwashing/Hand Sanitizing, the facility failed to ensure: 1. a licensed nurse did not place gloves, a vial of medication and Resident Identifier (RI) #55's nebulizer mask on unclean surfaces during medication pass and 2. a licensed nurse washed her hands before preparing RI #59's medications and before applying her gloves to break one of RI #59's medications. These deficient practices affected RI #55 and RI #59, two of seven residents, and two of four nurses observed during medication administration. Findings Include: RI #55 was admitted to the facility on [DATE]. On 08/28/18 at 8:26 a.m. [...]
Inspectors wroteBased on observation, interview and a facility policy titled, Garbage Disposal, the facility failed to ensure the dumpster's lid remained closed and a foul odor was not noted around the dumpster site. This affected 1 of 1 dumpster and had the potential to affect all 64 residents in the facility.
8 fire safety citations on file: 2 on July 27, 2023, 4 on September 26, 2019, 2 on August 29, 2018.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.21 | 3.88 | 3.86 |
| Registered nurses | 1.19 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.54 | 3.26 | 3.42 |
| Nurse aides | 2.45 | ||
| Licensed practical nurses | 0.57 | ||
| Nursing staff turnover (share who left in a year) | 36.5% | 46.9% | 45.8% |
| Registered nurse turnover | 20.0% | 39.5% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.39 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.48 on weekdays and 3.54 on weekends, 21% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.28 in April to June 2025 to 4.21 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.21 | 1.19 | 4.48 | 3.54 | 0.0% | 0 of 90 | 57 |
| Oct to Dec 2025 | 3.98 | 1.04 | 4.24 | 3.31 | 0.0% | 0 of 92 | 60 |
| Jul to Sep 2025 | 4.36 | 1.11 | 4.66 | 3.59 | 0.0% | 0 of 92 | 61 |
| Apr to Jun 2025 | 4.28 | 1.11 | 4.56 | 3.58 | 0.0% | 0 of 91 | 64 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Alabama, all employers | |||
| CNAs (nursing assistants) | $16.41 | $14.45 to $17.49 | 25,250 |
| LPNs and LVNs | $27.42 | $23.15 to $29.71 | 11,580 |
| Registered nurses | $37.06 | $30.53 to $40.09 | 54,340 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.9 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.9 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 9.1 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 7.9 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 12.9 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.7 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 20.4 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.7 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 14.7 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.1 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.0 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Sunset Manor's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (47.0% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
47.0% this home
No different from the national rate
US median of homes 51.5% · Alabama: 41 better, 10 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 38 eligible stays.
9.9% this home
No different from the national rate
US median of homes 10.7% · Alabama: 1 better, 3 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 52 eligible stays.
6.6% this home
No different from the national rate
US median of homes 7.1% · Alabama: 0 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 31 eligible stays.
55.2% this home
Median of homes: Alabama50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 29 residents counted.
2.6% this home
Median of homes: Alabama0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 38 residents counted.
4.3% this home
Median of homes: Alabama2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 38 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Median of homes: Alabama100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 2 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: SOUTHERN CARE LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Junkin, Christie | Direct ownership interest | Individual | 07/01/2004 | |
| Junkin, Lance | Direct ownership interest | Individual | 07/01/2004 | |
| Harrison, Boyde | Operational/managerial control | Individual | 02/01/2026 | |
| Junkin-Galbreath, Hayden | Operational/managerial control | Individual | 08/01/2012 | |
| Palmer, Jennifer | Operational/managerial control | Individual | 09/25/2022 | |
| Harrison, Boyde | Trustee of the SNF | Individual | 02/01/2026 | |
| Harrison, Boyde | Adp of the SNF | Individual | 02/01/2026 | |
| Junkin, Christie | Adp of the SNF | Individual | 07/01/2004 | |
| Junkin, Lance | Adp of the SNF | Individual | 07/01/2004 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.