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CMS Nursing Home Compare · March 2026

Sunset Manor Avera Health

129 E Clay St, Irene, SD 57037

Sunset Manor Avera Health, a 58-bed non profit - other nursing facility in Irene, SD, holds a 2-star CMS overall rating - below the 3.0-star national average, with nurse staffing above the national norm. 3 inspection findings reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6052633318

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2 / 5
Below average · CMS overall · nat'l 3.0
4.95
Well above average · nurse hrs/day · nat'l 3.89
13
Inspection findings · 3 serious
$41K
Federal penalties (2)

Health Inspection

2/5

Staffing

4/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
435100
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
58
Residents
49
In Hospital
No
County
Clay
Last Inspection
Dec 31, 2025
Abuse citation on record

Staffing Data

How the 4.95 total nursing hours per resident-day are staffed:

RN Hours
0.58 (nat'l avg: 0.68)
LPN Hours
0.86
CNA Hours
3.51
Total Nursing Hours
4.95 (nat'l avg: 3.89)
PT Hours
0.02
Nursing Turnover
68.4%
RN Turnover
80.0%

What the CMS Record Reveals About Sunset Manor Avera Health

Sunset Manor Avera Health operates 58 certified beds in Irene, SD with approximately 49 residents currently in care, and carries a CMS overall rating of 2 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 13 deficiency records from recent surveys, of which 3 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $41K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.95 total nursing hours per resident day (national average 3.89), with RN coverage at 0.58 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, Sunset Manor Avera Health falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 68.4%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (13 most recent)

D - Isolated - Minimal harm Dec 31, 2025 Tag: 0678

Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.

Category: Quality of Life and Care Deficiencies

D - Isolated - Minimal harm Jun 18, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 22, 2025

D - Isolated - Minimal harm Jun 18, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 16, 2025

D - Isolated - Minimal harm Jun 18, 2025 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jul 16, 2025

G - Isolated - Actual harm Feb 12, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 13, 2025

E - Pattern - Minimal harm Feb 12, 2025 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Mar 13, 2025

H - Pattern - Actual harm Sep 25, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 23, 2024

H - Pattern - Actual harm Sep 25, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Oct 23, 2024

E - Pattern - Minimal harm Aug 8, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Sep 6, 2024

D - Isolated - Minimal harm Aug 8, 2024 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Sep 22, 2024

D - Isolated - Minimal harm Jul 13, 2023 Tag: 0638

Assure that each resident’s assessment is updated at least once every 3 months.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 25, 2023

D - Isolated - Minimal harm Jan 13, 2022 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Feb 9, 2022

D - Isolated - Minimal harm Jan 13, 2022 Tag: 0656

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Feb 9, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 25.5% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.6% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.0% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 3.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.0% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 75.7% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.3% No
Percentage of long-stay residents who have depressive symptoms Long Stay 16.4% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 93.0% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 36.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 16.7% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay N/A No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 2 penalties totaling $41K

Date Type Amount
Feb 12, 2025 Fine $11K
Sep 25, 2024 Fine $29K

Frequently Asked Questions

What is the overall CMS rating for Sunset Manor Avera Health?
Sunset Manor Avera Health has an overall CMS rating of 2 out of 5 stars. This rating combines health inspection results (2★), staffing levels (4★), and quality measures (3★).
What are the staffing levels at Sunset Manor Avera Health?
Sunset Manor Avera Health reports 4.95 total nursing hours per resident day (national average: 3.89). RN hours are 0.58 per resident day (national average: 0.68). Nursing staff turnover is 68.4%.
How many beds does Sunset Manor Avera Health have?
Sunset Manor Avera Health has 58 certified beds with approximately 49 residents. The facility is located at 129 E Clay St, Irene, SD 57037.
Does Sunset Manor Avera Health have any deficiencies on record?
Yes, Sunset Manor Avera Health has 13 deficiencies on record from recent inspections. Of these, 3 are classified as causing actual harm or jeopardy.
Has Sunset Manor Avera Health received any fines or penalties?
Yes, Sunset Manor Avera Health has received 2 penalties totaling $41K.
Who owns Sunset Manor Avera Health?
Sunset Manor Avera Health is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was Sunset Manor Avera Health last inspected?
The most recent health inspection for Sunset Manor Avera Health was on Dec 31, 2025. The facility received a health inspection rating of 2 out of 5 stars.
What quality measures are tracked for Sunset Manor Avera Health?
Sunset Manor Avera Health is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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