facebook tracking Sunset Manor Avera Health, Irene SD: CMS Ratings
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Sunset Manor Avera Health

All states › South Dakota › Irene › Sunset Manor Avera Health

129 E Clay St Irene, SD 57037 · Clay County

(605) 263-3318

Cited for abuse Accepts Medicare Accepts Medicaid 58 certified beds Non profit

CMS certification number 435100 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Sunset Manor Avera Health a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Sunset Manor Avera Health as of October 2026.

CMS rates it 1 out of 5 stars overall, below the South Dakota average of 3.0. Inspectors issued 17 citations in the last three years. CMS imposed 3 penalties, including $56,946 in fines, in that time. CMS currently shows its abuse icon for this home (see above).

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 5.16 hours per resident per day at Sunset Manor Avera Health, above the South Dakota median of 3.69 (US median: 3.72). About 0.68 of those hours are from registered nurses. On weekends it falls to 4.35 hours, 16% below its all-week average. Ask how weekends are staffed. 68.8% of nursing staff left within a year (South Dakota median 46.5%). High turnover can mean residents see unfamiliar caregivers; ask how long the nurses on the unit have worked there.

Nursing care per resident per day 5.16 hours
Above the South Dakota median of 3.69 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.68 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 4.35 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 68.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 90.9% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds58
Residents per day 50 About 86% of beds filled, on average
OwnershipNon profit - Other
Payment acceptedMedicare and Medicaid
Certified sinceJanuary 1997
Part of a chainAvera Health
Legal business nameSUNSET MANOR INC.

Paying for care at Sunset Manor Avera Health: Medicare and Medicaid

Sunset Manor Avera Health is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on December 31, 2025 and found 4 deficiencies, plus 3 from complaint inspections in the same period. In total, inspectors issued 17 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.

What the inspections found

Over the last three years, inspectors issued 17 citations at Sunset Manor Avera Health across 7 inspection dates, 12 of them from complaint investigations. 4 were at the actual-harm level (G–I), most recently on May 5, 2026. The most common areas cited were quality of life and care (6) and freedom from abuse, neglect, and exploitation (5). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level H, September 25, 2024). 5 citations were under CMS's abuse, neglect and exploitation rules.

May 5, 2026 · 2 citations · includes complaint inspection

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

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jun 3, 2026)

DTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 · Complaint inspection · Deficient, Provider has date of correction (Jun 3, 2026)

December 31, 2025 · 5 citations · includes complaint inspection

FPost nurse staffing information every day.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0732 · Deficient, Provider has date of correction (Jan 8, 2026)

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Deficient, Provider has date of correction (Feb 4, 2026)

EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Jan 16, 2026)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 4, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0678 · Complaint inspection · Deficient, Provider has date of correction (Feb 4, 2026)

June 18, 2025 · 3 citations · includes complaint inspection

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jul 16, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Jul 16, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Jul 22, 2025)

February 12, 2025 · 2 citations, includes actual harm · includes complaint inspection

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Mar 13, 2025)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Mar 13, 2025)

September 25, 2024 · 2 citations, includes actual harm · includes complaint inspection

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

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Oct 23, 2024)

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0684 · Complaint inspection · Deficient, Provider has date of correction (Oct 23, 2024)

August 8, 2024 · 2 citations · includes complaint inspection

EEnsure each resident receives an accurate assessment.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0641 · Complaint inspection · Deficient, Provider has date of correction (Sep 6, 2024)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 · Complaint inspection · Deficient, Provider has date of correction (Sep 22, 2024)

July 13, 2023 · 1 citation

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0638 · Deficient, Provider has date of correction (Aug 25, 2023)

Questions to ask on a tour of Sunset Manor Avera Health

  1. Inspectors cited the home at the actual-harm level on September 25, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
  2. CMS cited the home under its abuse and neglect rules on May 5, 2026. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 16% below the all-week average. Who is on duty on Saturday nights?
  4. Nursing staff turnover was 68.8% a year. How many of the staff come from agencies?
  5. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  6. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

3 penalties in the last three years, including $56,946 in fines.

DateTypeAmount or length
May 5, 2026 Fine $16,350
Feb 12, 2025 Fine $11,190
Sep 25, 2024 Fine $29,406

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 1/5 2/5 4/5 1/5
August 2026 2/5 2/5 4/5 2/5
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Location

Hospitals near Sunset Manor Avera Health

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Wakonda Heritage Manor Wakonda · 6.0 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 38 beds · Medicaid
Pioneer Memorial Nursing Home Viborg · 7.3 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 46 beds · Medicaid
Centerville Care and Rehab Center Centerville · 10.5 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 42 beds · Medicaid
SD Human Services Center - Geriatric Program Yankton · 16.9 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 69 beds · Medicaid
Bethesda of Beresford Beresford · 18.9 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 39 beds · Medicaid

More nursing homes near Sunset Manor Avera Health ›   All nursing homes in Irene ›

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Other Avera Health nursing homes in South Dakota

Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Avera Health nursing homes ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/south-dakota/irene/sunset-manor-avera-health/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.