South Dakota › Clay County › Irene
Sunset Manor Avera Health
129 E Clay St, Irene, SD 57037
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Sunset Manor Avera Health, in Irene, South Dakota, is certified for 58 beds under non-profit, other ownership and belongs to the Avera Health chain.
CMS gives it 2 of 5 stars overall, below the South Dakota median of 3; the health inspection rating is 2, staffing 4 and quality measures 2.
Inspectors recorded 17 health deficiencies across the three most recent survey cycles (7, 9, 1 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 29.3 per 100 beds, about the same as the state median of 23.9.
CMS lists 2 penalties in the period covered: fines totalling $41K.
Reported nurse staffing is 5.1 hours per resident per day (0.8 RN), above the South Dakota median of 3.6; nursing staff turnover is 70.4%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Clay Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 17 | 11 | 16 | 28.7 |
| Citations per 100 beds | 29.3 | 21.1 | 23.9 | 26.8 |
| Total nurse hours per resident day | 5.1 | 3.8 | 3.6 | 3.9 |
| RN hours per resident day | 0.8 | 0.8 | 0.8 | 0.7 |
| Nursing staff turnover | 70.4% | 45.5% | 46.6% | 45.8% |
| Fines listed | $40,596 | $40,596 | $20,183 | — |
County and state figures are medians across facilities (3 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 31 Dec 2025, 8 Aug 2024.
Severity mix: G ×2 H ×2 D ×7 E ×5 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 May 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 3 Jun 2026 |
| 5 May 2026 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Complaint investigation | 3 Jun 2026 |
| 31 Dec 2025 | F0732 | Post nurse staffing information every day. | F | Standard survey | 8 Jan 2026 |
| 31 Dec 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 4 Feb 2026 |
| 31 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 16 Jan 2026 |
| 31 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 4 Feb 2026 |
| 31 Dec 2025 | F0678 | Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives. | D | Complaint investigation | 4 Feb 2026 |
| 18 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 16 Jul 2025 |
| 18 Jun 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 16 Jul 2025 |
| 18 Jun 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 22 Jul 2025 |
| 12 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 13 Mar 2025 |
| 12 Feb 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | Complaint investigation | 13 Mar 2025 |
| 25 Sep 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | H | Complaint investigation | 23 Oct 2024 |
| 25 Sep 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | H | Complaint investigation | 23 Oct 2024 |
| 8 Aug 2024 | F0641 | Ensure each resident receives an accurate assessment. | E | Complaint investigation | 6 Sep 2024 |
| 8 Aug 2024 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Complaint investigation | 22 Sep 2024 |
| 13 Jul 2023 | F0638 | Assure that each resident’s assessment is updated at least once every 3 months. | D | Standard survey | 25 Aug 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 12 Feb 2025 | Fine | $11,190 | |
| 25 Sep 2024 | Fine | $29,406 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 70.4%, RNs 72.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 31.3% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.4% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.5% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.1% | 4.8% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 23.2% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.4% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 74.0% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, other. Legal business name: Sunset Manor Inc.. Chain: Avera Health (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sacred Heart Health Services | Operational/managerial control | NOT APPLICABLE | 01/01/1994 |
| Sunset Manor Inc. | Operational/managerial control | NOT APPLICABLE | 06/15/1994 |
| Sacred Heart Health Services | Adp of the snf | NOT APPLICABLE | 08/28/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Clay County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Wakonda Heritage Manor | Wakonda | 38 | 5 | 4 | 5 | 8 | 21.1 | $13K | 7 May 2026 |
| Sanford Care Center Vermillion | Vermillion | 66 | 2 | 2 | 4 | 11 | 16.7 | $45K | 29 Jan 2026 |
All 3 facilities in Clay County
Questions and answers
How many deficiencies has Sunset Manor Avera Health been cited for?
17 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Sunset Manor Avera Health been fined?
Yes. CMS lists fines totalling $41K in the period covered.
How does staffing at Sunset Manor Avera Health compare?
Reported total nurse staffing is 5.1 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Sunset Manor Avera Health?
It is part of the Avera Health chain. Ownership type is non-profit, other. Organisations in the CMS ownership record include Sacred Heart Health Services and Sunset Manor Inc.. Individual owners and managers are not listed on this site.
When was Sunset Manor Avera Health last inspected?
The most recent survey or investigation in the CMS record is dated 5 May 2026; the most recent standard health survey was 31 Dec 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.