Sunset Manor Avera Health

129 E CLAY ST, IRENE, SD 57037 · CCN 435100 · 58 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing4 of 5CMS quality2 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 4 citation(s) in the last three years where CMS determined a resident was actually harmed.

CMS has flagged this facility with its abuse icon, which marks facilities cited for abuse in recent inspections.

Serious inspection findings

2026-05-05 ACTUAL HARM (tag F0600, severity G)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-02-12 ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2024-09-25 ACTUAL HARM (tag F0600, severity H)
Freedom from Abuse, Neglect, and Exploitation Deficiencies · correction not recorded in CMS data
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-09-25 ACTUAL HARM (tag F0684, severity H)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Staffing, from payroll records

Nursing hours / resident / day

4.85

state median 2.96

Weekend staffing gap

−18%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.61

registered nurses only

Contract (agency) staff

53%

share of all nursing hours

Nursing staff turnover

70%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $40,596 in fines.

DateTypeAmount
2025-02-12Fine$11,190
2024-09-25Fine$29,406

Ownership

Ownership type: Non profit - Other. Part of the AVERA HEALTH chain.

Other facilities under the same ownership, with their CMS overall ratings:

Full citation history

By severity: Actual harm: 4 · Potential for more than minimal harm: 13

Survey dateTagCategorySeverityCorrected
2026-05-05F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesGnot recorded
2026-05-05F0609Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-12-31F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2025-12-31F0678Quality of Life and Care DeficienciesDnot recorded
2025-12-31F0732Nursing and Physician Services DeficienciesFnot recorded
2025-12-31F0812Nutrition and Dietary DeficienciesEnot recorded
2025-12-31F0880Infection Control DeficienciesEnot recorded
2025-06-18F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2025-06-18F0684Quality of Life and Care DeficienciesDnot recorded
2025-06-18F0689Quality of Life and Care DeficienciesDnot recorded
2025-02-12F0684Quality of Life and Care DeficienciesEnot recorded
2025-02-12F0689Quality of Life and Care DeficienciesGnot recorded
2024-09-25F0600Freedom from Abuse, Neglect, and Exploitation DeficienciesHnot recorded
2024-09-25F0684Quality of Life and Care DeficienciesHnot recorded
2024-08-08F0604Freedom from Abuse, Neglect, and Exploitation DeficienciesDnot recorded
2024-08-08F0641Resident Assessment and Care Planning DeficienciesEnot recorded
2023-07-13F0638Resident Assessment and Care Planning DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Sunset Manor Avera Health, IRENE” at medicare.gov/care-compare.