Avera Sunrise Manor
240 Willow Street · Tyler, MN · 56178 · 5072475839
30 certified beds Non profit - Church related Chain: Avera Health
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 4 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 4.17 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.80 | 0.55–0.75 |
| Weekend hours / resident-day | 3.72 | ≈ weekday level |
| Nursing turnover / year | 40% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (14 in the current record)
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Potential for harm · D April 2, 2025
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 12, 2025 · Resident Rights
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Potential for harm · D April 2, 2025
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected May 12, 2025 · Resident Rights
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Potential for harm · D April 2, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 2, 2025 · found via complaint
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Corrected May 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F April 3, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Waiver has been granted · Nursing and Physician Services
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Potential for harm · D April 3, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected May 1, 2024 · Pharmacy Service
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Potential for harm · D April 3, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Corrected May 1, 2024 · Pharmacy Service
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Potential for harm · D August 3, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected September 15, 2023 · Resident Assessment and Care Planning
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Potential for harm · D August 3, 2023
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected September 15, 2023 · Pharmacy Service
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Potential for harm · D August 3, 2023
Ensure medication error rates are not 5 percent or greater.
Corrected September 15, 2023 · Pharmacy Service
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Potential for harm · E August 3, 2023
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected September 15, 2023 · Pharmacy Service
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Potential for harm · F August 3, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 15, 2023 · Nutrition and Dietary
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Potential for harm · D August 3, 2023
Implement a program that monitors antibiotic use.
Corrected September 15, 2023 · Infection Control
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Potential for harm · E August 3, 2023
Develop and implement policies and procedures for flu and pneumonia vaccinations.
Corrected September 15, 2023 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data — this one leads its area. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 245357 · certified since May 1, 1986. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.