Sun Dial Manor

410 Second Street · Bristol, SD · 57219 · 6054923615

37 certified beds Non profit - Corporation

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.

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Red flags

63% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 44
Serious harm & abuse 20% 88
Staffing 20% 68
Federal penalties 15% 59
Trend 10% 65
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.543.48 min · 4.1 strong
RN hours / resident-day0.900.55–0.75
Weekend hours / resident-day3.13≈ weekday level
Nursing turnover / year63%median 45%
Fines (3-yr window)2 · $24,528

Inspection citations (21 in the current record)

  • Potential for harm · E January 29, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected March 15, 2026 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D May 21, 2025

    Allow residents to self-administer drugs if determined clinically appropriate.

    Corrected July 7, 2025 · Resident Rights

  • Potential for harm · E May 21, 2025

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

    Corrected July 7, 2025 · Resident Rights

  • Potential for harm · D May 21, 2025

    Not hire anyone with a finding of abuse, neglect, exploitation, or theft.

    Corrected July 7, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · E May 21, 2025

    Ensure each resident receives an accurate assessment.

    Corrected July 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 21, 2025

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Corrected July 7, 2025 · Resident Assessment and Care Planning

  • Potential for harm · E May 21, 2025

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected July 7, 2025 · Quality of Life and Care

  • Potential for harm · F May 21, 2025

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

    Corrected July 7, 2025 · Nutrition and Dietary

  • Potential for harm · E May 21, 2025

    Have a policy regarding use and storage of foods brought to residents by family and other visitors.

    Corrected July 7, 2025 · Nutrition and Dietary

  • Potential for harm · E May 21, 2025

    Provide and implement an infection prevention and control program.

    Corrected July 7, 2025 · Infection Control

  • Potential for harm · E May 21, 2025 · found via complaint

    Develop, implement, and/or maintain an effective training program for all new and existing staff members.

    Corrected July 7, 2025 · Administration

  • Potential for harm · E December 4, 2024 · found via complaint

    Provide and implement an infection prevention and control program.

    Corrected January 2, 2025 · Infection Control

  • Actual harm · G October 29, 2024 · found via complaint

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

    Corrected November 28, 2024 · Quality of Life and Care

  • Potential for harm · E October 29, 2024 · found via complaint

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

    Corrected November 28, 2024 · Freedom from Abuse, Neglect, and Exploitation

  • Actual harm · G December 21, 2023 · found via complaint

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

    Corrected January 23, 2024 · Quality of Life and Care

  • Potential for harm · D December 21, 2023

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

    Corrected January 23, 2024 · Resident Rights

  • Potential for harm · E December 21, 2023

    Provide activities to meet all resident's needs.

    Corrected January 23, 2024 · Quality of Life and Care

  • Potential for harm · F December 21, 2023

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

    Corrected January 23, 2024 · Nursing and Physician Services

  • Potential for harm · E December 21, 2023

    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.

    Corrected January 23, 2024 · Nursing and Physician Services

  • Potential for harm · E December 21, 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 January 23, 2024 · Pharmacy Service

  • Potential for harm · D December 21, 2023 · found via complaint

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

    Corrected January 23, 2024 · Freedom from Abuse, Neglect, and Exploitation

Federal penalties

DateTypeAmount / length
October 29, 2024Fine$10,839
December 21, 2023Fine$13,689

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435093 · certified since January 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.