Sunset Manor Avera Health
129 E Clay St · Irene, SD · 57037 · 6052633318
58 certified beds Non profit - Other Chain: Avera Health
Why this verdict
- Carries CMS’s abuse warning icon.
- 3 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
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Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
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: 2 of 5 Staffing: 4 of 5 Quality measures: 2 of 5
| Total nurse hours / resident-day | 5.10 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.69 | 0.55–0.75 |
| Weekend hours / resident-day | 4.29 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 2 · $40,596 |
Inspection citations (15 in the current record)
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Potential for harm · E December 31, 2025
Ensure each resident receives an accurate assessment.
Corrected February 4, 2026 · Resident Assessment and Care Planning
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Potential for harm · F December 31, 2025
Post nurse staffing information every day.
Corrected January 8, 2026 · Nursing and Physician Services
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Potential for harm · E December 31, 2025
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected January 16, 2026 · Nutrition and Dietary
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Potential for harm · E December 31, 2025
Provide and implement an infection prevention and control program.
Corrected February 4, 2026 · Infection Control
-
Potential for harm · D December 31, 2025 · found via complaint
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Corrected February 4, 2026 · Quality of Life and Care
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Potential for harm · D June 18, 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 July 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 18, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected July 16, 2025 · Quality of Life and Care
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Potential for harm · D June 18, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 22, 2025 · Quality of Life and Care
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Actual harm · G February 12, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 13, 2025 · Quality of Life and Care
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Potential for harm · E February 12, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 13, 2025 · Quality of Life and Care
-
Actual harm · H September 25, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected October 23, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · H September 25, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 23, 2024 · Quality of Life and Care
-
Potential for harm · D August 8, 2024 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected September 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E August 8, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected September 6, 2024 · Resident Assessment and Care Planning
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Potential for harm · D July 13, 2023
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected August 25, 2023 · Resident Assessment and Care Planning
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| February 12, 2025 | Fine | $11,190 |
| September 25, 2024 | Fine | $29,406 |
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 435100 · certified since January 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.