Federal inspection record · CMS data as of October 1, 2026
Sunset Manor Avera Health
129 E Clay St, Irene, SD · (605) 263-3318
- Cited for abuse (CMS abuse icon)
- Certified beds
- 58
- Residents per day
- 50
- Ownership
- Non-Profit
- Chain
- Avera Health
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1997
1
How this home got 1 star
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★−1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
This home carries CMS's abuse icon, which caps its inspection rating at 2 stars and so its overall rating at 4.
2
Where it sits among South Dakota homes
Sunset Manor Avera Health carries 84 inspection points. That is fewer than 26% of South Dakota's 94 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–14 pts
- 4★ 14–31.5 pts
- 3★ 31.5–55 pts
- 2★ 55–95.25 pts
- 1★ over 95.25 pts
Bars show every rated home in South Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
17 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (4)
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G
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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H
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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H
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Everything else, by area of care
Quality of Life and Care4E
- D
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
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- E
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Freedom from Abuse, Neglect, and Exploitation3D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Resident Assessment and Care Planning3E
- E
Ensure each resident receives an accurate assessment.
- E
Ensure each resident receives an accurate assessment.
- D
Assure that each resident’s assessment is updated at least once every 3 months.
Nursing and Physician Services1F
- F
Post nurse staffing information every day.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Inspection history
2025-12-31
7 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
2024-08-08
5 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-07-13
5 health deficiencies · 5 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 5 h 9 min of nursing staff time a day, 41 min of it from a registered nurse.
This home
5 h 9 min
South Dakota average
3 h 51 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 69% of nursing staff and 91% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$56,946 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2026-05-05 | Fine | $16,350 |
| 2025-02-12 | Fine | $11,190 |
| 2024-09-25 | Fine | $29,406 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1 pts worse | 2.5 | 1.5 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.0 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine3.1 pts better | 98.0% | 94.9% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts better | 100.0% | 97.2% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.6 pts worse | 7.1% | 5.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms10.8 pts worse | 16.7% | 5.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight1 pts better | 4.7% | 5.7% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication21.7 pts worse | 39.4% | 17.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication49.1 pts worse | 73.9% | 24.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.5 pts worse | 0.5% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.5 pts worse | 25.8% | 18.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased17.3 pts worse | 38.8% | 21.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.2 pts better | 1.7% | 1.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.9 pts better | 0.0% | 2.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.4 pts better | 23.1% | 24.5% | 18.3% |
| Percentage of long-stay residents with pressure ulcers0.6 pts better | 3.9% | 4.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine2.9 pts worse | 81.0% | 83.9% | 82.3% |
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Who owns and runs it
14 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Davis, Brittani | Corporate Director · Individual | 0% | 2 facilities |
| Gaertner, Rachael | Corporate Director · Individual | 0% | 1 facilities |
| Johnke, Larry | Corporate Director · Individual | 0% | 1 facilities |
| Kolbeck, Audrey | Corporate Officer · Individual | 0% | 1 facilities |
| Kolbeck, Audrey | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kolbeck, Audrey | Adp Of The SNF · Individual | 0% | 1 facilities |
| Learing, Susan | Corporate Director · Individual | 0% | 1 facilities |
| Nielsen, Tamie | Corporate Director · Individual | 0% | 1 facilities |
| Sacred Heart Health Services | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Sacred Heart Health Services | Adp Of The SNF · Organization | 0% | 2 facilities |
| Stockland, Robin | Corporate Officer · Individual | 0% | 2 facilities |
| Stockland, Robin | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Stockland, Robin | Adp Of The SNF · Individual | 0% | 2 facilities |
| Sunset Manor Inc. | Operational/Managerial Control · Organization | 0% | 1 facilities |
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Fire safety
13 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Egress8E
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- C
Have correct number of accessible exits for each story.
- C
Have correct number of accessible exits for each story.
- C
Have exits that are accessible at all times.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D
Have horizontal exits used in accordance with safety requirements.
- D
Have properly located and lighted "Exit" signs.
- C
Have correct number of accessible exits for each story.
Smoke2D
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Miscellaneous2D
- D
Have simulated fire drills held at unexpected times.
- D
Have restrictions on the use of portable space heaters.
Gas, Vacuum, and Electrical Systems1C
- C
Meet requirements for the installation and maintenance of electrical systems.
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Other homes nearby
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Wakonda Heritage Manor
Wakonda, SD · Avera Health
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 53 min
- Fines
- $12,675
-
Pioneer Memorial Nursing Home
Viborg, SD
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 58 min
- Fines
- $32,536
-
Centerville Care and Rehab Center Inc
Centerville, SD · Abuse icon
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 3 h 36 min
- Fines
- $69,439