Quick answers
- Where is Sunset Manor Avera Health?
- 129 E Clay St, Irene, SD 57037, in Clay County, South Dakota.
- What is the phone number of Sunset Manor Avera Health?
- (605) 263-3318, as listed by Medicare (CMS).
- What is the Medicare star rating of Sunset Manor Avera Health?
- Medicare overall rating: 1 out of 5 stars (CMS data updated 2026-10-01).
- Has Sunset Manor Avera Health been fined?
- Medicare lists 3 fines totaling $56,946.
- What did inspectors find at Sunset Manor Avera Health?
- In its last three inspection cycles (July 13, 2023 to May 5, 2026), Medicare lists 17 health citations; the most serious was level H. 4 were level G or higher (actual harm or immediate jeopardy). See the list below (CMS data updated 2026-10-01).
Medicare ratings, explained
Star ratings are one piece of information. Visit, ask questions and talk with your doctor about what matters for your care.
Inspections, fines and staffing
In its last three inspection cycles (July 13, 2023 to May 5, 2026), Sunset Manor Avera Health had 17 health citations; the most serious was level H (actual harm to residents). 4 of them were level G or higher (actual harm or immediate jeopardy). It was fined $56,946 in total (3 fines, the latest on May 5, 2026). Nurse staffing is 5.16 hours per resident per day; the South Dakota average is 3.86 and the national average is 3.90.
Source: Medicare (CMS) Provider Data Catalog, data updated October 1, 2026, retrieved November 13, 2026.
Inspection history: last three cycles
State inspectors visit about once a year and also investigate complaints. Each citation (deficiency) has a tag number and a letter, A to L. The letter shows how serious the problem was and how many residents it affected.
What the letters A to L mean
| Seriousness | Isolated (a few residents) | Pattern (some) | Widespread (many) |
|---|---|---|---|
| No actual harm, potential for minimal harm | A | B | C |
| No actual harm, potential for more than minimal harm | D | E | F |
| Actual harm to residents | G | H | I |
| Immediate jeopardy to resident health or safety | J | K | L |
Source: the scope and severity grid Medicare (CMS) uses for nursing home citations.
Most recent cycle: December 31, 2025 — 7 health citations
Inspections in this cycle: December 31, 2025 (complaint investigation); December 31, 2025 (standard health inspection); May 5, 2026 (complaint investigation).
F0600 Level G
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; isolated (a few residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Show 6 less serious citations (levels A to F)
F0732 Level F
“Post nurse staffing information every day.”
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0812 Level E
“Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.”
F0880 Level E
“Provide and implement an infection prevention and control program.”
F0609 Level D
“Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.”
F0678 Level 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.”
Previous cycle: August 8, 2024 — 5 health citations
Inspections in this cycle: August 8, 2024 (standard health inspection); February 12, 2025 (complaint investigation); June 18, 2025 (complaint investigation).
F0689 Level G
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
actual harm to residents; isolated (a few residents) · Quality of Life and Care Deficiencies
Show 4 less serious citations (levels A to F)
F0684 Level E
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0600 Level D
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
F0684 Level D
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
F0689 Level D
“Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.”
Earlier cycle: July 13, 2023 — 5 health citations
Inspections in this cycle: July 13, 2023 (standard health inspection); August 8, 2024 (complaint investigation); September 25, 2024 (complaint investigation).
F0600 Level H
“Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.”
actual harm to residents; pattern (some residents) · Freedom from Abuse, Neglect, and Exploitation Deficiencies
F0684 Level H
“Provide appropriate treatment and care according to orders, resident’s preferences and goals.”
actual harm to residents; pattern (some residents) · Quality of Life and Care Deficiencies
Show 3 less serious citations (levels A to F)
F0641 Level E
“Ensure each resident receives an accurate assessment.”
F0604 Level D
“Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.”
F0638 Level D
“Assure that each resident’s assessment is updated at least once every 3 months.”
Citation descriptions are Medicare’s official wording. “From a complaint” means the citation came from a complaint investigation instead of the regular yearly inspection.
Full inspection reports on Medicare Care Compare →
Fire safety citations (13)
K0222 Level 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.”
K0321 Level D
“Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.”
K0712 Level D
“Have simulated fire drills held at unexpected times.”
K0781 Level D
“Have restrictions on the use of portable space heaters.”
K0241 Level C
“Have correct number of accessible exits for each story.”
K0241 Level C
“Have correct number of accessible exits for each story.”
K0271 Level C
“Have exits that are accessible at all times.”
K0911 Level C
“Meet requirements for the installation and maintenance of electrical systems.”
K0222 Level 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.”
K0226 Level D
“Have horizontal exits used in accordance with safety requirements.”
K0293 Level D
“Have properly located and lighted "Exit" signs.”
K0355 Level D
“Properly select, install, inspect, or maintain portable fire extinguishes.”
K0241 Level C
“Have correct number of accessible exits for each story.”
Fines and payment denials
Total fines over about the last three years: $56,946 (3 fines). A payment denial means Medicare stopped paying for new admissions for a time.
| Date | Penalty | Amount or length |
|---|---|---|
| May 5, 2026 | Fine | $16,350 |
| February 12, 2025 | Fine | $11,190 |
| September 25, 2024 | Fine | $29,406 |
Source: Medicare (CMS) Penalties file, data updated October 1, 2026.
Staffing
Hours of nursing care per resident per day, from the payroll records nursing homes send to Medicare, next to the state and national averages.
| Measure | This home | South Dakota | National |
|---|---|---|---|
| Registered nurse (RN) hours per resident per day | 0.68 | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.54 | 0.50 | 0.86 |
| Nurse aide hours per resident per day | 3.93 | 2.58 | 2.35 |
| Total nurse staff hours per resident per day | 5.16 | 3.86 | 3.90 |
| Total nurse staff hours per resident per day on the weekend | 4.35 | 3.28 | 3.43 |
| RN hours per resident per day on the weekend | 0.68 | 0.49 | 0.48 |
| Nursing staff turnover (per year) | 68.8% | 48.6% | 45.3% |
| RN turnover (per year) | 90.9% | 37.5% | 42.5% |
| Administrators who left in the last year | 0.0 | 0.3 | 0.5 |
Source: Medicare (CMS) Provider Information and State US Averages, data updated October 1, 2026.
Owners and operator
Part of a group of 13 nursing homes: Avera Health.
Legal business name: Sunset Manor Inc..
Owners and managers Medicare lists (2)
| Name | Role | Share | Since |
|---|---|---|---|
| Sacred Heart Health Services | Management company (operational or managerial control) | NOT APPLICABLE | January 1, 1994 |
| Sunset Manor Inc. | Management company (operational or managerial control) | NOT APPLICABLE | June 15, 1994 |
Source: Medicare (CMS) Ownership file, data updated October 1, 2026. Only owners with an ownership interest and management companies are shown.
Compare with other nursing homes
Key facts
| Type | Nursing home |
|---|---|
| Certified beds | 58 |
| Average residents per day | 49.6 |
| Takes part in | Medicare and Medicaid |
| Ownership | Non-profit – other |
| Group or chain (affiliated entity) | Avera Health |
| Legal business name | Sunset Manor Inc. |
| First approved by Medicare/Medicaid | 1997-01-01 |
| Resident and family councils | Resident council |
| Sprinklers in all required areas | Yes |
| Changed ownership in the last 12 months | No |
| Address | 129 E Clay St, Irene, SD 57037 |
| County | Clay County |
| State | South Dakota |
| Phone | (605) 263‑3318 |
| CMS Certification Number | 435100 |
| Corrections | Report an error or suggest an update → |
What to ask when you call or visit
A general checklist for any nursing home, not advice about this one. Medicare also publishes guides on medicare.gov.
- Is the home certified by Medicare and/or Medicaid, and does it have a bed for the care you need (short-term rehab or long-term care)?
- Can you see the latest state inspection report? Ask how any problems found were fixed.
- How many nurses and aides work on each shift, at night and on weekends? Is there a registered nurse on site at all times?
- Which doctors see residents, and how often? What happens in a medical emergency, and which hospital is used?
- What therapy (physical, occupational, speech) is offered, and how many days a week?
- Are residents clean, dressed and taking part in activities? Do staff speak to them kindly and answer call lights quickly?
- What do the daily rate and extra services cost, and what do Medicare, Medicaid or your insurance pay? Ask for it in writing.
- Is there a resident council and a family council? How are complaints handled? Ask for the long-term care ombudsman’s contact.
- Are meals appetizing, and can the home meet special diets, language needs and religious or cultural preferences?
- Visit more than once, including at a mealtime or in the evening, without an appointment.
Other nursing homes nearby
By straight-line distance (not driving distance).
- Wakonda Heritage Manor6.0 mi · Wakonda, SD · 4 of 5 stars
- Pioneer Memorial Nursing Home7.3 mi · Viborg, SD · 5 of 5 stars
- Centerville Care and Rehab Center Inc10 mi · Centerville, SD · 2 of 5 stars
- SD Human Services Center - Geriatric Program17 mi · Yankton, SD · 5 of 5 stars
- Bethesda of Beresford19 mi · Beresford, SD · 2 of 5 stars
Nearest hospital emergency rooms
- Pioneer Memorial Hospital - CAH7.3 mi · Viborg, SD · Critical Access Hospital
- Avera Sacred Heart Hospital19 mi · Yankton, SD · Acute Care Hospital
- Freeman Medical Center - CAH23 mi · Freeman, SD · Critical Access Hospital
Sources
- Provider Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-01, retrieved 2026-11-13
- Medicare Care Compare — official Medicare profile of this provider
- Health Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Fire Safety Deficiencies — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Penalties — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Ownership — CMS, data updated 2026-10-01, retrieved 2026-11-13
- State US Averages — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Survey Summary — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Citation Code Look-up — CMS, data updated 2026-10-01, retrieved 2026-11-13
- Inspection Dates — CMS, data updated 2026-10-01, retrieved 2026-11-13