C71

Sunset Manor Avera Health

Grade C 71/100 composite score

Non profit - OtherAbuse Citation

CMS Star Ratings

Overall
2/5
Health Insp.
2/5
Quality
3/5
Staffing
4/5
RN Staffing
Not rated

Certified Beds

58

Ownership

Non profit - Other

Total Fines

$46,621

Last Survey

N/A

129 E CLAY ST, IRENE, SD 57037
6052633318

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.73h
LPN
1.08h
CNA
4.40h
Total
6.21h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

SACRED HEART HEALTH SERVICES

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jan 1994

SUNSET MANOR INC.

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Jun 1994

KOLBECK, AUDREY

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Feb 1991

STOCKLAND, ROBIN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Nov 2017

DAVIS, BRITTANI

IndividualCORPORATE DIRECTORSince Apr 2022

GAERTNER, RACHAEL

IndividualCORPORATE DIRECTORSince Apr 2024

JOHNKE, LARRY

IndividualCORPORATE DIRECTORSince Apr 2013

LEARING, SUSAN

IndividualCORPORATE DIRECTORSince Apr 2024

NIELSEN, TAMIE

IndividualCORPORATE DIRECTORSince Apr 2022

KOLBECK, AUDREY

IndividualCORPORATE OFFICERSince Feb 1991

STOCKLAND, ROBIN

IndividualCORPORATE OFFICERSince Nov 2017

Penalties & Fines (2)

$46,621total fines
DateTypeDescriptionAmount
Feb 12, 2025Fine$17,215
Sep 25, 2024Fine$29,406

Health Inspection Deficiencies (12)

June 18, 2025Health3 deficiencies
0600DMinimal harm, Isolated

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jul 16, 2025
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 16, 2025
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Jul 22, 2025
February 12, 2025Health2 deficiencies1 severe
0684EMinimal harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Mar 13, 2025
0689GActual harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Mar 13, 2025
September 25, 2024Health2 deficiencies2 severe
0600HActual harm, Pattern

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Oct 23, 2024
0684HActual harm, Pattern

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

Quality of Life and Care Deficiencies

Corrected Oct 23, 2024
August 8, 2024Health2 deficiencies
0604DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Sep 22, 2024
0641EMinimal harm, Pattern

Ensure each resident receives an accurate assessment.

Resident Assessment and Care Planning Deficiencies

Corrected Sep 6, 2024
July 13, 2023Health1 deficiency
0638DMinimal harm, Isolated

Assure that each resident’s assessment is updated at least once every 3 months.

Resident Assessment and Care Planning Deficiencies

Corrected Aug 25, 2023
January 13, 2022Health2 deficiencies
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Feb 9, 2022
0656DMinimal harm, Isolated

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Resident Assessment and Care Planning Deficiencies

Corrected Feb 9, 2022

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Frequently Asked Questions

What is the CareGrader rating for Sunset Manor Avera Health?

Sunset Manor Avera Health in IRENE, South Dakota has a CareGrader grade of C (Average), with a composite score of 70.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for Sunset Manor Avera Health?

Sunset Manor Avera Health has an overall CMS star rating of 2 out of 5, a health inspection rating of 2/5, and a staffing rating of 4/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does Sunset Manor Avera Health have?

Sunset Manor Avera Health has 12 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has Sunset Manor Avera Health been fined?

Yes. Sunset Manor Avera Health has $46,621 in total fines from CMS enforcement actions across 2 penalties.

How many beds does Sunset Manor Avera Health have?

Sunset Manor Avera Health has 58 certified beds with approximately 49 current residents (84% occupancy). The facility is located at 129 E CLAY ST, IRENE, South Dakota 57037. It is a non profit - other facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.