nursing home in Irene, SD
Sunset Manor Avera Health
129 E Clay St, Irene, SD 57037 · (605) 263-3318
★★★★★2
Below average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★2
- Abuse citation
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Sunset Manor Avera Health at a glance
Sunset Manor Avera Health is a 58-bed non-profit nursing home in Irene, South Dakota (Clay County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the South Dakota average of 2.9.
Residents receive about 5.1 hours of nursing care per day (0.8 of them from registered nurses), better than the state average of 3.8 hours.
Its most recent standard health inspection (December 31, 2025) found 7 health citations. The South Dakota average is 6.7.
Federal regulators fined it 3 times in the past three years, totaling $56,946.
Nursing staff turnover is 70.4% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Other
- Beds
- 58
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Avera Health
- Medicare-certified since
- January 1, 1997
- Resident/family council
- Resident
- County
- Clay County
- CMS Certification Number
- 435100
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 2 / 5 | 2.6 / 5 | 3.8 / 5 | Worse |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 5.10 hrs | 3.79 hrs | 3.86 hrs | Better |
| Registered nurse hours per resident per day (higher is better) | 0.85 hrs | 0.80 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 3.69 hrs | 2.52 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 4.27 hrs | 3.26 hrs | 3.42 hrs | Better |
| Nursing staff turnover (yearly) (lower is better) | 70.4% | 48.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 72.7% | 34.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 3 | 2 | 3 | Worse |
| Weighted health inspection score ⓘ (lower is better) | 84 | 72.2 | 80.6 | Average |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $56,946 | $40,815 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 3 | 2 | 1 | Worse |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 58 | 61 | 107 | |
| Average residents per day | 50 | 52 | 86 | |
| Occupancy | 85.7% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 6.1% | 5.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 3.4% | 4.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 74% | 24.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 0.5% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.4% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 31.3% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 23.2% | 19.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 3.6% | 5.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 17.7% | 5.7% | 12.8% | Worse |
| Long-stay residents who were physically restrained (lower is better) | 0.5% | 0% | 0.1% | Worse |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 39% | 17.4% | 19.5% | Worse |
| Long-stay residents with new or worse incontinence (lower is better) | 20.7% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 98.5% | 94.9% | 93.6% | Better |
Inspection citations
State inspectors cited this home for 17 health deficiencies and 13 fire safety deficiencies in the inspection records CMS currently publishes. 4 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| May 5, 2026 Complaint | 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 · Tag F0600 | G Actual harm, isolated | Corrected June 3, 2026 |
| May 5, 2026 Complaint | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0609 | D Potential harm, isolated | Corrected June 3, 2026 |
| December 31, 2025 Fire safety | 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. Egress Deficiencies · Tag K0222 | E Potential harm, pattern | Corrected February 4, 2026 |
| December 31, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected December 31, 2025 |
| December 31, 2025 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected December 31, 2025 |
| December 31, 2025 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected February 4, 2026 |
| December 31, 2025 Fire safety | Have correct number of accessible exits for each story. Egress Deficiencies · Tag K0241 | C No harm, widespread | Corrected December 31, 2025 |
| December 31, 2025 Standard | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Tag F0732 | F Potential harm, widespread | Corrected January 8, 2026 |
| December 31, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected February 4, 2026 |
| December 31, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | E Potential harm, pattern | Corrected January 16, 2026 |
| December 31, 2025 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected February 4, 2026 |
| December 31, 2025 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. Quality of Life and Care Deficiencies · Tag F0678 | D Potential harm, isolated | Corrected February 4, 2026 |
| June 18, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | D Potential harm, isolated | Corrected July 16, 2025 |
| June 18, 2025 Complaint | 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 · Tag F0600 | D Potential harm, isolated | Corrected July 16, 2025 |
| June 18, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected July 22, 2025 |
| February 12, 2025 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected March 13, 2025 |
| February 12, 2025 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | E Potential harm, pattern | Corrected March 13, 2025 |
| September 25, 2024 Complaint | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Tag F0684 | H Actual harm, pattern | Corrected October 23, 2024 |
| September 25, 2024 Complaint | 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 · Tag F0600 | H Actual harm, pattern | Corrected October 23, 2024 |
| August 8, 2024 Fire safety | Have correct number of accessible exits for each story. Egress Deficiencies · Tag K0241 | C No harm, widespread | Deficient, Provider has no plan of correction |
| August 8, 2024 Fire safety | Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0911 | C No harm, widespread | Corrected August 7, 2024 |
| August 8, 2024 Fire safety | Have exits that are accessible at all times. Egress Deficiencies · Tag K0271 | C No harm, widespread | Corrected August 27, 2024 |
| August 8, 2024 Complaint | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | E Potential harm, pattern | Corrected September 6, 2024 |
| August 8, 2024 Complaint | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected September 22, 2024 |
| July 13, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected July 12, 2023 |
| July 13, 2023 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected July 12, 2023 |
| July 13, 2023 Fire safety | Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Tag K0226 | D Potential harm, isolated | Corrected July 12, 2023 |
| July 13, 2023 Fire safety | 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. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected July 12, 2023 |
| July 13, 2023 Fire safety | Have correct number of accessible exits for each story. Egress Deficiencies · Tag K0241 | C No harm, widespread | Corrected July 12, 2023 |
| July 13, 2023 Standard | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Tag F0638 | D Potential harm, isolated | Corrected August 25, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 3 federal penalties in the past three years, including $56,946 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| May 5, 2026 | Fine | $16,350 |
| February 12, 2025 | Fine | $11,190 |
| September 25, 2024 | Fine | $29,406 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| KOLBECK, AUDREY Individual | adp of the snf | NOT APPLICABLE | 02/04/1991 |
| SACRED HEART HEALTH SERVICES Organization | adp of the snf | NOT APPLICABLE | 08/28/2025 |
| STOCKLAND, ROBIN Individual | adp of the snf | NOT APPLICABLE | 09/04/2025 |
| DAVIS, BRITTANI Individual | corporate director | NOT APPLICABLE | 04/01/2022 |
| GAERTNER, RACHAEL Individual | corporate director | NOT APPLICABLE | 04/01/2024 |
| JOHNKE, LARRY Individual | corporate director | NOT APPLICABLE | 04/09/2013 |
| LEARING, SUSAN Individual | corporate director | NOT APPLICABLE | 04/01/2024 |
| NIELSEN, TAMIE Individual | corporate director | NOT APPLICABLE | 04/01/2022 |
| KOLBECK, AUDREY Individual | corporate officer | NOT APPLICABLE | 02/04/1991 |
| STOCKLAND, ROBIN Individual | corporate officer | NOT APPLICABLE | 11/30/2017 |
| KOLBECK, AUDREY Individual | operational/managerial control | NOT APPLICABLE | 02/04/1991 |
| SACRED HEART HEALTH SERVICES Organization | operational/managerial control | NOT APPLICABLE | 01/01/1994 |
| STOCKLAND, ROBIN Individual | operational/managerial control | NOT APPLICABLE | 11/30/2017 |
| SUNSET MANOR INC. Organization | operational/managerial control | NOT APPLICABLE | 06/15/1994 |
Other nursing homes near Sunset Manor Avera Health
Wakonda Heritage Manor
515 Ohio Street, Wakonda, SD 57073 · 6 mi
Non-profit · 38 beds · Part of Avera Health
- CMS high performer
★★★★★5Much above average- ★★★★★5Much above average
Centerville Care and Rehab Center INC
500 Vermillion St, Centerville, SD 57014 · 10.5 mi
For-profit · 42 beds
- Abuse citation
★★★★★1Much below averageSd Human Services Center - Geriatric Program
3515 Broadway Ave, Yankton, SD 57078 · 16.9 mi
Government · 69 beds
★★★★★5Much above average- ★★★★★2Below average
Avera Sister James Care Center
2111 West 11th Street, Yankton, SD 57078 · 19.6 mi
Non-profit · 194 beds · Part of Avera Health
★★★★★5Much above average
Frequently asked questions
What is Sunset Manor Avera Health's rating?
Sunset Manor Avera Health has 2 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Sunset Manor Avera Health receive?
Its most recent standard health inspection found 7 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Sunset Manor Avera Health accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Sunset Manor Avera Health?
It is non profit - other and part of Avera Health. The ownership section on this page lists the owners and managers reported to CMS.
Where is Sunset Manor Avera Health and how do I contact it?
Sunset Manor Avera Health is at 129 E Clay St, Irene, SD 57037. Phone: (605) 263-3318.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.