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    Nursing home · IRENE, SD

    Sunset Manor Avera Health

    129 E CLAY ST, IRENE, SD 57037

    CMS certification number: 435100 · Updated October 1, 2026

    CMS abuse-related concern

    CMS has flagged this facility for abuse-related concerns. Review its official inspection information.

    Request care assistance6052633318Directions

    At a glance

    Official CMS profile

    CMS overall rating

    1 / 5

    Certified beds

    58

    Residents / day

    49.6

    Ownership

    Non profit - Other

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    Non profit - Other
    County
    Clay
    Certified beds
    58
    Average residents per day
    49.6
    First certified
    January 1, 1997

    CMS quality ratings

    Overall
    1 / 5
    Health inspections
    2 / 5
    Staffing
    4 / 5
    Quality measures
    1 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Clay, South Dakota. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    1.00
    County peers
    3.00
    n=2
    State peers
    3.01

    Nurse hours / resident / day

    This home
    5.16
    County peers
    3.70
    n=2
    State peers
    3.84
    n=90

    Weekend nurse hours / resident / day

    This home
    4.35
    County peers
    3.05
    n=2
    State peers
    3.27
    n=90

    Nursing staff turnover (%)

    This home
    68.80
    County peers
    39.70
    n=2
    State peers
    48.33
    n=86

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 15.7% below the all-days average. How is weekend coverage maintained?
    • What changes were made after the abuse-related CMS flag, and how are residents protected today?
    • CMS reports 68.8% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    13
    Health citations
    17
    Resident measures
    17
    Ownership records
    14
    Penalties
    3
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    5.15796
    Reported RN Staffing Hours per Resident per Day
    0.68369
    Reported LPN Staffing Hours per Resident per Day
    0.54343
    Reported Nurse Aide Staffing Hours per Resident per Day
    3.93084
    Total number of nurse staff hours per resident per day on the weekend
    4.34908
    Registered Nurse hours per resident per day on the weekend
    0.67644
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00759
    Total nursing staff turnover
    68.8
    Registered Nurse turnover
    90.9
    Number of administrators who have left the nursing home
    0
    Chain Name
    AVERA HEALTH
    Number of Facilities in Chain
    13
    Chain Average Overall 5-star Rating
    4.1
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    SD
    Urban
    N
    Chain ID
    61
    Latitude
    43.0822
    Location
    129 E CLAY ST,IRENE,SD,57037
    ZIP Code
    57037
    City/Town
    IRENE
    Longitude
    -97.157
    QM Rating
    1
    Abuse Icon
    Y
    Chain Name
    AVERA HEALTH
    County/Parish
    Clay
    Provider Name
    Sunset Manor Avera Health
    Provider Type
    Medicare and Medicaid
    Overall Rating
    1
    Ownership Type
    Non profit - Other
    Number of Fines
    3
    Processing Date
    2026-10-01
    Staffing Rating
    4
    Provider Address
    129 E CLAY ST
    Telephone Number
    6052633318
    Geocoding Footnote
    Not reported
    QM Rating Footnote
    Not reported
    Legal Business Name
    SUNSET MANOR INC.
    Long-Stay QM Rating
    1
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.22057
    Chain Average QM Rating
    3.0
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    2
    Number of Certified Beds
    58
    Provider SSA County Code
    130
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    90.9
    Total Number of Penalties
    3
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.86550
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    68.8
    Chain Average Staffing Rating
    4.5
    Number of Facilities in Chain
    13
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    435100
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    56946.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    68
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    84.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    49.6
    Chain Average Overall 5-star Rating
    4.1
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    132
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    3.7
    Rating Cycle 1 Health Deficiency Score
    68
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    132
    Rating Cycle 1 Standard Survey Health Date
    2025-12-31
    Rating Cycle 2 Standard Health Survey Date
    2024-08-08
    Rating Cycle 2/3 Number of Health Revisits
    0
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.78375
    Case-Mix RN Staffing Hours per Resident per Day
    0.59861
    Reported RN Staffing Hours per Resident per Day
    0.68369
    Adjusted LPN Staffing Hours per Resident per Day
    0.62295
    Case-Mix LPN Staffing Hours per Resident per Day
    0.74594
    Reported LPN Staffing Hours per Resident per Day
    0.54343
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    7
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    9
    Rating Cycle 1 Number of Standard Health Deficiencies
    5
    Rating Cycle 2 Number of Standard Health Deficiencies
    0
    Reported Licensed Staffing Hours per Resident per Day
    1.22712
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    3
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    4.50608
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    2.03163
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    3.93084
    Adjusted Total Nurse Staffing Hours per Resident per Day
    5.91278
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.37617
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    9
    Reported Total Nurse Staffing Hours per Resident per Day
    5.15796
    Registered Nurse hours per resident per day on the weekend
    0.67644
    Date First Approved to Provide Medicare and Medicaid Services
    1997-01-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00759
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    4.98552
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.97128
    Total number of nurse staff hours per resident per day on the weekend
    4.34908

    COMMUNITY EXPERIENCE

    Reviews of Sunset Manor Avera Health

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026