Sunset Manor Avera Health
Irene, Clay County, South Dakota · CCN 435100 · Non-profit (Other) · part of Avera Health (13 facilities, chain average 3.7 stars)
CMS rates Sunset Manor Avera Health 2 of 5 overall as of August 2026. 58 certified beds, 50 residents a day on average. 17 citations on record from the current inspection cycles, 4 involving actual harm; 2 fines totalling $40,596.
On record
- Abuse icon. CMS marks this facility for a citation of abuse that led to harm, or a repeated potential for it, within the recent inspection cycles.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★☆☆☆ 2 of 5 |
|---|---|
| Health inspections | ★★☆☆☆ 2 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★☆☆☆ 2 of 5 |
| Quality: long-stay / short-stay | 2 / — of 5 |
Staffing
| Total nurse staffing | 5.10181 hours per resident per day |
|---|---|
| Registered nurses | 0.84983 hours per resident per day |
| Weekend total | 4.26844 hours per resident per day |
| Nursing staff turnover | 70.4% (registered nurses 72.7%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-05 complaint survey |
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 that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-06-03 |
| 2026-05-05 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-03 |
| 2025-12-31 | Post nurse staffing information every day. Nursing and Physician Services Deficiencies · tag F0732 |
F No actual harm, with potential for more than minimal harm; widespread | Deficient, Provider has date of correction 2026-01-08 |
| 2025-12-31 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-04 |
| 2025-12-31 | 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 No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-01-16 |
| 2025-12-31 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-04 |
| 2025-12-31 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-04 |
| 2025-06-18 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-16 |
| 2025-06-18 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-16 |
| 2025-06-18 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-07-22 |
| 2025-02-12 complaint survey |
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 that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2025-03-13 |
| 2025-02-12 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-03-13 |
| 2024-09-25 complaint survey |
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 that is not immediate jeopardy; pattern | Deficient, Provider has date of correction 2024-10-23 |
| 2024-09-25 complaint survey |
Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · tag F0684 |
H Actual harm that is not immediate jeopardy; pattern | Deficient, Provider has date of correction 2024-10-23 |
| 2024-08-08 complaint survey |
Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-09-06 |
| 2024-08-08 complaint survey |
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 No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-09-22 |
| 2023-07-13 | Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · tag F0638 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-08-25 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2025-02-12 | Fine | $11,190 |
| 2024-09-25 | Fine | $29,406 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Sacred Heart Health Services Organization | adp of the snf | — | 2025-08-28 |
| Sacred Heart Health Services Organization | operational/managerial control | — | 1994-01-01 |
| Sunset Manor Inc. Organization | operational/managerial control | — | 1994-06-15 |
| Kolbeck, Audrey Individual | adp of the snf | — | 1991-02-04 |
| Stockland, Robin Individual | adp of the snf | — | 2025-09-04 |
| Davis, Brittani Individual | corporate director | — | 2022-04-01 |
| Gaertner, Rachael Individual | corporate director | — | 2024-04-01 |
| Johnke, Larry Individual | corporate director | — | 2013-04-09 |
| Learing, Susan Individual | corporate director | — | 2024-04-01 |
| Nielsen, Tamie Individual | corporate director | — | 2022-04-01 |
| Kolbeck, Audrey Individual | corporate officer | — | 1991-02-04 |
| Stockland, Robin Individual | corporate officer | — | 2017-11-30 |
| Kolbeck, Audrey Individual | operational/managerial control | — | 1991-02-04 |
| Stockland, Robin Individual | operational/managerial control | — | 2017-11-30 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Sunset Manor Avera Health.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Clay County.