Sunset Manor Avera Health
129 E CLAY ST, IRENE, SD 57037 · CCN 435100
Abuse icon
Ratings
- Overall
- ★★☆☆☆ 2
- Health inspection
- ★★☆☆☆ 2
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Other
- Certified beds
- 58
- Avg residents/day
- 49.1
- Phone
- 6052633318
Inspection history vs South Dakota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | South Dakota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-12-31 | 8 | 6.8 | 9.5 | +1.2 worse |
| 2 | 2024-08-08 | 6 | 5.6 | 9.8 | +0.4 worse |
| 3 | 2023-07-13 | 1 | 3.0 | 9.3 | -2.0 better |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Abuse, neglect, exploitation | 1 |
| Quality of life and care | 3 |
| Resident assessment and care planning | 1 |
| Nursing and physician services | 1 |
| Nutrition and dietary | 1 |
| Infection control | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.95 | 68.4% |
| RN staffing (reported) | 0.58 | 80.0% |
| Total nurse staffing (adjusted) | 6.21 | — |
Fines & penalties
- Total fines
- $40,596
- Number of fines
- 2
- Number of penalties
- 2
- Payment denials
- 0
Chain
- Chain
- AVERA HEALTH
- Facilities in chain
- 12
- Chain avg overall
- 3.70 / 5
Inspection citations (15)3 actual harm
- EF0641Ensure each resident receives an accurate assessment.2025-12-31 · Health · corrected 2026-02-04
Potential for more than minimal harm
- DF0678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.2025-12-31 · Health · corrected 2026-02-04
Potential for more than minimal harm
- FF0732Post nurse staffing information every day.2025-12-31 · Health · corrected 2026-01-08
Potential for more than minimal harm
- EF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2025-12-31 · Health · corrected 2026-01-16
Potential for more than minimal harm
- EF0880Provide and implement an infection prevention and control program.2025-12-31 · Health · corrected 2026-02-04
Potential for more than minimal harm
- DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-18 · Health · corrected 2025-07-16
Potential for more than minimal harm
- DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-06-18 · Health · corrected 2025-07-16
Potential for more than minimal harm
- DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-06-18 · Health · corrected 2025-07-22
Potential for more than minimal harm
- EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-02-12 · Health · corrected 2025-03-13
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-02-12 · Health · corrected 2025-03-13
Actual harm
- HF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-09-25 · Health · corrected 2024-10-23
Actual harm
- HF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-09-25 · Health · corrected 2024-10-23
Actual harm
- DF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.2024-08-08 · Health · corrected 2024-09-22
Potential for more than minimal harm
- EF0641Ensure each resident receives an accurate assessment.2024-08-08 · Health · corrected 2024-09-06
Potential for more than minimal harm
- DF0638Assure that each resident’s assessment is updated at least once every 3 months.2023-07-13 · Health · corrected 2023-08-25
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| SACRED HEART HEALTH SERVICES | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1994-01-01 |
| SUNSET MANOR INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — | 1994-06-15 |
| KOLBECK, AUDREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 1991-02-04 |
| STOCKLAND, ROBIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | — | 2017-11-30 |
| 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 |
Other facilities in IRENE
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.