The nursing home failed to protect residents from abuse and neglect by others. Cited September 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: H
Nursing home report
Sunset Manor Avera
Registered name: Sunset Manor Avera Health
IRENE, SD · Medicare-certified · 58 beds
Needs attention
Abuse citationNon-profitChain member
Data as of July 1, 2026
2 of 5 overall
Sunset Manor Avera in Irene, SD has a 2-star overall rating, with 2-star health inspection and quality ratings but 4-star staffing. It reports nurse staffing above the federal benchmark (5.10 vs 4.1 hours per resident per day), along with $40,596 in fines in the last 24 months and a recent abuse citation.
Facility ratings
Health inspections
Staffing
5.1018 hrs/resident/day
Quality measures
Last inspection: May 5, 2026Penalties, last 24 months: $40,596recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 5.1018.
Staffing detail
- Registered nurses
- 0.85
- Licensed practical nurses
- 0.56
- Nurse aides
- 3.69
- Weekend nursing
- 4.27
Hours per resident per day.
Total staff turnover: 70%
Registered nurse turnover: 73%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
75%73.3%Improving
Residents with a fall causing major injury
2%8%Worsening
Residents with pressure ulcers (bedsores)
0%8.7%Worsening
Residents with a urinary tract infection
2%0%Improving
Residents who lost too much weight
2.1%6.1%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
25.5%42.2%Worsening
Residents whose ability to walk got worse
19.5%30%Worsening
Long-stay residents on antianxiety or sleep medication
38.8%42.9%Worsening
Residents with a long-term catheter
0%3.4%Worsening
Residents with new or worsening incontinence
14.8%30.3%Worsening
Residents with depressive symptoms
20.9%15.8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%98%Worsening
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited September 2024 — limited pattern, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: H
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to post its nurse staffing information every day, so families could not easily see daily staffing levels. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 732 — 42 CFR §483.35(i) — S/S: F
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $11,190 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $29,406 was recorded.
Penalties & enforcement
On record with Medicare: 2 fines · $40,596 in total fines.
- $11,190
Federal fine
Feb 12, 2025
- $29,406
Federal fine
Sep 25, 2024
Operator & ownership
- Ownership
- Non profit - Other
- Chain
- Part of AVERA HEALTH · 13 homes · 3.4 stars avg
- Occupancy
- 49.7 residents on an average day (86% of 58 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.