Nursing Home

Sunset Manor Avera Health

129 E Clay St, Irene, SD 57037

Part of Avera Healthsee all 28 affiliated facilities

58 certified beds 50 residents per day on average

CMS Five-Star Quality Rating

2 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
5.1 hours

SD average: 3.8 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.8 hours

SD average: 0.8 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
4.3 hours

SD average: 3.3 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
70.4%

SD average: 48.2% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Penalties & Enforcement

2 fines totaling $40,596 in the recent inspection window (most recent: February 12, 2025).

Federal enforcement actions from CMS's penalty file: civil money penalties (fines) and denials of Medicare payment tied to health-inspection deficiencies.

Ownership

Ownership type
Non profit - Other
Chain
Avera Health
Who owns this facility — 14 entries in CMS's ownership records expand ↓
  • Davis, Brittani Individual
    Corporate director since 04/01/2022
  • Gaertner, Rachael Individual
    Corporate director since 04/01/2024
  • Johnke, Larry Individual
    Corporate director since 04/09/2013
  • Learing, Susan Individual
    Corporate director since 04/01/2024
  • Nielsen, Tamie Individual
    Corporate director since 04/01/2022
  • Kolbeck, Audrey Individual
    Corporate officer since 02/04/1991
  • Stockland, Robin Individual
    Corporate officer since 11/30/2017
  • Sacred Heart Health Services Organization
    Operational/managerial control since 01/01/1994
  • Sunset Manor Inc. Organization
    Operational/managerial control since 06/15/1994
  • Kolbeck, Audrey Individual
    Operational/managerial control since 02/04/1991

…and 4 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 7 health (SD avg 6.9) · 5 fire (SD avg 1.4) · ⚠ 4 serious Details

17 deficiencies cited across recent inspection cycles, including ⚠ 4 serious (actual harm or immediate jeopardy). Most recent survey: May 5, 2026.

Most recent inspection cycle: 7 health deficiencies · SD average: 6.9 · National: 9.3

13 fire-safety deficiencies cited — most often egress (8) and smoke (2).

Most recent fire-safety inspection (2025-12-31): 5 deficiencies · SD average: 1.4 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Sunset Manor Avera Health compares nearby

Compared with the 8 other nursing homes within 25 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 25 miles, Sunset Manor Avera Health's overall star rating is 2★; the median among the 8 peers reporting it is 5★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 2★ 5★ 5★
Health inspections reported by 8 of 8 nearby peers 2★ 4★ 5★
Staffing reported by 8 of 8 nearby peers 4★ 5★ 5★
Quality measures reported by 8 of 8 nearby peers 2★ 2.5★ 5★

The comparison group

Cohort: within 25 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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