Sunset Manor Avera Health
129 E Clay St, Irene, SD 57037 · (605) 263-3318
Non profit - Other · 58 certified beds
Abuse icon Medicare's Care Compare says: “This nursing home has been cited for abuse.” Medicare marks homes recently cited for harm or potential harm from abuse or neglect, and caps their health inspection rating at 2 stars.
Sunset Manor Avera Health has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in December 2025, found 5 citations (the South Dakota average is 6.7). It was fined 3 times in the last three years, $56,946 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 2 out of 5 stars · Below average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on December 31, 2025 found 5 citations. What an inspection citation means
- Post nurse staffing information every day.December 31, 2025 · F0732 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Ensure each resident receives an accurate assessment.December 31, 2025 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.December 31, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.December 31, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.December 31, 2025 · F0678 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
Complaint inspections, last three years
Inspections after complaints found 12 citations.
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.May 5, 2026 · F0600 · Level of harm: Actual harm · Residents affected: Few
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.May 5, 2026 · F0609 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.December 31, 2025 · F0678 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.June 18, 2025 · F0600 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.June 18, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.June 18, 2025 · F0689 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.February 12, 2025 · F0684 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.February 12, 2025 · F0689 · Level of harm: Actual harm · Residents affected: Few
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.September 25, 2024 · F0600 · Level of harm: Actual harm · Residents affected: Some
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.September 25, 2024 · F0684 · Level of harm: Actual harm · Residents affected: Some
- Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.August 8, 2024 · F0604 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure each resident receives an accurate assessment.August 8, 2024 · F0641 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
Fines and payment denials
- Fine of $16,350May 5, 2026
- Fine of $11,190February 12, 2025
- Fine of $29,406September 25, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | South Dakota average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 5.10 | 3.79 | 3.86 |
| Registered nurses (RN) | 0.85 | 0.80 | 0.69 |
| Licensed practical nurses (LPN) | 0.56 | 0.47 | 0.86 |
| Nurse aides | 3.69 | 2.52 | 2.32 |
| Total nursing staff turnover | 70.4% | 48.2% | 45.8% |
About this home
| Ownership | Non profit - Other |
| Certified beds | 58 |
| Average residents per day | 49.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Sanford Care Center Vermillion Vermillion · ★★★★★ 2 out of 5 stars
- Wakonda Heritage Manor Wakonda · ★★★★★ 5 out of 5 stars
- Alcester Care And Rehab Center, Inc Alcester · ★★★★★ 5 out of 5 stars
- Bethesda Of Beresford Beresford · ★★★★★ 2 out of 5 stars
- Bethany Home - Brandon Brandon · ★★★★★ 1 out of 5 stars
Comparing nursing homes?
See whether help at home or assisted living fits better. Answer four questions and we'll suggest where to start: a medical alert, help at home, or assisted living.
Free for families. This isn't medical advice.
Care matcherStep 1 of 7
Who are you looking for help for?
Free for families. Your answers aren't saved.
Data from Medicare (CMS), updated October 2026, from Sunset Manor Avera Health on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.