Nursing home
Sunset Manor Avera Health
129 E Clay St, Irene, SD 57037 · Map
Non profit - Other · Part of Avera Health (12 facilities) · 58 certified beds
Sunset Manor Avera Health is a Medicare-certified nursing home in Irene, South Dakota. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.95 hours per resident per day, above the South Dakota average of 3.89. Its most recent inspection on Dec 31, 2025 cited 8 deficiencies. Note: it carries a CMS abuse icon.
- CMS abuse iconThis facility has an active abuse icon on its CMS record.
- 2 fines totaling $40,596In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Sunset Manor Avera Health compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.95 | 3.89 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.58 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 3.51 | 2.61 | 2.34 | above avg |
| Nursing staff turnover | 68.4% | 49.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 8.0 | 6.8 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 2 fines totaling $40,596, 2 total penalties.
What inspectors found at Sunset Manor Avera Health
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Dec 31, 2025 · Full report (PDF) - Potential for harm
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 · Dec 31, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 18, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Jun 18, 2025 · Full report (PDF) - Potential for harm
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 · Jun 18, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 12, 2025 · Full report (PDF) - Potential for harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Feb 12, 2025 · Full report (PDF) - Actual harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · Sep 25, 2024 · Full report (PDF) - Actual harm
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 · Sep 25, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 129 E Clay St
Irene, SD 57037 - CMS certification #
- 435100
- Ownership
- Non profit - Other
- Certified beds
- 58
- Avg residents/day
- 49.1
- Provider type
- Medicare and Medicaid
- First certified
- 1997-01-01
- Chain
- Avera Health (12 facilities)
- Setting
- Rural
Part of Avera Health
Avera Health operates 12 nursing facilities across the United States. View all Avera Health facilities →
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Sunset Manor Avera Health using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Pioneer Memorial Hospital - Cah, Viborg. 7.3 miles away, straight line.
- Nearest Medicare nursing home
- Wakonda Heritage Manor, Wakonda. 6.0 miles away, straight line.
- Nearest home health agency office
- Avera @ Home, Yankton. 19.1 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 18.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57037 as micropolitan (micropolitan high commuting).
- Hospice
- 5 Medicare hospices tell CMS they serve ZIP code 57037.
Avera @ Home, office in Yankton, 19.1 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 136.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding very high, wildfire relatively low, tornado very high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Sunset Manor Avera Health a good nursing home?
CMS gives Sunset Manor Avera Health an overall rating of 2 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Sunset Manor Avera Health staffed?
Sunset Manor Avera Health reports 4.95 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Sunset Manor Avera Health had inspection problems?
Its most recent CMS inspection cited 8 deficiencies.
How many beds does Sunset Manor Avera Health have?
Sunset Manor Avera Health is certified for 58 beds.