Sunset Manor Avera Health — nursing home in Irene, SD

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 58 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 49.6 CMS, MDS-derived
CMS Certification Number: 435100
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 1, 1997
Ownership type: Non profit - Other
Operator (legal business name): Sunset Manor Inc
CMS chain: Avera Health 13 facilities
Phone: (605) 263-3318
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

10

latest May 5, 2026

Citations

30

17 health · 13 fire

Harm or worse

4

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H2	I·
Potential harm	D14	E6	F1
Minimal	A·	B·	C5

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

3

$56,946

Payment denials

0

Latest

May 5, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 435100
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 58
First approved: Jan 1, 1997
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for South Dakota.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
May 5, 2026	Health	Health Complaint	2	Actual harm	—	Open →
Dec 31, 2025	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Dec 31, 2025	Health	Health Complaint, Health Standard	5	Potential harm	—	Open →
Jun 18, 2025	Health	Health Complaint	3	Potential harm	—	Open →
Feb 12, 2025	Health	Health Complaint	2	Actual harm	—	Open →
Sep 25, 2024	Health	Health Complaint	2	Actual harm	—	Open →
Aug 8, 2024	Fire safety	Fire Safety Standard	3	Minimal	3	Open →
Aug 8, 2024	Health	Health Complaint, Health Standard	2	Potential harm	—	Open →
Jul 13, 2023	Fire safety	Fire Safety Standard	5	Potential harm	—	Open →
Jul 13, 2023	Health	Health Standard	1	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
May 5, 2026	Civil money penalty (fine)	$16,350	—	435100\|Fine\|143653
Feb 12, 2025	Civil money penalty (fine)	$11,190	—	435100\|Fine\|100274
Sep 25, 2024	Civil money penalty (fine)	$29,406	—	435100\|Fine\|100238

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G2	H2	I·
Potential harm	D14	E6	F1
Minimal	A·	B·	C5

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
May 5, 2026	F-0600	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 · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected Jun 3, 2026	Complaint
May 5, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jun 3, 2026	Complaint
Dec 31, 2025	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Feb 4, 2026
Dec 31, 2025	K-0321	Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 31, 2025	K-0712	Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Feb 4, 2026
Dec 31, 2025	K-0781	Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Dec 31, 2025
Dec 31, 2025	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Feb 4, 2026
Dec 31, 2025	F-0678	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 · Clinical care	D · Potential harm Isolated	Corrected Feb 4, 2026	Complaint
Dec 31, 2025	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	F · Potential harm Widespread	Corrected Jan 8, 2026
Dec 31, 2025	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Jan 16, 2026
Dec 31, 2025	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	E · Potential harm Pattern	Corrected Feb 4, 2026
Dec 31, 2025	K-0241	Have correct number of accessible exits for each story. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	No revisit needed Dec 31, 2025
Jun 18, 2025	F-0600	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 · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Jul 16, 2025	Complaint
Jun 18, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 16, 2025	Complaint
Jun 18, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jul 22, 2025	Complaint
Feb 12, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Corrected Mar 13, 2025	Complaint
Feb 12, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Mar 13, 2025	Complaint
Sep 25, 2024	F-0600	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 · Resident rights & abuse/neglect	H · Actual harm Pattern	Corrected Oct 23, 2024	Complaint
Sep 25, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	H · Actual harm Pattern	Corrected Oct 23, 2024	Complaint
Aug 8, 2024	F-0604	Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 22, 2024	Complaint
Aug 8, 2024	F-0641	Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Sep 6, 2024	Complaint
Aug 8, 2024	K-0241	Have correct number of accessible exits for each story. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	No plan of correction
Aug 8, 2024	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Plan of correction, not yet verified Aug 27, 2024
Aug 8, 2024	K-0911	Meet requirements for the installation and maintenance of electrical systems. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	C · Minimal Widespread	Plan of correction, not yet verified Aug 7, 2024
Jul 13, 2023	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 12, 2023
Jul 13, 2023	K-0226	Have horizontal exits used in accordance with safety requirements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 12, 2023
Jul 13, 2023	K-0293	Have properly located and lighted "Exit" signs. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 12, 2023
Jul 13, 2023	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Jul 12, 2023
Jul 13, 2023	F-0638	Assure that each resident’s assessment is updated at least once every 3 months. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 25, 2023
Jul 13, 2023	K-0241	Have correct number of accessible exits for each story. Egress Deficiencies · Environment & life safety	C · Minimal Widespread	Other Jul 12, 2023

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.9

Staffingstate 3.5

Quality measuresstate 2.7

Long-stay QM

Short-stay QMNot rated

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing5.16

State avg 3.86US avg 3.90

Registered nurse (RN)0.68

State avg 0.78US avg 0.69

Licensed practical nurse0.54

State avg 0.50US avg 0.86

Nurse aide3.93

State avg 2.58US avg 2.35

Weekend total nurse4.35

State avg 3.28US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.91 (case-mix index 1.22).

Staff turnover

Total nursing staff turnover68.8%

State avg 48.6%US avg 45.3%

Registered nurse turnover90.9%

State avg 37.5%US avg 42.5%

Administrators who left0

State avg 0US avg 1

Health survey score

Cycle 1 standard survey: Dec 31, 2025
Cycle 1 health score: 68
Total weighted score: 84

Operating entity

Sunset Manor Inc

CMS legal business name of the certified provider. Operates 4 facilities.

VerifiedLinked by exact legal name

CMS chain

Avera Health

13 facilities in 3 states. CMS chain ID 61.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 4.1

Ownership disclosures

Disclosures

14

Organizations

2

Individuals

11

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Sacred Heart Health Services	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jan 1, 1994
Sunset Manor Inc	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 15, 1994
Audrey Kolbeck	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Feb 4, 1991
Robin Stockland	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Nov 30, 2017
Brittani Davis	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2022
Rachael Gaertner	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2024
Larry Johnke	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 9, 2013
Susan Learing	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2024
Tamie Nielsen	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Apr 1, 2022
Audrey Kolbeck	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Feb 4, 1991
Robin Stockland	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Nov 30, 2017
Sacred Heart Health Services	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 28, 2025
Audrey Kolbeck	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Feb 4, 1991
Robin Stockland	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Sep 4, 2025

Other facilities operated by Sunset Manor Inc

All 3 →

Facility	License type	Capacity	State rating
Sunset Manor 725 Baldwin Street, Jenison, MI 49428	Assisted living	187	—
Rose Garden 3391 Prairie SW, Grandville, MI 49418	Assisted living	46	—
Waterford Place Assisted Living 1725 Port Sheldon St., Jenison, MI 49428	Assisted living	70	—

Same chain in South Dakota

All 12 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Avera Rosebud Country Care Center 126 S Logan Ave, Gregory, SD 57533 CCN 435029	30	May 21, 2026	163 open	—
Avera Maryhouse Long Term Care 717 East Dakota, Pierre, SD 57501 CCN 435034	80	Sep 11, 2025	213 open	—
Avera Mother Joseph Manor Retirement Community 1002 North Jay Street, Aberdeen, SD 57401 CCN 435042	81	Dec 17, 2025	243 harm2 open	$8,824
Avera Brady Health and Rehab 500 S Ohlman, Mitchell, SD 57301 CCN 435061	84	Apr 27, 2026	9	—
Avera Prince of Peace 4513 South Prince of Peace Place, Sioux Falls, SD 57103 CCN 435066	126	Nov 6, 2025	191 harm	$8,278
Avera Sister James Care Center 2111 West 11th Street, Yankton, SD 57078 CCN 435070	194	May 14, 2026	91 harm	$8,492
Avera Eureka Health Care Center 202 J Avenue, Eureka, SD 57437 CCN 435078	56	Jun 11, 2026	121 harm2 open	$12k
Wakonda Heritage Manor 515 Ohio Street, Wakonda, SD 57073 CCN 435094	38	May 7, 2026	111 harm	$13k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 129 E Clay St, Irene, SD 57037
ZIP: 57037
County: Clay County FIPS 46027
State: South Dakota
Urban / rural (CMS): Rural

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Wakonda Heritage Manor 515 Ohio Street, Wakonda, SD 57073 CCN 435094	9.6 km	38		May 7, 2026	111 harm	$13k
Pioneer Memorial Nursing Home 315 North Washington St, Viborg, SD 57070 CCN 435120	11.8 km	46		Jun 11, 2026	42 IJ	$33k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	435100	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	435100	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 435100

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction