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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D1 | E1 | F· |
| Minimal | A· | B· | C· |
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.
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.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 11, 2026 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Jun 11, 2026 | Health | Health Standard | 0 | No citations | — | Open → |
| Feb 21, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Feb 21, 2025 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Oct 31, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Oct 31, 2023 | Health | Health Standard | 2 | Immediate jeopardy | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| Oct 31, 2023 | Civil money penalty (fine) | $32,536 | — | 435120|Fine|100116 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J2 | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D1 | E1 | F· |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 11, 2026 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 2, 2026 | |
| Feb 21, 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 Mar 14, 2025 | |
| Oct 31, 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.
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.
CMS legal business name of the certified provider. Operates this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pioneer Memorial Hospital & Health Services | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2004 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Pioneer Memorial Hospital & Health Services | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Apr 1, 2004 |
| Paul Christensen | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 10, 2004 |
| Kimberly Larsen | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 26, 2018 |
| Troy Lee | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 28, 2016 |
| Connie Nyhaug | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Sunset Manor Avera Health 129 E Clay St, Irene, SD 57037 CCN 435100Abuse icon | 11.8 km | 58 | May 5, 2026 | 304 harm3 open | $57k | |
| Wakonda Heritage Manor 515 Ohio Street, Wakonda, SD 57073 CCN 435094 | 18.8 km | 38 | May 7, 2026 | 111 harm | $13k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435120 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435120 | 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 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| 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 |
| J · Immediate jeopardy Isolated |
| Corrected Nov 22, 2023 |
| Oct 31, 2023 | 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 | J · Immediate jeopardy Isolated | Corrected Nov 22, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.01 (case-mix index 1.11).
| Mar 1, 2024 |
| Melanie Parsons | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 1, 2002 |
| Ryan Penning | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 1, 2019 |
| Chris Poncelet | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 1, 2018 |
| Lisa Stanage | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 1, 2023 |
| Luke Surprenant | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 1, 2024 |
| Pioneer Memorial Hospital & Health Services | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 10, 2024 |
| Paul Christensen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Anne Christiansen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Issac Gerdes | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Gabriel Johnson | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 17, 2024 |
| Kimberly Larsen | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Troy Lee | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Connie Nyhaug | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Melanie Parsons | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Ryan Penning | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Chris Poncelet | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Tonya Rudd | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Lisa Stanage | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Luke Surprenant | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Dec 5, 2024 |
| Issac Gerdes | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 30, 2024 |
| Tonya Rudd | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Apr 30, 2018 |
| Anne Christiansen | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Aug 10, 1992 |
| Anne Christiansen | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Aug 10, 1992 |
| Issac Gerdes | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Jun 30, 2024 |
| Tonya Rudd | Individual | Managing employee | W-2 MANAGING EMPLOYEE | not provided | Apr 30, 2018 |
| Pioneer Memorial Hospital & Health Services | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Dec 17, 2024 |
| Anne Christiansen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 17, 2024 |
| Issac Gerdes | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 17, 2024 |
| Gabriel Johnson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 17, 2024 |
| Tonya Rudd | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 17, 2024 |