Nursing homeActive
Sunset Manor Avera Health
129 E Clay St, Irene, SD 57037605263331858 certified beds · 50 residentsNon profit - OtherMedicare and Medicaid
Surveys on file
7
since 2023
Deficiencies
17
● 0● 13● 4
Penalties · 3 yrs
$40,596
2 fines
Last survey
2026-05-05
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 2
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-05 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2025-12-31 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2025-06-18 | Complaint | 030 | CMS-2567 (Care Compare) | — |
| 2025-02-12 | Complaint | 011 | CMS-2567 (Care Compare) | — |
| 2024-09-25 | Complaint | 002 | CMS-2567 (Care Compare) | — |
| 2024-08-08 | Complaint | 020 | CMS-2567 (Care Compare) | — |
| 2023-07-13 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity GHarm
Abuse & neglect
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-06-03Record 435100-20260505-F600
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-03Record 435100-20260505-F609
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-04Record 435100-20251231-F641
F678Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-02-04Record 435100-20251231-F678
F732Post nurse staffing information every day.Scope/severity FStandard
Staffing
Widespread; no actual harm, potential for more than minimal harm.Corrected 2026-01-08Record 435100-20251231-F732
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-01-16Record 435100-20251231-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-02-04Record 435100-20251231-F880
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-16Record 435100-20250618-F600
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-16Record 435100-20250618-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-07-22Record 435100-20250618-F689
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-03-13Record 435100-20250212-F689
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-03-13Record 435100-20250212-F684
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity HHarm
Abuse & neglect
Pattern; actual harm that is not immediate jeopardy.Corrected 2024-10-23Record 435100-20240925-F600
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity HHarm
Care planning
Pattern; actual harm that is not immediate jeopardy.Corrected 2024-10-23Record 435100-20240925-F684
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-09-22Record 435100-20240808-F604
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-09-06Record 435100-20240808-F641
F638Assure that each resident’s assessment is updated at least once every 3 months.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-25Record 435100-20230713-F638
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-02-12 | Civil money penalty | $11,190 | CMS · Penalties |
| 2024-09-25 | Civil money penalty | $29,406 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.85
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day5.10
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours4.27
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover70%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover73%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.4% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 6.1% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 74.0% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.5% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.5% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 31.3% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 3.6% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 39.0% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Kolbeck, Audrey Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sacred Heart Health Services Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Stockland, Robin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Sunset Manor Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Davis, Brittani Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Gaertner, Rachael Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Johnke, Larry Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kolbeck, Audrey Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Kolbeck, Audrey Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Learing, Susan Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Nielsen, Tamie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Sacred Heart Health Services Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stockland, Robin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Stockland, Robin Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
Part of a chain
Avera Health — 13 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Clay.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Wakonda Heritage Manor Wakonda | 6.0 mi | 2026-05-07 | 071 |
| Pioneer Memorial Nursing Home Viborg | 7.3 mi | 2026-06-11 | 012 |
| Centerville Care and Rehab Center Inc Centerville | 10.5 mi | 2026-06-10 | 0112 |
| Sd Human Services Center - Geriatric Program Yankton | 16.9 mi | 2025-06-05 | 050 |
| Avera Sister James Care Center Yankton | 19.6 mi | 2026-05-14 | 081 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |