Sunset Manor Avera Health: Staffing, Turnover, and Inspection Record
Sunset Manor Avera Health is a 58-bed nonprofit nursing home in Irene, South Dakota, part of Avera Health. In the CMS August 2026 release it reported 3.69 nurse aide hours per resident per day, 46% above the South Dakota average of 2.52, and 70.4% nursing staff turnover (South Dakota average 48.2%).
Sunset Manor Avera Health
129 E Clay StIrene, SD 57037
Clay County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Sunset Manor Avera Health, nurse aides logged 3.69 hours per resident per day, 46% above the South Dakota average. With about 50 residents a day, that works out to roughly 183 aide hours a day, or about 23 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 16% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 3.69 | 2.52 | 2.32 |
| Licensed practical nurses | 0.56 | 0.47 | 0.86 |
| Registered nurses | 0.85 | 0.80 | 0.69 |
| All nursing staff | 5.10 | 3.79 | 3.86 |
| All nursing staff, weekends | 4.27 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
70.4% of nursing staff at Sunset Manor Avera Health left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 72.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Dec 31, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (South Dakota average 6.9). CMS lists 2 fines totaling $40,596 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 12, 2025 | Fine | $11,190 |
| Sep 25, 2024 | Fine | $29,406 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Sunset Manor Avera Health holds 2 of 5 overall; the South Dakota average is 2.9.
About Sunset Manor Avera Health
- Ownership: Non profit - Other
- Chain: Avera Health, 13 homes
- Legal name: Sunset Manor Inc.
- Medicare and Medicaid certified since: Jan 1, 1997
- Councils: resident council
- Area: rural
Nursing homes near Sunset Manor Avera Health
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Wakonda Heritage Manor Wakonda | 6.0 | 38 | 2.59 | 3.85 | 33.3% | 5 | $12,675 |
| Pioneer Memorial Nursing Home Viborg | 7.3 | 46 | 2.92 | 3.91 | 52.0% | 5 | $32,536 |
| Centerville Care and Rehab Center Inc Centerville · abuse citation | 10.5 | 42 | 2.35 | 3.31 | 43.9% | 1 | $55,059 |
| SD Human Services Center - Geriatric Program Yankton | 16.9 | 69 | 5.94 | 8.62 | 37.4% | 5 | None |
| Bethesda Of Beresford Beresford | 18.9 | 39 | 2.36 | 3.69 | 50.0% | 2 | $16,088 |
| Avera Sister James Care Center Yankton | 19.6 | 194 | 2.77 | 4.10 | 31.3% | 5 | $8,492 |
| Oakview Terrace Freeman | 22.9 | 45 | 3.49 | 4.44 | 23.4% | 5 | $10,839 |
| Menno-Olivet Care Center Menno | 23.5 | 41 | 3.09 | 4.40 | 35.7% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.