Sunset Manor Avera Health
129 E Clay St, Irene, SD, 57037
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Order the reportFederal Quality Data
Official records from CMS Care Compare — reported by the facility and audited by the Centers for Medicare & Medicaid Services. We present them unmodified. Refreshed June 2026.
CMS Abuse Flag
CMS has flagged this facility for a substantiated finding of resident abuse, neglect, or exploitation in its current or recent inspection cycle. Ask the facility for the specific citation and corrective-action plan during your visit, and consider contacting your state's long-term care ombudsman for context.
Source: CMS Care Compare.
CMS Star Ratings
Facility & Staffing
- Ownership
- Non profit - Other · Chain: Avera Health
- Certified beds
- 58 · avg 50 residents/day
- Total nursing staff turnover
- 67.5% — higher than most South Dakota nursing homesSouth Dakota avg: 49.0% · National avg: 46.1% · per CMS Care Compare
- RN turnover
- 69.2% — higher than most South Dakota nursing homesSouth Dakota avg: 37.2% · National avg: 43.3% · per CMS Care Compare
- Administrators who left
- 0 departed — near the South Dakota averageSouth Dakota avg: 0.3 · National avg: 0.5 · per CMS Care Compare
Enforcement & Citations
- Fines (past 3 years)
- 2 fines · $40,596 total
Medicare certification
- CMS Certification Number
- 435100
- Certified beds
- 58 beds · avg 50 residents/day
- Ownership type
- Non profit - Other
- Continuing-care community
- No
CMS Care Compare, processing date June 1, 2026
Ownership & operations
- Legal business name
- Sunset Manor Inc.
- Chain affiliation
- Avera Health
CMS Care Compare, processing date June 1, 2026
Federal ownership record
Chain affiliation
Part of the Avera Health chain — 13 facilities across 3 states. Chain-wide average overall rating 3.5 / 5.
Disclosed owners (10 on record)
- Robin Stockland
Adp of The Snf · since 2025
- Sacred Heart Health Services
Adp of The Snf · since 2025
- Rachael Gaertner
Corporate Director · since 2024
- Susan Learing
Corporate Director · since 2024
- Brittani Davis
Corporate Director · since 2022
- Tamie Nielsen
Corporate Director · since 2022
+ 4 additional owners on the federal record.
Source: CMS Provider Enrollment data — SNF Enrollments + All Owners + Chain Performance Measures, as of May 2026.
Federal inspection record
Recent health-deficiency citations (most recent 8 of 15)
- D0678·Dec 31, 2025Complaint
Quality of Life and Care Deficiencies
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
- E0880·Dec 31, 2025
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
- E0812·Dec 31, 2025
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F0732·Dec 31, 2025
Nursing and Physician Services Deficiencies
Post nurse staffing information every day.
- E0641·Dec 31, 2025
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
- D0689·Jun 18, 2025Complaint
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D0684·Jun 18, 2025Complaint
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D0600·Jun 18, 2025Complaint
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Federal penalties
By year
- 20251 fine · $11K
- 20241 fine · $29K
Most recent events
- Feb 12, 2025Fine · $11K
- Sep 25, 2024Fine · $29K
Largest single fine on record: $29K.
Fire-safety citations
13 Life-Safety-Code citations on file. Most recent: Dec 31, 2025. Fire-safety inspections cover building-level Life Safety Code compliance, separate from the resident-care health survey.
Source: CMS Provider Data Catalog — Health Deficiencies, Fire Safety Deficiencies, and Penalties datasets, snapshot Jun 1, 2026.
Facility background report
The entire federal paper trail on this facility, in one report.
We compile everything the government publishes about Sunset Manor Avera Healthinto one plain-English report: full inspection history with severity grades, every fine, staffing versus state averages, who really owns the facility, and how the owner's other facilities perform. Every fact cites its federal source.
Order the full background report — $249Where this information comes from
- Certification, capacity, ownership, star ratings, staffing, fines, deficiencies: CMS Care Compare, processing date June 1, 2026.
Data comes unaltered from the federal files. See every source we publish from.