Sunset Manor Avera Health
129 E CLAY ST, Irene, SD, 57037
Yes. Federal inspectors cited 7 deficiencies against Sunset Manor Avera Health in Irene, South Dakota at its most recent standard inspection on 2025-12-31, 3 of them arising from complaints. 4 findings have been recorded at the actual-harm level. Medicare has fined it 2 times, totalling $40,596. CMS currently flags this home for abuse. Medicare rates it 2 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 17 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
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 · F0600 · 2026-05-05 · from a complaint · Actual harm to a resident
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2026-05-05 · from a complaint · No actual harm, potential for more than minimal harm
Post nurse staffing information every day.
Nursing and Physician Services Deficiencies · F0732 · 2025-12-31 · standard survey · No actual harm, potential for more than minimal harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2025-12-31 · standard survey · No actual harm, potential for more than minimal harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · F0812 · 2025-12-31 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-12-31 · standard survey · No actual harm, potential for more than minimal harm
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 · F0678 · 2025-12-31 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0600 · 2025-06-18 · from a complaint · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-06-18 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-06-18 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2025-02-12 · from a complaint · Actual harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2025-02-12 · from a complaint · No actual harm, potential for more than minimal harm
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 · F0600 · 2024-09-25 · from a complaint · Actual harm to a resident
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-09-25 · from a complaint · Actual harm to a resident
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · F0641 · 2024-08-08 · from a complaint · No actual harm, potential for more than minimal harm
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0604 · 2024-08-08 · from a complaint · No actual harm, potential for more than minimal harm
Assure that each resident’s assessment is updated at least once every 3 months.
Resident Assessment and Care Planning Deficiencies · F0638 · 2023-07-13 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Sunset Manor Avera Health
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| DAVIS, BRITTANI | Individual | NOT APPLICABLE | since 04/01/2022 |
| GAERTNER, RACHAEL | Individual | NOT APPLICABLE | since 04/01/2024 |
| JOHNKE, LARRY | Individual | NOT APPLICABLE | since 04/09/2013 |
| LEARING, SUSAN | Individual | NOT APPLICABLE | since 04/01/2024 |
| NIELSEN, TAMIE | Individual | NOT APPLICABLE | since 04/01/2022 |
| KOLBECK, AUDREY | Individual | NOT APPLICABLE | since 02/04/1991 |
| STOCKLAND, ROBIN | Individual | NOT APPLICABLE | since 11/30/2017 |
| SACRED HEART HEALTH SERVICES | Organization | NOT APPLICABLE | since 01/01/1994 |
| SUNSET MANOR INC. | Organization | NOT APPLICABLE | since 06/15/1994 |
| KOLBECK, AUDREY | Individual | NOT APPLICABLE | since 02/04/1991 |
| STOCKLAND, ROBIN | Individual | NOT APPLICABLE | since 11/30/2017 |
| SACRED HEART HEALTH SERVICES | Organization | NOT APPLICABLE | since 08/28/2025 |
Part of the AVERA HEALTH group.
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 435100.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction