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C
Below Standard

Sun Dial Manor

410 SECOND STREET · BRISTOL, SD 57219

6054923615 · Non profit - Corporation

37 beds22.2 residents63 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Sun Dial Manor receives an overall staffing grade of C (Below Standard). With 3.2923 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.60 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 14.02% compared to weekdays. The facility relies heavily on temporary agency staff (23.5% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2923 HPRD — needs 0.19 more hours per resident per day.
⚠️23.5% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2923hrs/resident/day▼ 0.60
CMS benchmark: 3.48
RN HPRD
0.8619hrs/resident/day▲ 0.18
Recommended: 0.75
Weekend Drop-off
14.02%
3.4282 weekday → 2.9475 weekend
Agency Staff
23.5%
24.01% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8208hrs/resident/day
Direct care aides
LPN HPRD
0.6096hrs/resident/day
Licensed practical nurses
Consistency
0.4898std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Day County Average-0.62 HPRD
3.91
03.29 HPRD
vs. South Dakota State Average-0.54 HPRD
3.83
03.29 HPRD
vs. National Average-0.60 HPRD
3.90
03.29 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Sun Dial Manor ★
BRISTOL · This facility
—
C
3.29230.8619★★☆☆☆
Bethesda Home
WEBSTER
10.6 mi
A
4.25621.0433★★★★★
Strand-Kjorsvig Community Rest Home
ROSLYN
16.3 mi
A
4.19251.0049★★☆☆☆
AVANTARA GROTON
GROTON
18.6 mi
B
3.82130.6422★★☆☆☆
WHEATCREST HILLS HEALTHCARE CENTER
BRITTON
30.9 mi
D
2.74040.5737★★☆☆☆
AVANTARA CLARK CITY
CLARK
31.7 mi
B
3.98510.7821★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

4
Inspections
20
Total Deficiencies
$24,528
Fines Assessed
May 21, 2025Health
10 deficiencies cited
▼
Dec 4, 2024Health
1 deficiency cited
▼
Oct 29, 2024Health
2 deficiencies cited· Includes actual harm
▼
Dec 21, 2023Health
7 deficiencies cited· Includes actual harm
▼

Penalty History

Oct 29, 2024Fine
$10,839
Dec 21, 2023Fine
$13,689
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.