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B
Good

Sunset Manor Avera Health

129 E CLAY ST · IRENE, SD 57037

6052633318 · Non profit - Other

58 beds49.1 residents179 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Sunset Manor Avera Health receives an overall staffing grade of B (Good). With 4.9512 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.5839 HPRD, below the recommended 0.75. It is 1.05 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 18.43% compared to weekdays. The facility relies heavily on temporary agency staff (53.04% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

⚠️RN staffing (0.5839 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️53.04% 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 CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.9512hrs/resident/day▲ 1.05
CMS benchmark: 3.48
RN HPRD
0.5839hrs/resident/day▼ 0.10
Recommended: 0.75
Weekend Drop-off
18.43%
5.2232 weekday → 4.2606 weekend
Agency Staff
53.04%
44.7% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
3.5071hrs/resident/day
Direct care aides
LPN HPRD
0.8603hrs/resident/day
Licensed practical nurses
Consistency
0.5503std 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. Clay County Average+0.89 HPRD
4.06
04.95 HPRD
vs. South Dakota State Average+1.12 HPRD
3.83
04.95 HPRD
vs. National Average+1.05 HPRD
3.90
04.95 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
Sunset Manor Avera Health ★
IRENE · This facility
—
B
4.95120.5839★★☆☆☆
Wakonda Heritage Manor
WAKONDA
6 mi
B
3.83590.7865★★★★☆
Pioneer Memorial Nursing Home
VIBORG
7.3 mi
B
3.74740.6225★★★☆☆
Centerville Care and Rehab Center Inc
CENTERVILLE
10.5 mi
B
3.52070.5556★★☆☆☆
SD HUMAN SERVICES CENTER - GERIATRIC PROGRAM
YANKTON
16.8 mi
—
00★★★★★
Bethesda Of Beresford
BERESFORD
18.8 mi
B
3.63391.0591★★★☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

7
Inspections
13
Total Deficiencies
$40,596
Fines Assessed
Dec 31, 2025Health
1 deficiency cited
▼
Jun 18, 2025Health
3 deficiencies cited
▼
Feb 12, 2025Health
2 deficiencies cited· Includes actual harm
▼
Sep 25, 2024Health
2 deficiencies cited· Includes actual harm
▼
Aug 8, 2024Health
2 deficiencies cited
▼
Jul 13, 2023Health
1 deficiency cited
▼
Jan 13, 2022Health
2 deficiencies cited
▼

Penalty History

Feb 12, 2025Fine
$11,190
Sep 25, 2024Fine
$29,406
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.