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The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
May offer a more intimate, personalized care environment.
Lower occupancy suggests more openings may be available.
Most residents typically stay for a few weeks or months before returning home or moving on.
42% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
19% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
In line with South Dakota average
Sun Dial Manor is administrated by Voss, Joy.
South Dakota average 4.5
Last Health inspection on May 2025
South Dakota average 14.8
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
14 of 20 citations resulted from standard inspections; 5 of 20 resulted from complaint investigations; and 1 of 20 came from combined inspections (standard and complaint).
0
100% better than South Dakota average
South Dakota average: 0.3
2
11% worse than South Dakota average
South Dakota average: 1.8
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 21, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 21, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 21, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
May 21, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
0.0 miles from city center
410 2nd St, Bristol, SD 57219
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
69% better than South Dakota average
South Dakota average ratio: 1.91:1
0% compared with South Dakota average
South Dakota average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hours
This role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
This role is partially covered by contractors.
Total hours from contractors
1,827 contractor hours this quarter
| Certified Nursing Assistant | 22 | 9 | 31 | 3,868 | 91 | 100% | 8.2 |
| Licensed Practical Nurse | 5 | 3 | 8 | 1,350 | 91 | 100% | 9.3 |
| Registered Nurse | 7 | 4 | 11 | 1,277 | 86 | 95% | 9.2 |
| Administrator | 1 | 0 | 1 | 500 | 64 | 70% | 7.8 |
| Mental Health Service Worker | 1 | 0 | 1 | 498 | 66 | 73% | 7.5 |
| Other Dietary Services Staff | 2 | 0 | 2 | 466 | 62 | 68% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 459 | 63 | 69% | 7.3 |
| Speech Language Pathologist | 0 | 5 | 5 | 253 | 52 | 57% | 4.4 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 132 | 42 | 46% | 2.9 |
| Nurse Aide in Training | 3 | 0 | 3 | 76 | 16 | 18% | 4.5 |
| Physical Therapy Assistant | 0 | 1 | 1 | 58 | 24 | 26% | 2.4 |
| Occupational Therapy Aide | 0 | 1 | 1 | 31 | 3 | 3% | 10.2 |
| Qualified Social Worker | 0 | 1 | 1 | 18 | 14 | 15% | 1.3 |
| Physical Therapy Aide | 0 | 1 | 1 | 15 | 10 | 11% | 1.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
11.4
5% better than South Dakota average
South Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.9
13% better than South Dakota average
South Dakota average: 23.9
Percent of long-stay residents whose need for help with daily activities has increased
21.3%
5% better than South Dakota average
South Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
17.9%
21% better than South Dakota average
South Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
23.6%
11% better than South Dakota average
South Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
13.4%
166% worse than South Dakota average
South Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
2.0%
55% better than South Dakota average
South Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
4.2%
20% worse than South Dakota average
South Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
2.4%
56% better than South Dakota average
South Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
2.2%
47% better than South Dakota average
South Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
14.0%
43% better than South Dakota average
South Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota average
South Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.2%
In line with South Dakota average
South Dakota average: 96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.2%
In line with South Dakota average
South Dakota average: 84.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
24% lower than South Dakota average
South Dakota average: $40K
In line with South Dakota average
South Dakota average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota average
South Dakota average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Oct 29, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 21, 2023
Last updated: Jan 2026
Historical financial and operational data for Sun Dial Manor based on CMS SNF Cost Reports.
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