Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
69
38 employees · 31 contractors · 15 on an average day Sun Dial Manor
Nursing Home, Assisted Living & Skilled Nursing · Bristol, SD
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Sun Dial Manor
Nursing Home, Assisted Living & Skilled Nursing · Bristol, SD
CMS overall rating
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Sun Dial Manor accepts Medicare, Medicaid, and private pay.
Overview of Sun Dial Manor
Sun Dial Manor is a nursing home in Bristol, SD, offering skilled nursing and assisted living care. Skilled nursing provides nursing care on site around the clock, while assisted living helps with daily tasks such as bathing, dressing, and medication management.
With 37 beds, Sun Dial Manor may be a good fit for someone who prefers a smaller community where staff and residents can get to know each other. Assisted living rooms are private or shared, so a resident can choose a room for one person or living space with a companion.
Physical, occupational, and speech therapy are available. These services support movement, daily activities, and communication needs, while transportation to medical appointments helps residents attend necessary visits.
Weekly religious services provide spiritual support and an opportunity to participate in religious activities at the community. Sun Dial Manor accepts Medicare, Medicaid, and private pay.
Total nurse staffing is 4 hours and 41 minutes per resident per day, representing the amount of nursing staff time assigned to each resident across a day. Joy Voss serves as administrator.
Quality ratings
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.
Staffing
Data period: Q2 2026 (April 1 – June 30, 2026).
Nursing care per resident per day and state rankings: CMS Provider Information.
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Resident count: CMS Long-Term Care Facility Characteristics (data as of Sep 2026).
Total nursing care per resident / day
This nursing home is ranked 12th out of 48 nursing homes we track in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 41m
This nursing home is ranked 12th out of 48 nursing homes we track in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 41mStandout metric: LPN / LVN is +60% above South Dakota average
1 of 6 metrics below South Dakota average
Daily care time per resident, by role
Registered nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 5 total: 4 of the facility's own employees and 1 agency contractor.
5 staff · 9.3-hour shifts
55m
↑ 15% · SD 48mThis facility: 55m per resident per day, 15% above the South Dakota average of 48m (among South Dakota facilities reporting a recent figure).
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 5 total: 4 of the facility's own employees and 1 agency contractor.
5 staff · 9.3-hour shiftsUS average: 41m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 41m
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 5 total: 1 of the facility's own employee and 4 agency contractors.
5 staff · 9.1-hour shifts
46m
↑ 60% · SD 29mThis facility: 46m per resident per day, 60% above the South Dakota average of 29m (among South Dakota facilities reporting a recent figure).
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 5 total: 1 of the facility's own employee and 4 agency contractors.
5 staff · 9.1-hour shiftsUS average: 52m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 52m
Certified nursing assistant
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 30 total: 20 of the facility's own employees and 10 agency contractors.
30 staff · 8.1-hour shifts
2h 59m
↑ 14% · SD 2h 37mThis facility: 2h 59m per resident per day, 14% above the South Dakota average of 2h 37m (among South Dakota facilities reporting a recent figure).
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 30 total: 20 of the facility's own employees and 10 agency contractors.
30 staff · 8.1-hour shiftsUS average: 2h 20m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 2h 20m
Physical therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
2m
↓ 21% · SD 3mThis facility: 2m per resident per day, 21% below the South Dakota average of 3m (among South Dakota facilities reporting a recent figure).
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
US average: 4m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 4m
Total nursing, weekends
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–Sun
4h 1m
↑ 21% · SD 3h 19mThis facility: 4h 1m per resident per day, 21% above the South Dakota average of 3h 19m (among South Dakota facilities reporting a recent figure).
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
RN + LPN + aide · Sat–SunUS average: 3h 26m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 3h 26m
RN, weekends
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–Sun
34m
↑ 8% · SD 31mThis facility: 34m per resident per day, 8% above the South Dakota average of 31m (among South Dakota facilities reporting a recent figure).
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
Sat–SunUS average: 28m.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse. US 28m
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
69
38 employees · 31 contractors · 15 on an average day
69 total staff / 24 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Sep 2026); staff: CMS Payroll-Based Journal (Q2 2026).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
2.88 : 1
↑ 49% · SD 1.93This facility: 2.88 staff per resident, 49% above the South Dakota average of 1.93 (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
69 staff ÷ 24 residents
See full South Dakota ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.1 h
↓ 8% · SD 7.7 hThis facility: 7.1 h, 8% below the South Dakota average of 7.7 h (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
9,680 staff hours this quarter
See full South Dakota ranking →67.4% of staff hours were worked by the facility's own employees
South Dakota average: 87.9% · Contractors this quarter: Certified Nursing Assistant (10), Respiratory Therapy Technician (5), Licensed Practical Nurse (4), Physical Therapy Assistant (3), Speech Language Pathologist (3), Qualified Social Worker (2), Registered Nurse (1), Nurse Practitioner (1), Physical Therapy Aide (1), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
37
Rank #49 / 55Bed count — State benchmarked This nursing home is ranked 49th out of 55 nursing homes we track in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
37
Rank #49 / 55Bed count — State benchmarked This nursing home is ranked 49th out of 55 nursing homes we track in South Dakota for bed count. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1
year
Walk Score
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #46 / 57Walk Score — State benchmarked This nursing home is ranked 46th out of 57 nursing homes we track in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Dakota facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. Most errands require a car, with limited nearby walkable options.
Rank #46 / 57Walk Score — State benchmarked This nursing home is ranked 46th out of 57 nursing homes we track in South Dakota for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across South Dakota facilities. Higher scores benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
16
/ 100
Occupancy rate
Occupancy lower than 85% suggests more openings may be available.
Rank #27 / 29Occupancy rate — State benchmarked This nursing home is ranked 27th out of 29 nursing homes we track in South Dakota for occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 29. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Occupancy lower than 85% suggests more openings may be available.
Rank #27 / 29Occupancy rate — State benchmarked This nursing home is ranked 27th out of 29 nursing homes we track in South Dakota for occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 29. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
59.7%
This home usually has availability
Based on 22.1 residents and 37 beds. Source: CMS Provider Information, average daily residents (data as of Oct 2026)
Lower than the South Dakota average: 86.2%
Avg. Length of Stay
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
515
days
About This Community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyDay
License Number10598
CMS Certification Number435093
Sun Dial Manor is administered by Joy Voss.
Resident Council
CNA Training Program
Outpatient Therapy
Physical Therapy
Occupational Therapy
Speech Therapy
TransportationListed as: Transportation to medical appointments
Pets not allowed
Wi-Fi
Personalized Living Spaces
Religious ServicesSpiritual support and weekly services available
Room Types
Private Room
Semi-Private / Shared Room
In-Room Features
Cable TV In Rooms
CMS Health Inspection History
Total health inspections
6
↑ 20% · SD 5This facility: 6, 20% above the SD average of 5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Total health citations
26
Rank #30 / 50Health citations — State benchmarked This nursing home is ranked 30th out of 50 nursing homes we track in South Dakota for health citations. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 50 SD facilities. Lower citation counts earn a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 46% · SD 17.8This facility: 26, 46% above the SD average of 17.8 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citations per inspection
4.33
Rank #37 / 50Citations per inspection — State benchmarked This nursing home is ranked 37th out of 50 nursing homes we track in South Dakota for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 50 facilities with citation data. Lower is better. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.↑ 19% · SD 3.64This facility: 4.33, 19% above the SD average of 3.64 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Citation severity
100% corrected
26 of 26 citations corrected
Critical
J–L
0
↓ 100% · SD 0.3This facility: 0, 100% below the SD average of 0.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Immediate jeopardy
Serious
G–I
3
↑ 36% · SD 2.2This facility: 3, 36% above the SD average of 2.2 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Actual harm
Moderate
D–F
23
↑ 50% · SD 15.3This facility: 23, 50% above the SD average of 15.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
No harm, more than minimal risk
Minor
A–C
0
State avg 0 (In line with State average)
No harm, minimal riskState avg 0 (In line with State average)Latest inspection: Aug 06, 2026 · 5 citations, all corrected
Most cited category: Quality of Life & Care, 5 of 26 citations · 9 categories in total
Citations history
Most recent first
Aug 06, 2026
5 citations
Quality of Care serious citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Jan 29, 2026
1 citation
Abuse/Neglect moderate citation
Corrected
Corrected
May 21, 2025
10 citations
Nutrition moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Care Planning moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nutrition moderate citation
Corrected
Corrected
Infection Control moderate citation
Corrected
Corrected
Administration moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Dec 04, 2024
1 citation
Infection Control moderate citation
Corrected
Corrected
Oct 29, 2024
2 citations
Quality of Care serious citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Dec 21, 2023
7 citations
Quality of Care serious citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Quality of Care moderate citation
Corrected
Corrected
Nursing Services moderate citation
Corrected
Corrected
Pharmacy moderate citation
Corrected
Corrected
Resident Rights moderate citation
Corrected
Corrected
Abuse/Neglect moderate citation
Corrected
Corrected
Top deficiency categories
Share of 26 citations
Quality of Life & Care
5 deficiencies (19%)
Infection Control
4 deficiencies (15%)
Resident Rights
4 deficiencies (15%)
Abuse, Neglect & Exploitation
4 deficiencies (15%)
Resident Assessment & Care Planning
2 deficiencies (8%)
Nutrition & Dietary
2 deficiencies (8%)
Administration
2 deficiencies (8%)
Nursing & Physician Services
2 deficiencies (8%)
Pharmacy Services
1 deficiency (4%)
How citations are counted
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
19 of 26 citations resulted from standard inspections; 6 of 26 resulted from complaint investigations; and 1 of 26 came from combined inspections (standard and complaint).
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Source
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.
Enforcement
Penalties and fines
Penalties and fines
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 Oct 2026
2 penalties in the past 3 years
Latest: Oct 29, 2024 · $10,839 civil money penalty
Oct 29, 2024 · $10,839 civil money penalty
Dec 21, 2023 · $13,689 civil money penalty
Total fines
$24,528
↓ 55% · SD $54KThis facility: $24,528, 55% below the South Dakota average of $54,430. Average among the 72 South Dakota facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.Rank #31 / 51Federal fines — State benchmarked This nursing home is ranked 31st out of 51 nursing homes we track in South Dakota for federal fines. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 51 facilities in the pool. Lower total dollars mean a better rank. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Number of fines
2
↓ 20% · SD 2.5This facility: 2, 20% below the South Dakota average of 2.5. Average among the 72 South Dakota facilities with a penalty on record.Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Penalty history · past 3 years
Oct 29, 2024
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,839
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$10,839
Dec 21, 2023
Civil money penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$13,689
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
$13,689Fine amount comparison
This facility
$24,528
South Dakota average
$54,430
US average
$66,281
Totals count every penalty on record; the history lists the past 3 years. South Dakota and US averages are among facilities with a penalty on record.
A civil money penalty is a fine for noncompliance, per day or per instance. A payment denial stops Medicare/Medicaid payments for new residents until issues are fixed.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the South Dakota average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
4
/ 5
Above average
↑ 52% · SD 2.6This facility: 4.0, 52% above the SD average of 2.6 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of five long-stay measures: pressure ulcers, falls with major injury, unplanned weight loss, worsening ability to walk, and needing more help with daily activities. Each is the % of residents affected, so lower is better.
10.0
Score · lower is better
↓ 9% · SD 11.0This facility: 10.0, 9% below the SD average of 11.0 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Average of three long-stay measures: needing more help with daily activities, worsening ability to walk, and loss of bowel or bladder control. Each is the % of residents affected, so lower is better.
23.9
Score · lower is better
↑ 11% · SD 21.4This facility: 23.9, 11% above the SD average of 21.4 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.12 long-stay measures: 6 better, 5 worse, 1 near SD average
1 short-stay measure: 1 better
Long-stay residents
People who live at the home · 12 measures
Daily care & independence
Needed more help with daily activities
Percent of long-stay residents whose need for help with daily activities has increased
32.4%
↑ 51% · SD 21.5This facility: 32.4, 51% above the SD average of 21.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose need for help with daily activities has increased
32.4%
↑ 51% · SD 21.5This facility: 32.4, 51% above the SD average of 21.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Walking ability worsened
Percent of long-stay residents whose ability to move independently worsened
12.8%
↓ 30% · SD 18.3This facility: 12.8, 30% below the SD average of 18.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents whose ability to move independently worsened
12.8%
↓ 30% · SD 18.3This facility: 12.8, 30% below the SD average of 18.3 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Bowel or bladder incontinence (low-risk residents)
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.5%
↑ 8% · SD 24.5This facility: 26.5, 8% above the SD average of 24.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.5%
↑ 8% · SD 24.5This facility: 26.5, 8% above the SD average of 24.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Safety & clinical stability
Urinary tract infection
Percent of long-stay residents with a urinary tract infection
5.2%
↑ 80% · SD 2.9This facility: 5.2, 80% above the SD average of 2.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents with a urinary tract infection
5.2%
↑ 80% · SD 2.9This facility: 5.2, 80% above the SD average of 2.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Falls with major injury
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · SD 5.5This facility: 0.0, 100% below the SD average of 5.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
↓ 100% · SD 5.5This facility: 0.0, 100% below the SD average of 5.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Pressure ulcers (high-risk residents)
Percent of long-stay high risk residents with pressure ulcers
2.1%
↓ 53% · SD 4.5This facility: 2.1, 53% below the SD average of 4.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay high risk residents with pressure ulcers
2.1%
↓ 53% · SD 4.5This facility: 2.1, 53% below the SD average of 4.5 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Physical & mental health
Lost too much weight
Percent of long-stay residents who lose too much weight
2.8%
↓ 50% · SD 5.7This facility: 2.8, 50% below the SD average of 5.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who lose too much weight
2.8%
↓ 50% · SD 5.7This facility: 2.8, 50% below the SD average of 5.7 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Depressive symptoms
Percent of long-stay residents who have depressive symptoms
14.3%
↑ 143% · SD 5.9This facility: 14.3, 143% above the SD average of 5.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who have depressive symptoms
14.3%
↑ 143% · SD 5.9This facility: 14.3, 143% above the SD average of 5.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Antipsychotic use
Percent of long-stay residents who received an antipsychotic medication
27.1%
↑ 9% · SD 24.8This facility: 27.1, 9% above the SD average of 24.8 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents who received an antipsychotic medication
27.1%
↑ 9% · SD 24.8This facility: 27.1, 9% above the SD average of 24.8 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Preventive care
Pneumococcal vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 5% · SD 94.9This facility: 100.0, 5% above the SD average of 94.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
↑ 5% · SD 94.9This facility: 100.0, 5% above the SD average of 94.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Hospital & emergency visits
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.14
↓ 25% · SD 1.51This facility: 1.14, 25% below the SD average of 1.51 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of hospitalizations per 1,000 long-stay resident days.
1.14
↓ 25% · SD 1.51This facility: 1.14, 25% below the SD average of 1.51 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
ER visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.78
↓ 4% · SD 1.85This facility: 1.78, 4% below the SD average of 1.85 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.78
↓ 4% · SD 1.85This facility: 1.78, 4% below the SD average of 1.85 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Short-stay residents
Rehab and recovery after a hospital stay · 1 measures
Preventive care
Pneumococcal vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.6%
↑ 6% · SD 83.9This facility: 88.6, 6% above the SD average of 83.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
88.6%
↑ 6% · SD 83.9This facility: 88.6, 6% above the SD average of 83.9 (among SD facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.Arrows show whether a figure is above or below the average. Green is better for residents, red is worse, and yellow means within 5% of the average. The line on each bar marks the average.
Quality measures are calculated by CMS from Minimum Data Set (MDS) resident assessments and Medicare claims.
Money and staffing.
Sun Dial Manor’s finances from its CMS cost report for the fiscal year ending December 2024, compared with 45 South Dakota nursing homes that filed a recent report. Includes all financial data for this property, which could include management/ownership changes.
FY Dec 2024
Is it financially stable?
Losing money on care, and more than last year
−9.2% operating margin
−14.8 pts vs prior year
An operating loss in 4 of the last 8 reported years. Other income ($1.3M) turns it into a net profit to $1.0M. Watch for cost-cutting that reaches staffing.
Does it invest in staff?
Spends less on payroll than most South Dakota homes
49.9% payroll share of revenue
SD average 58.8%Rank #35 / 45Payroll % of net patient revenue — State benchmarked This nursing home is ranked 35th out of 45 nursing homes we track in South Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Payroll fell $0.1M while revenue rose $0.1M. A low share can mean leaner staffing; check hours per resident in the staffing section.
FY 2024 scorecard
Each row shows the FY 2024 figure, the change since the prior report, the trend, and how it compares with South Dakota homes.
Revenue & profit
Losing money on care
| Metric | FY 2024 | vs prior year | Trend 2012 → 2024Trend | SD median | Compared with SD homesRank in SD | In short |
|---|---|---|---|---|---|---|
| Net patient revenue What the home earns from resident care, after discounts and bad debt. | $3.4M | +$0.1M | Trend 20122024 | SD median $6.6M | Rank in SD Rank #43 / 45Net patient revenue — State benchmarked This nursing home is ranked 43rd out of 45 nursing homes we track in South Dakota for net patient revenue. Shows this facility's net patient revenue compared to the South Dakota average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 5% of homes | Below SD median Higher net patient revenue than 5% of SD homes that filed a recent report. Revenue mostly follows how big a home is. |
| Operating expenses Everything it costs to run the home: staff, supplies, rent, admin. | $3.7M | +$0.6M | Trend 20122024 | SD median $6.6M | Rank in SD Rank #42 / 45Operating expenses — State benchmarked This nursing home is ranked 42nd out of 45 nursing homes we track in South Dakota for operating expenses. Shows everything it cost to run the home — staff, supplies, rent, admin — compared with other South Dakota homes reporting a recent fiscal year. Expenses in dollars mostly follow how big a home is, so this compares size, not efficiency; read it next to operating margin. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 7% of homes | Exceeds revenue Operating expenses are higher than net patient revenue, so resident care runs at a loss. |
| Net patient income Revenue minus operating expenses. Negative means care loses money. | −$0.3M | −$0.5M | Trend 20122024 | SD median $0.0M | Rank in SD Rank #31 / 45Net patient income — State benchmarked This nursing home is ranked 31st out of 45 nursing homes we track in South Dakota for net patient income. Shows net patient revenue minus operating expenses, compared with other South Dakota homes reporting a recent fiscal year. Homes that lost money on care are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 32% of homes | Loss, widening Resident care lost money this year, more than in the prior report. |
| Operating margin Net patient income as a share of revenue. The clearest health signal. | −9.2% | −14.8 pts | Trend 20122024 | SD median 0.7% | Rank in SD Rank #32 / 45Operating margin — State benchmarked This nursing home is ranked 32nd out of 45 nursing homes we track in South Dakota for operating margin. Shows net patient income as a share of net patient revenue, compared with other South Dakota homes reporting a recent fiscal year. Unlike the dollar figures it does not follow size, so it is the fairest comparison of financial health between a small home and a large one. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 30% of homes | Loss A negative margin means resident care costs more than it earns. |
| Other income Money not from resident care: investments, grants, services. | $1.3M | — | Trend — | SD median $0.1M | Rank in SD Rank #8 / 45Other income — State benchmarked This nursing home is ranked 8th out of 45 nursing homes we track in South Dakota for other income. Shows income from outside resident care — investments, grants, rentals, services — compared with other South Dakota homes reporting a recent fiscal year. It is not part of net patient revenue; a high rank here can offset a loss on care. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 84% of homes | Offsets part of the loss Income from outside resident care covers part of the loss on care. |
| Net income The bottom line after other income. | $1.0M | +$0.6M | Trend — | SD median $0.2M | Rank in SD Rank #9 / 45Net income — State benchmarked This nursing home is ranked 9th out of 45 nursing homes we track in South Dakota for net income. Shows the bottom line after other income, compared with other South Dakota homes reporting a recent fiscal year. Homes with a net loss are in the pool too, so a rank in the bottom half usually means a loss. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 82% of homes | Profit The bottom line is above zero after other income. |
Staffing spend
Spends less of revenue on staff than most South Dakota homes
| Metric | FY 2024 | vs prior year | Trend 2012 → 2024Trend | SD median | Compared with SD homesRank in SD | In short |
|---|---|---|---|---|---|---|
| Payroll costs Salaries and wage-related benefits, not counting contract labor. | $1.7M | −$0.1M | Trend 20122024 | SD median $3.8M | Rank in SD Rank #41 / 45Payroll costs — State benchmarked This nursing home is ranked 41st out of 45 nursing homes we track in South Dakota for payroll costs. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the South Dakota average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 9% of homes | Below SD median Higher payroll than 9% of SD homes. Payroll in dollars mostly follows how big a home is, so this compares size, not staffing levels. |
| Payroll share of revenue Payroll divided by revenue. Higher usually means more staff per resident. | 49.9% | −4.7 pts | Trend 20122024 | SD median 55.7% | Rank in SD Rank #35 / 45Payroll % of net patient revenue — State benchmarked This nursing home is ranked 35th out of 45 nursing homes we track in South Dakota for payroll % of net patient revenue. Shows payroll as a percentage of net patient revenue versus the South Dakota average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric. Higher than 23% of homes | 8.9 pts under SD average The SD average is 58.8% of revenue. Within 3 points of it reads as near the average. |
Charts, 2012–2024 2 charts · SD benchmark drawn as a dashed line
Revenue, expenses and income
What the home earned from resident care (net patient revenue), what it cost to run (operating expenses) and the difference between the two (net patient income), for each fiscal year it filed a CMS cost report.
USD, millions
Net patient revenue Operating expenses Net patient income No report
Where revenue goes
Both lines are a share of net patient revenue. Payroll share is what goes to salaries and wage-related benefits; operating margin is what is left after every operating cost (below 0%, resident care lost money). The dashed line is the South Dakota payroll average.
% of net patient revenue
Payroll share Operating margin SD payroll average No report
Year-by-year data, 2012–2024 every reported year · latest first, scroll sideways
| Metric | 2012 | 2013 | 2014 | 2015no report | 2016no report | 2017no report | 2018no report | 2019no report | 2020 | 2021 | 2022 | 2023 | 2024 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Net patient revenue | $2.4M | $2.5M | $2.8M | $3.4M | $3.3M | $3.3M | $3.3M | $3.4M | |||||
| Operating expenses | $2.5M | $2.6M | $2.9M | $3.4M | $3.2M | $3.2M | $3.1M | $3.7M | |||||
| Net patient income | −$0.1M | −$0.1M | −$0.1M | $0.0M | $0.1M | $0.1M | $0.2M | −$0.3M | |||||
| Operating margin | −5.3% | −6.0% | −4.3% | 1.4% | 2.3% | 3.9% | 5.6% | −9.2% | |||||
| Net income | $0.1M | −$0.0M | −$0.0M | $0.9M | $0.3M | $0.2M | $0.3M | $1.0M | |||||
| Payroll costs | $1.6M | $1.5M | $1.7M | $2.2M | $1.9M | $1.8M | $1.8M | $1.7M | |||||
| Payroll share of revenue | 65.6% | 61.7% | 61.9% | 64.4% | 58.5% | 55.5% | 54.6% | 49.9% | |||||
| Beds | 37 | 37 | 37 | 37 | 37 | 37 | 37 | 37 | |||||
| Gross revenue | $2.8M | $3.1M | $3.5M | $4.3M | $4.1M | $3.9M | $3.7M | $3.5M | |||||
| Salaries | $1.4M | $1.3M | $1.5M | $1.9M | $1.6M | $1.5M | $1.4M | $1.4M | |||||
| Wage-related costs | $0.2M | $0.2M | $0.2M | $0.3M | $0.4M | $0.3M | $0.4M | $0.3M | |||||
| Contract labor | $0.1M | $0.4M | $0.4M | — | — | — | — | — | |||||
| Other operating costs | $1.0M | $1.1M | $1.2M | $1.2M | $1.3M | $1.3M | $1.3M | $2.0M | |||||
| Net patient revenue per day | $186 | $205 | $216 | $279 | $304 | $319 | $316 | $344 | |||||
| Cost per day | $195 | $217 | $225 | $275 | $297 | $306 | $298 | $376 | |||||
| Average length of stay | 216.3 days | 190.5 days | 297.0 days | 244.5 days | 221.6 days | 210.2 days | 373.1 days | 515.1 days |
Showing 2024–2022 · scroll sideways for 10 earlier years
Who this home usually serves
Residents split by who pays for their care: Medicare, Medicaid, or private pay and other sources.
Over a year: CMS SNF Cost Report, FY2024
Snapshot: CMS Long-Term Care Facility Characteristics (quarterly), Sep 2026
Arriving
19 admissions · FY2024
Residents admitted during the year.
Medicare
9 · 47%
Medicaid
5 · 26%
Private pay & other
5 · 26%
Resident snapshot
24 residents · Sep 2026
Residents counted on the date of the latest CMS report, which updates quarterly.
Medicare
1 · 4%
Medicaid
10 · 42%
Private pay & other
13 · 54%
Leaving
19 discharges · FY2024
Residents discharged during the year.
Medicare
3 · 16%
Medicaid
10 · 53%
Private pay & other
6 · 32%
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Places of interest near Sun Dial Manor
0.0 miles from city center
Estimated distance in miles from Bristol's city center to Sun Dial Manor's address, calculated via Google Maps.
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Compare Nursing Homes around the area
Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Avera Maryhouse | NH AL HOS | Pierre | 67
Facility
67
SD AVG
69
Rank
#23 / 55 | - | - | 5.49
Facility
5.49
SD AVG
4.54
Rank
#4 / 48 | +14% | +21% | $0
Facility
$0
SD AVG
$52.4k
Rank
#1 / 51 | 9
Facility
9
SD AVG
17.8
Rank
#7 / 50 | 2.3
Facility
2.3
SD AVG
3.6
Rank
#10 / 50 | - | 59 | - |
60
Facility
60
SD AVG
38
Rank
#11 / 57 | - | - | - | - | 435034 | ||||
| Good Samaritan Society Canton | NH AL HOS SNF | Canton | 56
Facility
56
SD AVG
69
Rank
#30 / 55 |
90.2%
Facility
90.2%
SD AVG
86.2%
Rank
#16 / 29 | +5% | 4.20
Facility
4.20
SD AVG
4.54
Rank
#18 / 48 | +8% | -7% | $19.6k
Facility
$19.6k
SD AVG
$52.4k
Rank
#25 / 51 | 7
Facility
7
SD AVG
17.8
Rank
#6 / 50 | 1.8
Facility
1.8
SD AVG
3.6
Rank
#8 / 50 | 2 | 51 | - |
64
Facility
64
SD AVG
38
Rank
#9 / 57 | Karsten Rohlfs | $6.1MFiscal year ending 09/2024
Facility
$6.1MFiscal year ending 09/2024
SD AVG
$7.6M
Rank
#27 / 45 | $3.5MFiscal year ending 09/2024
Facility
$3.5MFiscal year ending 09/2024
SD AVG
$4.5M
Rank
#27 / 45 | 56.9%Fiscal year ending 09/2024
Facility
56.9%Fiscal year ending 09/2024
SD AVG
58.8%
Rank
#20 / 45 | 435101 | ||||
| Sun Dial Manor | NH AL SNF | Bristol | 37
Facility
37
SD AVG
69
Rank
#49 / 55 |
59.7%
Facility
59.7%
SD AVG
86.2%
Rank
#27 / 29 | -31% | 4.68
Facility
4.68
SD AVG
4.54
Rank
#12 / 48 | -35% | +3% | $24.5k
Facility
$24.5k
SD AVG
$52.4k
Rank
#31 / 51 | 26
Facility
26
SD AVG
17.8
Rank
#30 / 50 | 4.3
Facility
4.3
SD AVG
3.6
Rank
#37 / 50 | 3 | 22 | - |
16
Facility
16
SD AVG
38
Rank
#46 / 57 | Sun Dial Manor Inc | $3.4MFiscal year ending 12/2024
Facility
$3.4MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#43 / 45 | $1.7MFiscal year ending 12/2024
Facility
$1.7MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#41 / 45 | 49.9%Fiscal year ending 12/2024
Facility
49.9%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#35 / 45 | 435093 | ||||
| Rolling Hills Healthcare | NH HOS SNF | Belle Fourche | 83
Facility
83
SD AVG
69
Rank
#13 / 55 |
73.3%
Facility
73.3%
SD AVG
86.2%
Rank
#26 / 29 | -15% | 3.39
Facility
3.39
SD AVG
4.54
Rank
#37 / 48 | -5% | -25% | $122.6k
Facility
$122.6k
SD AVG
$52.4k
Rank
#45 / 51 | 34
Facility
34
SD AVG
17.8
Rank
#45 / 50 | 4.3
Facility
4.3
SD AVG
3.6
Rank
#38 / 50 | 5 | 61 | A+ |
8
Facility
8
SD AVG
38
Rank
#53 / 57 | - | $6.6MFiscal year ending 12/2024
Facility
$6.6MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#21 / 45 | $3.7MFiscal year ending 12/2024
Facility
$3.7MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#24 / 45 | 55.5%Fiscal year ending 12/2024
Facility
55.5%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#24 / 45 | 435035 | ||||
| Avantara Redfield | NH HOS SNF | Redfield | 58
Facility
58
SD AVG
69
Rank
#29 / 55 |
92.1%
Facility
92.1%
SD AVG
86.2%
Rank
#9 / 29 | +7% | 3.33
Facility
3.33
SD AVG
4.54
Rank
#41 / 48 | -36% | -27% | $23.0k
Facility
$23.0k
SD AVG
$52.4k
Rank
#29 / 51 | 17
Facility
17
SD AVG
17.8
Rank
#21 / 50 | 2.4
Facility
2.4
SD AVG
3.6
Rank
#12 / 50 | 3 | 53 | A+ |
34
Facility
34
SD AVG
38
Rank
#29 / 57 | Diane Forgey | $4.8MFiscal year ending 12/2024
Facility
$4.8MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#33 / 45 | $2.5MFiscal year ending 12/2024
Facility
$2.5MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#34 / 45 | 51.7%Fiscal year ending 12/2024
Facility
51.7%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#32 / 45 | 435054 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other SD nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Sun Dial Manor
Quick answers from public records and the community's own listing.01 Is Sun Dial Manor in a walkable area?
Sun Dial Manor has a walk score of 16. Car-dependent. Most errands require a car, with limited nearby walkable options.
02 What is the license number of Sun Dial Manor?
According to SD state health department records, Sun Dial Manor's license number is 10598.
03 What is the occupancy rate at Sun Dial Manor?
Sun Dial Manor's occupancy is 59.7%.
04 How long has Sun Dial Manor been in business?
Sun Dial Manor has been operating for approximately 1 year, based on available licensing and registration records.
05 Are pets allowed at Sun Dial Manor?
No, Sun Dial Manor has a no-pet policy.
06 What is the best email address for Sun Dial Manor?
The team at Sun Dial Manor can be reached at jennr@sundialmanor.com.
07 Does Sun Dial Manor operate as a for-profit or non-profit?
Sun Dial Manor is registered as a non-profit in SD.
Updated on
