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Sun Dial Manor
Nursing Home, Assisted Living & Skilled Nursing · Bristol, SD
CMS overall rating Info 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.
Residents enjoying a game of horseshoes outside A child and a resident engaging in a craft activity Interior common area with flowers and a cross

Sun Dial Manor

Nursing Home, Assisted Living & Skilled Nursing · Bristol, SD
CMS overall rating Info 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.
410 2Nd St, Bristol, SD 57219 View map Calculator: See prices in your area
Sun Dial Manor accepts Medicare, Medicaid, and private pay.
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Sun Dial Manor accepts Medicare, Medicaid, and private pay.

Overview of Sun Dial Manor

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Sun Dial Manor operates as a nonprofit skilled nursing and assisted living community in Bristol, South Dakota. The 37-bed facility serves Day County residents through short-term rehabilitation and long-term care programs and accepts Medicare, Medicaid, and private pay.

The facility holds a 2-star overall CMS rating. Health Inspection and Quality Measure scores are both roughly 20 to 27% below the South Dakota average, which accounts for the overall standing. Staffing is the counterweight: nurse staffing averages 4 hours and 21 minutes per resident per day, 39% above the state average, ranking Sun Dial Manor 18th of 57 facilities in South Dakota. CMS has recorded two federal penalties over the past three years totaling $30,000, about 24% below the state average for fined facilities, with no payment denials.

Sun Dial Manor offers physical, occupational, and speech therapy, along with 24-hour nursing care and memory care services. Outpatient therapy, transportation to medical appointments, and spiritual support round out the program. The facility’s 77% occupancy rate is in line with the statewide average of 79.9%, indicating capacity is available.

Payer mix reflects the facility’s orientation: 42% of admissions are on Medicare for short-term rehabilitation, with typical stays of 1 to 2 months.

Sun Dial Manor’s combination of above-average nurse staffing and a full therapy suite makes it well-suited to post-acute residents returning home after hospitalization or surgery. Long-term Medicaid residents make up a smaller share of admissions, and families considering that path should weigh the below-average quality measure scores, particularly fall rates, against the facility’s rural location and staffing depth.

Facility Direct Line (605) 492-3615
Facility Direct Line (605) 492-3615 jennr@sundialmanor.com
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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 hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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 21m per day
Rank #21 / 65Nurse hours — State benchmarkedThis home is ranked 21st out of 65 homes in South Dakota for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

3 of 6 metrics below state avg

Standout metric Weekend RN is +24% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info 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. 54m per day ▲ 12% State avg: 48m per day · National avg: 41m per day
LPN / LVN Info 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. 34m per day ▲ 18% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info 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. 2h 4m per day ▼ 21% State avg: 2h 37m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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. 3h 8m per day ▼ 6% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Info 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 per day ▼ 19% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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. 38m per day ▲ 24% State avg: 31m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info 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.
373 days
Bed community size
37-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 16 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
58%
Rank #32 / 34Occupancy rate — State benchmarkedThis home is ranked 32nd out of 34 homes in South Dakota for Occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 34. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Lower than the South Dakota average: 79.9%
Occupied beds
22 / 37
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyDay
License Number10598
CMS Certification Number435093

Ownership & Operating Entity

Sun Dial Manor is administered by Joy Voss.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

24-Hour Nursing Care
Physical Therapy
Occupational Therapy
Speech Therapy
In-Room Cable
Personalized Living Spaces
Specific ProgramsOutpatient Therapy, Spiritual support, Transportation to medical appointments
Religious ServicesSpiritual support and weekly services available

Contact Sun Dial Manor

Health Inspection History

Inspections since 2023
Total health inspections 4

State average N/A

Last Health inspection on May 2025

Total health citations
20 Rank #40 / 65Health citations — State benchmarkedThis home is ranked 40th out of 65 homes 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 65 SD facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
5 Rank #55 / 65Citations per inspection — State benchmarkedThis home is ranked 55th out of 65 homes in South Dakota for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 65 facilities with citation data. Lower is better.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

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).

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
2
In line with State average

State average: N/A

0 critical citations State average: N/A
2 serious citations State average: N/A
18 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 3 years)
Abuse/Neglect moderate citation May 21, 2025
Corrected
Administration moderate citation May 21, 2025
Corrected
Infection Control moderate citation May 21, 2025
Corrected
Nutrition moderate citation 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 60
Employees 38
Contractors 22
Staff to resident ratio 2.73 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 13
Average shift 7.6 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 9,067

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 6 total: 5 full-time employees and 1 contractor. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.6 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 6 total: 3 full-time employees and 3 contractors. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.3 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 24 total: 21 full-time employees and 3 contractors. 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

22%

1,994 contractor hours this quarter

Respiratory Therapy Technician: 5 Speech Language Pathologist: 4 Certified Nursing Assistant: 3 Licensed Practical Nurse: 3 Qualified Social Worker: 2 Nurse Practitioner: 1 Registered Nurse: 1 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Physical Therapy Aide: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant213243,65892100%7.8
Licensed Practical Nurse3361,1348693%8.3
Registered Nurse5169177480%7.6
Nurse Practitioner1128667885%9.6
Other Dietary Services Staff2026046975%7
Administrator1015086975%7.4
Mental Health Service Worker1014956267%8
Medication Aide/Technician3033923235%9.1
Speech Language Pathologist0442395661%3.6
Respiratory Therapy Technician055812830%2.9
Physical Therapy Assistant011682628%2.6
Nurse Aide in Training1015578%7.9
Occupational Therapy Aide0112333%7.5
Qualified Social Worker022202224%0.9
Physical Therapy Aide0111067%1.7
24 Certified Nursing Assistant
% of Days 100%
6 Licensed Practical Nurse
% of Days 93%
6 Registered Nurse
% of Days 80%
2 Nurse Practitioner
% of Days 85%
2 Other Dietary Services Staff
% of Days 75%
1 Administrator
% of Days 75%
1 Mental Health Service Worker
% of Days 67%
3 Medication Aide/Technician
% of Days 35%
4 Speech Language Pathologist
% of Days 61%
5 Respiratory Therapy Technician
% of Days 30%
1 Physical Therapy Assistant
% of Days 28%
1 Nurse Aide in Training
% of Days 8%
1 Occupational Therapy Aide
% of Days 3%
2 Qualified Social Worker
% of Days 24%
1 Physical Therapy Aide
% of Days 7%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2023-2024

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)

Total fines amount $30K Rank #44 / 67Federal fines — State benchmarkedThis home is ranked 44th out of 67 homes 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 67 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
24% lower than State average

State average: $40K

Number of fines 2
In line with State average

State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with State average

State average: 0.0

Fines amount comparison
Fines amount comparison
This facility $30K
State average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

2 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 29, 2024
$17K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 21, 2023
$14K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info 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 State average

State average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.9
13% better than State average

State average: 23.9

Long-stay resident measures
Below average State avg: 2.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 21.3%
5% better than State average

State average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 17.9%
21% better than State average

State average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 23.6%
11% better than State average

State average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 13.4%
166% worse than State average

State average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.0%
55% better than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.2%
20% worse than State average

State average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.4%
56% better than State average

State average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.2%
47% better than State average

State average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 14.0%
43% better than State average

State average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
5% better than State average

State average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96.2%
In line with State average

State average: 96.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 1.14
25% better than State average

State average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.78
In line with State average

State average: 1.85

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 85.2%
In line with State average

State average: 84.4%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

42% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

38% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

19% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 22
Medicare
1
4.5% of residents
Medicaid
8
36.4% of residents
Private pay or other
13
59.1% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Nonprofit
Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.3M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$185.0K
Nonprofit Nonprofit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.3M Rank #56 / 63Revenue — State benchmarkedThis home is ranked 56th out of 63 homes in South Dakota for Revenue. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$185.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$134.5K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #62 / 63Payroll — State benchmarkedThis home is ranked 62nd out of 63 homes in South Dakota for Payroll. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$1.8M 54.6% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #31 / 63Payroll % — State benchmarkedThis home is ranked 31st out of 63 homes in South Dakota for Payroll %. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.1M
How we calculate these figures

This home is administered by Joy Voss.

This home is owned by Sun Dial Manor Inc

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435093

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

New residents most often arrive under Medicare (42% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
26 total

Coverage residents most often arrive under.

Medicare 42%
Private pay 38%
Medicaid 19%
Discharges
28 total

Coverage residents most often leave under.

Medicare 29%
Private pay 36%
Medicaid 36%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Sun Dial Manor

Address 0.0 miles from city center Info Estimated distance in miles from Bristol's city center to Sun Dial Manor's address, calculated via Google Maps.

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Frequently Asked Questions about Sun Dial Manor

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.

What is the license number of Sun Dial Manor?

According to SD state health department records, Sun Dial Manor's license number is 10598.

What is the occupancy rate at Sun Dial Manor?

Sun Dial Manor's occupancy is 58%.

Does Sun Dial Manor operate as a for-profit or non-profit?

Sun Dial Manor is registered as a non-profit in SD.

Who is the administrator of Sun Dial Manor?

Joy Voss is the administrator of Sun Dial Manor.

How many beds does Sun Dial Manor have?

Sun Dial Manor has 37 beds.

Are there photos of Sun Dial Manor?

Yes — there are 3 photos of Sun Dial Manor in the photo gallery on this page.

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