Sun Dial Manor

Nursing Home, Assisted Living & Skilled Nursing · Bristol, SD

CMS overall rating

410 2Nd St, Bristol, SD 57219 View map

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Sun Dial Manor accepts Medicare, Medicaid, and private pay.

Calculator: See prices in your area

Sun Dial Manor accepts Medicare, Medicaid, and private pay.

Overview of Sun Dial Manor

Located in Bristol, South Dakota, Sun Dial Manor is a nursing home in a small Day County community. It offers nursing home, skilled nursing, and assisted living care under one roof. Joy Voss serves as administrator. Families can choose from Medicare, Medicaid, and private pay to cover short-term rehabilitation and longer-term stays.

The 37-bed community has been operating for about 1 year. It currently has an occupancy rate of roughly 58%, so space is available for new residents. Residents stay an average of around 373 days, which reflects shorter post-acute rehabilitation admissions and residents receiving extended nursing care.

Total nursing coverage averages about 4 hours and 21 minutes per resident daily. This includes registered nurse, licensed practical nurse, and nurse aide time. Residents receive steady hands-on support throughout the day. State health inspections have often focused on resident rights and quality-of-care practices, while other areas include infection control and administrative recordkeeping.

Clinical services include physical, occupational, and speech therapy. The home also provides 24-hour nursing care and memory care services. Outpatient therapy supports residents continuing their recovery after hospitalization. Transportation to medical appointments and weekly spiritual support are also available, and residents have access to in-room cable and personalized living spaces. Families considering this smaller, rural setting may ask how staff organize social activities and programming within the town.

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

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Staffing hours breakdown

Hours per resident per day — compared to South Dakota state averages

Total nursing care / resident

4h 21m per day

This facility South Dakota avg (4h 20m per day)

vs South Dakota avg

+0%

3 of 6 metrics below state avg

Standout metric Weekend RN is +24% above state avg

Staff type	Hours / Day / Resident	vs state avg
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.	54m per day	▲ 12% State avg: 48m per day · National avg: 41m per day
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.	34m per day	▲ 18% State avg: 29m per day · National avg: 52m per day
Nurse Aide 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 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 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 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

373 days

37-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

1 year in operation

A newer community that may feature more recent facilities and programs.

Walk Score: 16 / 100

Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate

58%

Lower than the South Dakota average: 79.9%

Occupied beds

22 / 37

Average occupied beds in South Dakota homes 51 beds

Facility TypeNursing Home

StatusActive

IssuanceJuly 1, 2025

CountyDay

License Number10598

CMS Certification Number435093

Sun Dial Manor is administered by Joy Voss.

Rehabilitation Services

24-Hour Staffing

Pets not allowed

Cable Tv

Personalized Living Spaces

Inspections since 2023

Total health inspections 4

State average 4.5

Last Health inspection on May 2025

Total health citations

State average 14.8

Citations per inspection

State 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).

Breakdown of citation severity (last 3 years)

Critical health citations

100% better than State average

State average: 0.3

Serious health citations

11% worse than State average

State average: 1.8

0 critical citations State average: 0.3

2 serious citations State average: 1.8

18 moderate citations State average: 12.6

0 minor citations State average: 0

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

Total staff 60

Employees 38

Contractors 22

Staff to resident ratio 2.73 : 1

41% more staff per resident than South Dakota average

Avg staff/day 13

Average shift 7.6 hours

0% compared with South Dakota average

Total staff hours (quarter) 9,067

Nursing staff breakdown

7.6 hours

8.3 hours

7.8 hours

Contractor staffing

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


Certified Nursing Assistant	21	3	24	3,658	92	100%	7.8
Licensed Practical Nurse	3	3	6	1,134	86	93%	8.3
Registered Nurse	5	1	6	917	74	80%	7.6
Nurse Practitioner	1	1	2	866	78	85%	9.6
Other Dietary Services Staff	2	0	2	604	69	75%	7
Administrator	1	0	1	508	69	75%	7.4
Mental Health Service Worker	1	0	1	495	62	67%	8
Medication Aide/Technician	3	0	3	392	32	35%	9.1
Speech Language Pathologist	0	4	4	239	56	61%	3.6
Respiratory Therapy Technician	0	5	5	81	28	30%	2.9
Physical Therapy Assistant	0	1	1	68	26	28%	2.6
Nurse Aide in Training	1	0	1	55	7	8%	7.9
Occupational Therapy Aide	0	1	1	23	3	3%	7.5
Qualified Social Worker	0	2	2	20	22	24%	0.9
Physical Therapy Aide	0	1	1	10	6	7%	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

Total fines amount $30K

24% lower than South Dakota average

South Dakota average: $40K

Number of fines 2

In line with South Dakota average

South Dakota average: 2.0

Payment Denials 0

In line with South Dakota average

South Dakota average: 0.0

Fines amount comparison

This facility $30K

South Dakota 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 Oct 29, 2024

$17K

Civil Money Penalty Dec 21, 2023

$14K

Last updated: Jan 2026

High-risk clinical events score 11.4

5% better than South Dakota average

South Dakota average: 12.0

Functional decline score 20.9

13% better than South Dakota average

South Dakota average: 23.9

Long-stay resident measures

Below average South Dakota avg: 2.6

Need for Help with Daily Activities Increased 21.3%

5% better than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened 17.9%

21% better than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence 23.6%

11% better than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury 13.4%

166% worse than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers 2.0%

55% better than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection 4.2%

20% worse than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight 2.4%

56% better than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms 2.2%

47% better than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use 14.0%

43% better than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine 100.0%

5% better than South Dakota average

South Dakota average: 95.7%

Influenza Vaccine 96.2%

In line with South Dakota average

South Dakota average: 96.9%

Hospitalizations per 1,000 days 1.14

25% better than South Dakota average

South Dakota average: 1.51

ED visits per 1,000 days 1.78

In line with South Dakota average

South Dakota average: 1.85

Short-stay resident measures

Pneumococcal Vaccine 85.2%

In line with South Dakota average

South Dakota average: 84.4%

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

Total residents 22

Medicare

4.5% of residents

Medicaid

36.4% of residents

Private pay or other

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.

Financial Trends

Historical financial and operational data for Sun Dial Manor from 2012–2023, based on CMS SNF Cost Reports.

Key figures below are for fiscal year ending in 12/2023.

Occupancy Rate 77.4% ↑ 1.1pp vs 2022

Net Patient Income $185.0K ↑ ~$58.4K vs 2022

Payroll Costs $1.8M ↓ ~$20.3K vs 2022

Operating Margin 5.6% ↑ 1.8pp vs 2022

Metric	2012	2013	2014	2020	2021	2022	2023
Occupancy %	95.9%	90.3%	96.8%	90.3%	80.4%	76.3%	77.4%
Beds	37	37	37	37	37	37	37
Net Income	$65,900	-$26,415	-$37,860	$907,161	$283,174	$210,942	$319,463
Gross Revenue	$2,849,701	$3,059,097	$3,464,213	$4,306,130	$4,110,092	$3,855,321	$3,685,149
Operating Expenses	$2,536,582	$2,642,881	$2,940,669	$3,361,432	$3,224,915	$3,156,212	$3,115,998
Net Patient Income	-$126,793	-$148,983	-$122,261	$47,487	$76,526	$126,539	$184,952
Net Patient Revenue	$2,409,789	$2,493,898	$2,818,408	$3,408,919	$3,301,441	$3,282,751	$3,300,950
Payroll Costs	$1,580,369	$1,539,477	$1,745,488	$2,194,147	$1,932,855	$1,821,983	$1,801,694
Operating Margin %	-5.3%	-6.0%	-4.3%	1.4%	2.3%	3.9%	5.6%
Medicare %	8.9%	11.4%	7.4%	8.3%	11.8%	9.8%	4.9%
Medicaid %	55.8%	47.2%	42.1%	43.3%	31.5%	33.9%	35.7%
Private %	35.3%	41.4%	50.4%	48.4%	56.7%	56.3%	59.4%
Net Patient Revenue/Day	$186	$205	$216	$279	$304	$319	$316
Cost/Day	$195	$217	$225	$275	$297	$306	$298
Avg Length of Stay	216.3 days	190.5 days	297.0 days	244.5 days	221.6 days	210.2 days	373.1 days

Finances and operations

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

Net patient revenue

$3.3M

Net patient income

$185.0K

Nonprofit Nonprofit Corporation

Net patient revenue

$3.3M

Net patient income

$185.0K

Other income

$134.5K

Payroll costs

$1.8M 54.6% of net patient revenue

Other operating costs

$1.3M

Total costs

$3.1M

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.

Coverage residents most often arrive under.

Medicare 42%

Private pay 38%

Medicaid 19%

Coverage residents most often leave under.

Medicare 29%

Private pay 36%

Medicaid 36%

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Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.

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Nursing Home Explorer

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%.

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.

Are pets allowed at Sun Dial Manor?

No, Sun Dial Manor has a no-pet policy.

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.

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Sun Dial Manor

Overview of Sun Dial Manor

Quality ratings

Staffing hours breakdown

Capacity and availability

About this community

Occupancy

License Details

Ownership & Operating Entity

Therapy & Rehabilitation

Staffing & Medical

Additional Policies & Features

Amenities & Lifestyle

Contact Sun Dial Manor

Health Inspection History

Inspections since 2023

Breakdown of citation severity (last 3 years)

Citations history (last 3 years)

Staffing Data

Nursing staff breakdown

Registered Nurse

Licensed Practical Nurse

Certified Nursing Assistant

Contractor staffing

Staff by category

24 Certified Nursing Assistant

6 Licensed Practical Nurse

6 Registered Nurse

2 Nurse Practitioner

2 Other Dietary Services Staff

1 Administrator

1 Mental Health Service Worker

3 Medication Aide/Technician

4 Speech Language Pathologist

5 Respiratory Therapy Technician

1 Physical Therapy Assistant

1 Nurse Aide in Training

1 Occupational Therapy Aide

2 Qualified Social Worker

1 Physical Therapy Aide

Penalties and fines

Fines amount comparison

Fines amount comparison

Penalty History

Quality of care over time

Long-stay resident measures

Short-stay resident measures

Breakdown by payment type

Medicare

Private pay

Medicaid

Facility Characteristics

Programs & Services

Residents Group

Nurse Aide Training

Active Resident Council

Financial Trends

Financial Performance

Payroll & Labor Costs

Payer Mix (percentage)

Finances and operations

Who this home usually serves

Mostly short-term rehab stays

Admissions

Discharges

Places of interest near Sun Dial Manor

Calculate Travel Distance to Sun Dial Manor

Compare Nursing Homes around the area

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