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.
Sunset Manor Avera operates a skilled nursing and physical rehabilitation community on East Clay Street in Irene, South Dakota. The property manages the Sunrise Villa Rehabilitative Program, providing medical recovery care for seniors transitioning out of hospital stays after severe strokes, major surgeries, or acute illnesses. Carrying a neighborhood walk score of 11, the rural facility grounds are entirely car-dependent, meaning local relatives and out-of-town visitors will need a vehicle to travel to the campus or handle retail errands.
The therapy department organizes care targets based on individual recovery trajectories and long-term medical needs. The clinical floor provides combined daily support averaging 35 minutes of direct attention from registered nurses, 52 minutes from licensed practical nurses, and three hours and 30 minutes from certified nurse aides per resident. This continuous staffing mix forms the baseline for the facility’s daily medication administration, wound care, and personal hygiene assistance.
Prospective families can call the administrative office to verify open bed numbers or to discuss the clinical admission criteria. The front desk team can explain how their billing system integrates different public or private payment pathways and help you set up an appointment to see the rehabilitation gym and resident spaces.
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 hours
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 vs South Dakota averages
Total nursing care
This home is ranked 2nd out of 65 homes 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.
6h 19m
46% above state avg
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.
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.
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.
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.
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.
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.
3 of 6 metrics below state avg
May offer a more intimate, personalized care environment.
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.
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Number of hospitalizations per 1,000 long-stay resident days.
1.38
9% better than South Dakota averageSouth Dakota average: 1.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.65
11% better than South Dakota averageSouth Dakota average: 1.85
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
16% of new residents, usually for short-term rehab.
18% of new residents, often for short stays.
66% of new residents, often for long-term daily care.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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."
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."
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."
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."
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.
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 #42 / 58Payroll costs — State benchmarkedThis home is ranked 42nd out of 58 homes in South Dakota. 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.Facilities with the same value for a metric share the same 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.
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 #56 / 58Payroll % of net patient revenue — State benchmarkedThis home is ranked 56th out of 58 homes in South Dakota. 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.Facilities with the same value for a metric share the same 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.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents stay for extended periods and receive ongoing daily care.
Most new residents arrive under Medicaid (66% of admissions), and a typical Medicaid stay runs around 1 - 2 years.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.1 miles from city center
Estimated distance in miles from Irene's city center to Sunset Manor Avera's address, calculated via Google Maps.
Add your location
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 to lowest based on our ranking methodology.
| Bethany Home Sioux Falls/Bethany Home-Brandon | NH AL IL MC SNF | Sioux Falls | 112
Facility
112
SD AVG
69
Rank
#11 / 117 | - | - | 5.47
Facility
5.47
SD AVG
4.34
Rank
#5 / 65 | -15% | +26% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 13
Facility
13
SD AVG
14.8
Rank
#27 / 65 | 3.3
Facility
3.3
SD AVG
3.3
Rank
#35 / 65 | 1 | 43 | - |
65
Facility
65
SD AVG
42
Rank
#25 / 149 | Augustana Lutheran Church | $5.9MFiscal year ending 06/2024
Facility
$5.9MFiscal year ending 06/2024
SD AVG
$7.1M
Rank
#30 / 58 | $4.1MFiscal year ending 06/2024
Facility
$4.1MFiscal year ending 06/2024
SD AVG
$4.2M
Rank
#21 / 58 | 68.6%Fiscal year ending 06/2024
Facility
68.6%Fiscal year ending 06/2024
SD AVG
58.6%
Rank
#8 / 58 | 435096 | ||||
| Tuff Memorial Home | NH SNF | Hills | 48
Facility
48
SD AVG
69
Rank
#76 / 117 |
79.8%
Facility
79.8%
SD AVG
82.2
Rank
#24 / 34 | - | 4.78 | -24% | 0% | $44.4k | 13 | 3.3 | - | 38 | - |
8
Facility
8
SD AVG
42
Rank
#139 / 149 | Alex Dysthe | $4.0MFiscal year ending 09/2023 | $2.7MFiscal year ending 09/2023 | 67.9%Fiscal year ending 09/2023 | 245548 | ||||
| Good Samaritan Society Sioux Falls Center | NH SNF | Sioux Falls | 98
Facility
98
SD AVG
69
Rank
#23 / 117 |
81.6%
Facility
81.6%
SD AVG
82.2
Rank
#23 / 34 | -1% | 3.93
Facility
3.93
SD AVG
4.34
Rank
#28 / 65 | +21% | -9% | $11.3k
Facility
$11.3k
SD AVG
$38.5k
Rank
#26 / 67 | 14
Facility
14
SD AVG
14.8
Rank
#29 / 65 | 4.7
Facility
4.7
SD AVG
3.3
Rank
#52 / 65 | 1 | 80 | - |
19
Facility
19
SD AVG
42
Rank
#114 / 149 | Luke Wanous | $8.1MFiscal year ending 09/2023
Facility
$8.1MFiscal year ending 09/2023
SD AVG
$7.1M
Rank
#15 / 58 | $4.5MFiscal year ending 09/2023
Facility
$4.5MFiscal year ending 09/2023
SD AVG
$4.2M
Rank
#15 / 58 | 56%Fiscal year ending 09/2023
Facility
56%Fiscal year ending 09/2023
SD AVG
58.6%
Rank
#27 / 58 | 435046 | ||||
| Avantara Norton | NH HOS SNF | Sioux Falls | 110
Facility
110
SD AVG
69
Rank
#12 / 117 |
90.0%
Facility
90.0%
SD AVG
82.2
Rank
#12 / 34 | +9% | 3.53
Facility
3.53
SD AVG
4.34
Rank
#41 / 65 | +53% | -19% | $153.6k
Facility
$153.6k
SD AVG
$38.5k
Rank
#63 / 67 | 75
Facility
75
SD AVG
14.8
Rank
#64 / 65 | 4.2
Facility
4.2
SD AVG
3.3
Rank
#47 / 65 | 18 | 99 | - |
61
Facility
61
SD AVG
42
Rank
#37 / 149 | Jeremy Klinkhammer | $10.3MFiscal year ending 12/2023
Facility
$10.3MFiscal year ending 12/2023
SD AVG
$7.1M
Rank
#7 / 58 | $4.4MFiscal year ending 12/2023
Facility
$4.4MFiscal year ending 12/2023
SD AVG
$4.2M
Rank
#19 / 58 | 42.4%Fiscal year ending 12/2023
Facility
42.4%Fiscal year ending 12/2023
SD AVG
58.6%
Rank
#57 / 58 | 435039 |
Sunset Manor Avera is located in Irene, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
Sunset Manor Avera has a walk score of 11. Car-dependent. Most errands require a car, with limited nearby walkable options.
Sunset Manor Avera's occupancy is 88.1%.
No, Sunset Manor Avera has a no-pet policy.
Sunset Manor Avera is registered as a non-profit.
Sunset Manor Avera is located at 129 East Clay Street, Irene, SD 57037.
(605) 263-3318 will put you in contact with the team at Sunset Manor Avera.
Sunset Manor Avera is not currently listed as a CMS-certified provider of Medicare or Medicaid.
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