Non-Profit Medicare Medicaid

Sunset Manor Avera Health

129 E CLAY ST, Irene, SD 57037

2.0 CMS Rating
Non profit - Other
58 Certified Beds
38 Safety Score

Based on 2026 CMS Data

Official Government Ratings

Health Inspections

Frequency & severity of deficiencies


Staffing Levels

Nurse hours per resident per day


Quality Measures

Clinical outcomes & care quality

Resident Council Active

Active councils indicate resident empowerment and facility transparency.

CMS Abuse/Neglect Flag

This facility has been flagged by CMS for abuse or neglect concerns. Please research carefully and contact the facility for current information.

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Care Quality Indicators

Pressure Ulcers (High Risk) 1.16%

Lower is better

Antipsychotic Medication Use 74%

Lower is better

Falls with Major Injury 5.1%

Lower is better

How Sunset Manor Avera Health Compares

Sunset Manor Avera Health is a 58-bed nonprofit nursing facility in Irene, South Dakota. It holds an overall CMS rating of 2 out of 5 stars, below the South Dakota average of 2.8 stars. Its strongest area is staffing (4 stars), while health inspections (2 stars) is its weakest. Its rate of long-stay antipsychotic medication use (74.0%) is above the South Dakota average of 24.5% — a measure worth asking the staff about. With 58 certified beds, it maintains moderate occupancy at roughly 86% occupied.

By the numbers vs. South Dakota average

  • Long-stay antipsychotic medication use: 74.0% — worse than the South Dakota average of 24.5% (202% higher).
  • Falls with major injury: 5.1% — better than the South Dakota average of 5.3%.
  • High-risk pressure ulcers: 1.2% — better than the South Dakota average of 4.7% (75% lower).

CMS has flagged this facility with an abuse icon, indicating a recent citation involving abuse, neglect, or misappropriation of resident property. This is an important point to raise directly during any tour or call.

Comparisons use CMS Care Compare data (updated June 5, 2026) measured against South Dakota averages across 96 facilities tracked by ElderVoice.

Questions to Ask Sunset Manor Avera Health

Use these facility-specific questions when calling admissions, touring the building, or comparing Sunset Manor Avera Health with other nursing homes in Irene.

What incident led to the CMS abuse icon for Sunset Manor Avera Health, and what changed afterward?

Ask for the citation date, plan of correction, staff retraining steps, and how leadership monitors for repeat issues.

How is Sunset Manor Avera Health addressing its health inspections rating?

CMS currently rates this category 2 out of 5 stars, so ask what specific improvements are underway and when the next survey update is expected.

What is Sunset Manor Avera Health doing to reduce long-stay antipsychotic medication use?

Long-stay antipsychotic medication use is 74.0% here versus 24.5% across South Dakota. Lower is generally better for this CMS measure.

What practices help Sunset Manor Avera Health keep high-risk pressure ulcers below the state average?

High-risk pressure ulcers is 1.2% here versus 4.7% across South Dakota. Lower is generally better for this CMS measure.

How can a new family connect with existing councils at Sunset Manor Avera Health?

Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.

What would the first 30 days look like for a new resident at Sunset Manor Avera Health?

Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.

The Senior Community Around Irene

Irene sits in Clay County, where adults 65 and older make up about 12.0% of the population — a lower share of seniors than South Dakota as a whole (16.7% statewide). The area's median household income is lower than the state average, reflecting a more affordable area.

Residents 65+
1,692 (12.0%)
Median age
25.2 years
Median household income
$51,447
Median home value
$168,100

Demographics for Clay County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Irene.

Facility Details

CMS Provider ID 435100
County Clay
Total Beds 58
Occupied Beds 50
Occupancy Rate 86%
Ownership Non profit - Other

Location

129 E CLAY ST, Irene, SD 57037

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Important Data Disclaimer

All facility information, ratings, and quality metrics displayed on this page are sourced from the Centers for Medicare & Medicaid Services (CMS) Provider Data Catalog. Data was last updated: June 5, 2026.

ElderVoice does not endorse, recommend, or guarantee any nursing home facility. The Safety Score is a proprietary calculation based on publicly available CMS data and is provided for informational purposes only. It should not be the sole factor in your care decisions.

We strongly recommend visiting facilities in person, speaking with staff and current residents' families, and verifying all information directly with the facility before making any decisions. For official Medicare ratings and complaint information, visit Medicare Care Compare.