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Complaint Investigation

Sunset Manor Avera Health

December 31, 2025 · Irene, SD · 129 E Clay St
Citations 1
CMS Rating 2/5
Beds 58
Provider ID 435100
Healthcare Facility
Sunset Manor Avera Health
Irene, SD  ·  View full profile →
Inspection Summary

Sunset Manor Avera Health in IRENE, SD — inspection on December 31, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

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Inspection Findings

FF0678
Quality of Life and Care Deficiencies
Potential for More Than Minimal Harm

Review of the provider's new hire orientation and annual education for staff revealed they provided education on advance directives and resident code statuses. 9.

Review of the provider's reviewed 10/2025 LTC Code Status/Resuscitation policy revealed:* To provide staff with accurate information in the event of cardiac and/ or respiratory arrest.* e. A ‘Medical Emergency' [a health condition or situation that needs immediate medical attention] is initiated on any resident needing emergency resuscitation due to a cardiac and/ or respiratory arrest unless there is a ‘Do Not Resuscitate' order documented in the resident's electronic medical record. 10.

Review of the provider's [DATE] Advance Directive policy revealed:* It is the policy of this facility will provide basic life support, including CPR Cardiopulmonary Resuscitation, when a resident requires such emergency care, prior to the arrival of emergency medical services, subject to physician order and resident choice indicated in the resident's advance directives.

Nurses are educated to initiate CPR, as recommended by the American Heart Association (AHA) unless: A valid Do Not Resuscitate order is in place.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in IRENE, SD, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Sunset Manor Avera Health or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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