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Nursing HomeMedicaid Investigative

Avera Sunrise Manor

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

240 Willow Street, Tyler, MN 5617830 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
3.5/5

based on 2 Google reviews

Avera Sunrise Manor Nursing Home in Tyler, MN — Street View
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0/ 10
none Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

Above average in MN · Meets national RN staffing standard · No penalties on record

Source: Medicare data

What this means for your family

This facility has areas of concern that warrant careful consideration. We recommend asking the administrator directly: "How are you addressing recent staffing shortfalls?" These are not reasons to panic, but they are reasons to ask tough questions and visit in person.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.80hrs
OK
Registered nurses for medical care
Total Nursing
4.17hrs
OK
All nurses + aides combined
Staff Turnover
40%
Lower is better (< 30% = good)
RN Turnover
43%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 16 measures

Medicare Rating
1/ 5
Better Than Avg

5

measures

Worse Than Avg

8

measures

Mixed Results

3

measures

Long-Stay Residents
🩺

Residents with a long-term catheter

↓ Lower is better
This Facility13.7%
Worse than Avg
Here
13.7%
US
0.9%
MN
2.1%
Lincoln
1.9%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility23.1%
Worse than Avg
Here
23.1%
US
19.5%
MN
12.5%
Lincoln
21.3%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility24.4%
Worse than Avg
Here
24.4%
US
14.4%
MN
18.6%
Lincoln
19.1%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility16.8%
Better than Avg
Here
16.8%
US
19.4%
MN
24.5%
Lincoln
21.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility21.6%
Worse than Avg
Here
21.6%
US
15.5%
MN
17.0%
Lincoln
16.7%
😔

Residents with depression symptoms

↓ Lower is better
This Facility6.6%
Mixed vs Avgs
Here
6.6%
US
12.1%
MN
4.3%
Lincoln
4.8%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility85.5%
Mixed vs Avgs
Here
85.5%
US
81.8%
MN
88.3%
Lincoln
83.6%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
MN
1.8%
Lincoln
1.6%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

4deficiencies
Well below state avg (8.0)
2 complaint-triggered

Avera Sunrise Manor has concerning patterns across multiple care areas, with families filing complaints that triggered investigations into resident protection from abuse and neglect policies. The facility shows recurring issues with medication management appearing in all three surveys, along with persistent fire safety and infection control problems. While the facility has committed to correcting all deficiencies, the repeated medication errors and recent complaint-triggered safety violations warrant careful consideration during any visit.

Apr 2, 2025Routine
5
0355Potential for harm · WidespreadCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0372Potential for harm · WidespreadCorrected

Smoke Deficiencies

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

0623Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0363Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install corridor and hallway doors that block smoke.

Apr 2, 2025Complaint
2
0600Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0607Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Apr 3, 2024Routine
4
0727Potential for harm · Widespread

Nursing and Physician Services Deficiencies

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

0756Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

0758Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

0291Potential for harm · IsolatedCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

Aug 3, 2023Routine
8
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

0883Potential for harm · PatternCorrected

Infection Control Deficiencies

Develop and implement policies and procedures for flu and pneumonia vaccinations.

0644Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

0755Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

0759Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure medication error rates are not 5 percent or greater.

0881Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Implement a program that monitors antibiotic use.

0521Potential for harm · IsolatedCorrected

Services Deficiencies

Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Avera Sunrise Manor

Organization Type

nonprofit

Chain Affiliation

Chain Name

Avera Health

Chain Size

13 facilities nationwide

Chain avg rating: 3.7/5 · Rank 5 of 12

Ownership & Management

Owners

Avera Health

Owner · Organization

100%

Key personnel

Hennen, SharonOfficer / DirectorKoenen, LavonneOfficer / DirectorLorang, ThomasOfficer / DirectorLouwagie, CurtisOfficer / DirectorNovak, KarieOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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