Avera Sunrise Manor
240 Willow Street, Tyler, MN 56178 · Lincoln County · (507) 247-5839
30 certified beds, about 28 residents a day · Non profit - Corporation · Medicare and Medicaid since 1986
CMS Care Compare ratings, data as of September 1, 2026 · CCN 245357 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 16, 2026, inspectors cited 0 health deficiencies (the Minnesota average is 7.1, the national average 9.2).
None of its 7 health citations since April 2024 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.25 hours per resident per day, against 4.19 across Minnesota and 3.86 nationally. Registered nurses accounted for 1.07 of those hours.
43.9% of nursing staff left within the year CMS measured (Minnesota average 42.2%).
CMS links it to Avera Health, an affiliated group of 13 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
July 16, 2026Standard inspection · 0 citations
April 2, 2025Standard inspection, Complaint inspection · 4 citations
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on observation, interview and document review the facility failed to protect 1 of 1 resident (R8) from abuse.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on interview and record review the facility failed to develop a policy for oversight for disciplinary actions for 1 of 1 nursing assistant (NA-A) who had multiple coachings, an action plan, and was subseqently terminated following an alleged incident of alleged abuse.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and document review, the facility failed to notify the ombudsman of facility initiated discharges for 3 of 3 residents (R1, R10, and R17) who were discharged to the hospital.
- D 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.
Inspectors wroteBased on interview and document review, the facility failed to provide a written copy of the bed hold notice for 1 of 3 residents (R)1 who transferred to the hospital.
April 3, 2024Standard inspection · 3 citations
- F 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.
Inspectors wroteBased on interview and record review the facility failed to ensure a registered nurse (RN) was on duty a minimum of 8 consecutive hours a day, 7 days per week, for 2 of 168 days reviewed. This had the potential to affect all 29 resdients.
- D Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Inspectors wroteBased on interview and record review, the facility failed to ensure the contracted pharmacist, in conjunction with the facility, had a method to ensure resident's physicians acted upon pharmacy recommendations for 1 of 5 residents (R21) reviewed for unnecessary medications.
- D 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.
Inspectors wroteBased on interview and record review, the facility failed to ensure as needed (PRN) psychoactive medications were not given without a rationale for continued use and indicated specific duration for 1 of 5 residents (R21) to prevent potential unnecessary medications.
Fire safety inspections
9 fire safety citations on file: 5 on July 16, 2026, 3 on April 2, 2025, 1 on April 3, 2024.
Every fire safety citation9 citations
- F Install emergency lighting that can last at least 1 1/2 hours.
- F Have generator or other power source capable of supplying service within 10 seconds.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Install corridor and hallway doors that block smoke.
- D Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F Properly select, install, inspect, or maintain portable fire extinguishes.
- F Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- D Install corridor and hallway doors that block smoke.
- D Install emergency lighting that can last at least 1 1/2 hours.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Minnesota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.25 | 4.19 | 3.86 |
| Registered nurses | 1.07 | 1.06 | 0.69 |
| All nursing staff on weekends | 3.73 | 3.71 | 3.42 |
| Nurse aides | 2.73 | ||
| Licensed practical nurses | 0.45 | ||
| Nursing staff turnover (share who left in a year) | 43.9% | 42.2% | 45.8% |
| Registered nurse turnover | 62.5% | 38.6% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.22 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.46 on weekdays and 3.73 on weekends, 16% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 22.6% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.77 in April to June 2025 to 4.25 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 4.25 | 1.07 | 4.46 | 3.73 | 22.6% | 1 of 90 | 28 |
| Oct to Dec 2025 | 4.17 | 0.80 | 4.35 | 3.72 | 16.4% | 5 of 92 | 27 |
| Jul to Sep 2025 | 3.94 | 1.05 | 4.12 | 3.47 | 14.1% | 0 of 92 | 28 |
| Apr to Jun 2025 | 3.77 | 0.84 | 3.96 | 3.30 | 10.2% | 0 of 91 | 29 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Minnesota, Jan to Mar 2026 | 4.19 | 1.05 | 4.38 | 3.73 | 5.2% | 0.8% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for Minnesota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Minnesota, all employers | |||
| CNAs (nursing assistants) | $22.44 | $19.39 to $23.72 | 29,120 |
| LPNs and LVNs | $30.65 | $28.83 to $34.26 | 12,840 |
| Registered nurses | $48.80 | $42.76 to $55.17 | 70,110 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Minnesota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 23.1 | 18.2 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 15.6 | 1.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 4.0 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 10.6 | 4.0 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.9 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.1 | 20.5 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.6 | 5.2 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.2 | 17.1 | 15.4 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Avera Sunrise Manor's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: AVERA TYLER. CMS links this home to Avera Health, a group of 13 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | Organization | 100% | 03/01/2016 |
| Hennen, Sharon | Corporate director | Individual | 07/01/2023 | |
| Koenen, Lavonne | Corporate director | Individual | 07/01/2020 | |
| Lorang, Thomas | Corporate director | Individual | 07/01/2024 | |
| Louwagie, Curtis | Corporate director | Individual | 09/11/2017 | |
| Novak, Karie | Corporate director | Individual | 07/01/2024 | |
| O'Leary, Tim | Corporate director | Individual | 07/01/2023 | |
| Reynolds, Christopher | Corporate director | Individual | 07/01/2023 | |
| Sieling, Amanda | Corporate director | Individual | 07/01/2018 | |
| Vroman, Jill | Corporate director | Individual | 07/01/2023 | |
| Zimmerman, Jodelle | Corporate director | Individual | 07/01/2017 | |
| Coudron, Christy | Corporate officer | Individual | 09/01/2020 | |
| Kooiman, Thomas | Corporate officer | Individual | 05/29/2022 | |
| Lautt, Julie | Corporate officer | Individual | 03/01/2020 | |
| Streier, Debra | Corporate officer | Individual | 02/01/2021 | |
| Avera Marshall | Operational/managerial control | Organization | 02/17/2016 | |
| Dover, James | Operational/managerial control | Individual | 10/23/2023 | |
| Kooiman, Thomas | Operational/managerial control | Individual | 05/29/2022 | |
| Reynolds, Christopher | Operational/managerial control | Individual | 07/01/2023 | |
| Kooiman, Thomas | Adp of the SNF | Individual | 02/16/2026 | |
| Reynolds, Christopher | Adp of the SNF | Individual | 02/12/2026 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 2 problems in this area, most recently on April 2, 2025: "Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 2, 2025: "Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 3, 2024: "Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on April 3, 2024: "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."
Other nursing homes nearby
- Good Samaritan Society - Pipestone Pipestone, 19.6 mi · 3 of 5 stars · 16 citations
- Avera Morningside Heights Care Center Marshall, 21.3 mi · 3 of 5 stars · 17 citations
- Hendricks Community Hospital Hendricks, 21.5 mi · 1 of 5 stars · 26 citations
Minnesota contacts for a concern about a nursing home
These are the official offices in Minnesota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Minnesota Department of Health, Health Regulation Division, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Minnesota Office of Ombudsman for Long-Term Care, 1-800-657-3591. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: MDH Nursing and Boarding Care Home Survey and Complaint Inspection Findings, where Minnesota publishes its own records on licensed homes.
Common questions
- What is Avera Sunrise Manor's Medicare star rating?
- CMS rates Avera Sunrise Manor 4 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 1 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Avera Sunrise Manor get at its last inspection?
- 0 health deficiencies at the standard inspection on July 16, 2026. The Minnesota average is 7.1.
- Has Avera Sunrise Manor been fined?
- CMS lists no fines in the last three years.
- Does Avera Sunrise Manor accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Avera Sunrise Manor?
- CMS lists 21 owners and managers, and links the home to Avera Health. Legal business name: AVERA TYLER.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.