Deficiency Index

Sun Dial Manor

Bristol, South Dakota · CCN 435093

16 surveys since 2011. The first finding at harm level was recorded in 2023.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
67
Surveys
16
Harm or worse
3
Immediate jeopardy
0
The record, 2011–2026
’11’15’20’25’26
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file11/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
37
Ownership
Non profit - Corporation
Chain
Independent
County
Day · rural
Medicare-certified since
1996

CMS ratings

Overall
3
Health inspection
2
Staffing
5
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 48 not-for-profit facilities with fewer than 66 beds in South Dakota.

Last survey on record

Jan 29, 2026

284 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day4.083.73
Registered-nurse hours per resident day0.98—
Annual nurse turnover55.6%49.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

Fines
$24,528 across 2 penalties

Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG29.5%H—I—
No harm, potential for more than minimalD419.0%E1361.9%F29.5%
No harm, potential for minimalA—B—C—
CMS’s current file: 21 of the 67 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F8802×

    Provide and implement an infection prevention and control program.

  • F5541×

    Allow residents to self-administer drugs if determined clinically appropriate.

  • F5781×

    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

  • F5821×

    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

  • F6041×

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

In the surveyor’s words

From the most serious findings on record at Sun Dial Manor, in the surveyor’s own words.

  • Actual harm, isolatedF684Aug 6, 2026

    Based on interview, observation, record review, and policy review the provider failed to ensure the quality of care for one of one sampled resident (2) who had a physician's order to be straight catheterized (placing a flexible tube into the bladder to drain urine, then removing the tube) twice a day when that order was discontinued in the provider's electronic medical record (EMR) system by one of one registered nurse (RN) (D) on 7/9/26, which resulted in the resident not having his urine drained by straight catheterization for sixteen days. That failure potentially contributed to the resident's hospitalization for evaluation and treatment of diagnosed urosepsis (infection in the bloodstream from a urinary tract infection [UTI]). Findings include:1. Interview on 8/4/26 at 11:49 a.m. […]

  • Actual harm, isolatedF689Oct 29, 2024

    Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), observation, interview, and record review, the provider failed to ensure the safety of one of one sampled resident (1) who fell out of an electric lift chair and received a laceration to her left temple that required sutures. Findings include: 1. Review of the provider's 10/21/24 SD DOH FRI regarding resident 1 revealed: *On 10/20/24 at 5:27 p.m. she was found by certified nursing assistant (CNA) F lying on the floor of her room in front of her electric lift chair that was in the highest position with blood surrounding her head. *CNA F called for the nurse, Minimum Data Set (MDS) coordinator/infection preventionist C. […]

  • Actual harm, isolatedF684Dec 21, 2023

    Based on South Dakota Department of Health (SDDOH) report review, record review and interview, the provider failed to ensure one of one sampled resident (8) had received appropriate and necessary care and treatment for nine days after a witnessed fall in her bathroom. Findings include: 1. Review of resident 8's medical records revealed: *On 8/30/23 at 7:07 a.m. included: -Resident 8 had a witnessed fall in the bathroom while a certified nursing assistant (CNA) was doing morning cares. -Range of motion was intact, but resident winced with moving the left leg and she would hold on to her left hip. - Resident 8 was unable to give description and could not describe her pain level. […]

  • No harm, potential for more than minimal, widespreadF812May 21, 2025

    Based on policy review, observation, record review, and interview, the provider failed to ensure one of one low-temperature dishwasher: *Wash and rinse cycle temperatures were monitored and documented at each meal according to their policy. *Chlorine sanitizer concentration level was monitored and documented at least once per shift according to accepted food safety standards of practice. Findings include: 1. Review of the facility's undated Dish Machine Temperature Log revealed: Policy: Dishwashing staff will monitor and record dish machine temperatures to assure proper sanitizing of dishes. Procedure: The director of food and nutrition services will post a log near the dish machine for the staff to document temperatures. 2. […]

  • No harm, potential for more than minimal, widespreadF726Dec 21, 2023

    Based on interview, and policy review, the provider failed to ensure all licensed nursing staff [registered nurses (RNs) and licensed practical nurses (LPNs)], unlicensed assistive personnel (UAPs), and certified nursing assistants (CNAs) completed competency evaluations prior to working with residents, and annually. Findings include: 1. Interview on 12/19/23 at 1:00 p.m. with registered nurse RN D and RN E regarding competencies for the RNs and LPNs, UAPs, and CNAs revealed:*A new director of nursing (DON) B had started working approximately one month ago. She asked RN D to put together a competency plan for the CNAs to use in learning and maintaining skills necessary to provide care to the residents. […]

Read 20 findings in full →The most serious and the most recent: 20 of 67 on record.

Every survey on record

FindingsAt actual harm or above

  • Aug 6, 2026Standard5 findings · 1 harm
  • Jan 29, 2026Complaint1 finding
  • May 21, 2025Standard10 findings
  • Dec 4, 2024Complaint1 finding
  • Oct 29, 2024Complaint2 findings · 1 harm
  • Dec 21, 2023Standard and complaint7 findings · 1 harm
  • Jul 22, 2021Standard4 findings
  • Oct 9, 2019Standard5 findings
Show the 8 earlier surveys
  • Aug 1, 2018Standard1 finding
  • Jun 14, 2017Standard4 findings
  • Mar 23, 2016Standard5 findings
  • May 20, 2015Standard3 findings
  • Aug 20, 2014Standard5 findings
  • Jun 19, 2013—6 findings
  • May 16, 2012—2 findings
  • Mar 30, 2011—6 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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