B82

AVERA SUNRISE MANOR

Grade B 82/100 composite score

Non profit - Church related

CMS Star Ratings

Overall
4/5
Health Insp.
4/5
Quality
1/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

30

Ownership

Non profit - Church related

Total Fines

None

Last Survey

N/A

240 WILLOW STREET, TYLER, MN 56178
5072475839

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
1.21h
LPN
0.40h
CNA
2.93h
Total
4.54h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

AVERA HEALTH

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Mar 2016

100%

AVERA MARSHALL

OrganizationOPERATIONAL/MANAGERIAL CONTROLSince Mar 2016

KOOIMAN, THOMAS

IndividualOPERATIONAL/MANAGERIAL CONTROLSince May 2022

CRIM, STEPHEN

IndividualCORPORATE DIRECTORSince Jul 2019

FIXEN, QUENTIN

IndividualCORPORATE DIRECTORSince Sep 2017

GOEPFERICH, GREGORY

IndividualCORPORATE DIRECTORSince Jul 2020

HENNEN, SHARON

IndividualCORPORATE DIRECTORSince Jul 2023

JOHANSEN, LAURIE

IndividualCORPORATE DIRECTORSince Apr 2011

JORGENSON, GEORGE

IndividualCORPORATE DIRECTORSince Sep 2008

KOENEN, LAVONNE

IndividualCORPORATE DIRECTORSince Jul 2020

LOUWAGIE, CURTIS

IndividualCORPORATE DIRECTORSince Sep 2017

O'LEARY, TIM

IndividualCORPORATE DIRECTORSince Jul 2023

SIELING, AMANDA

IndividualCORPORATE DIRECTORSince Jul 2018

STROOTMAN, JOYCE

IndividualCORPORATE DIRECTORSince Sep 2017

VROMAN, JILL

IndividualCORPORATE DIRECTORSince Jul 2023

ZIMMERMAN, JODELLE

IndividualCORPORATE DIRECTORSince Sep 2017

COUDRON, CHRISTY

IndividualCORPORATE OFFICERSince Sep 2020

DOVER, JAMES

IndividualCORPORATE OFFICERSince Oct 2023

KOOIMAN, THOMAS

IndividualCORPORATE OFFICERSince May 2022

LAUTT, JULIE

IndividualCORPORATE OFFICERSince Mar 2020

STREIER, DEBRA

IndividualCORPORATE OFFICERSince Feb 2021

VORTHERMS, MARK

IndividualCORPORATE OFFICERSince Sep 2020

REYNOLDS, CHRISTOPHER

IndividualW-2 MANAGING EMPLOYEESince Apr 2023

Penalties & Fines

No penalties or fines on record.

Health Inspection Deficiencies (14)

April 2, 2025Health4 deficiencies
0623DMinimal harm, Isolated

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

Resident Rights Deficiencies

Corrected May 12, 2025
0625DMinimal harm, Isolated

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.

Resident Rights Deficiencies

Corrected May 12, 2025
0600DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 12, 2025
0607DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected May 12, 2025
April 3, 2024Health3 deficiencies
0727FMinimal harm, Widespread

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.

Nursing and Physician Services Deficiencies

0756DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected May 1, 2024
0758DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected May 1, 2024
August 3, 2023Health7 deficiencies
0759DMinimal harm, Isolated

Ensure medication error rates are not 5 percent or greater.

Pharmacy Service Deficiencies

Corrected Sep 15, 2023
0644DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Sep 15, 2023
0755DMinimal harm, Isolated

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

Pharmacy Service Deficiencies

Corrected Sep 15, 2023
0761EMinimal harm, Pattern

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.

Pharmacy Service Deficiencies

Corrected Sep 15, 2023
0812FMinimal harm, Widespread

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

Nutrition and Dietary Deficiencies

Corrected Sep 15, 2023
0881DMinimal harm, Isolated

Implement a program that monitors antibiotic use.

Infection Control Deficiencies

Corrected Sep 15, 2023
0883EMinimal harm, Pattern

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

Infection Control Deficiencies

Corrected Sep 15, 2023

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Frequently Asked Questions

What is the CareGrader rating for AVERA SUNRISE MANOR?

AVERA SUNRISE MANOR in TYLER, Minnesota has a CareGrader grade of B (Good), with a composite score of 82.3 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for AVERA SUNRISE MANOR?

AVERA SUNRISE MANOR has an overall CMS star rating of 4 out of 5, a health inspection rating of 4/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does AVERA SUNRISE MANOR have?

AVERA SUNRISE MANOR has 14 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). View the full inspection timeline above for details on each deficiency.

How many beds does AVERA SUNRISE MANOR have?

AVERA SUNRISE MANOR has 30 certified beds with approximately 27 current residents (90% occupancy). The facility is located at 240 WILLOW STREET, TYLER, Minnesota 56178. It is a non profit - church related facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.