Avera Sunrise Manor
240 Willow Street, Tyler, MN 56178 · Lincoln County · 30 certified beds · avg 28 residents/day · certified since May 1, 1986
Part of chain: AVERA HEALTH (13 facilities, chain avg rating 3.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures to prevent abuse, neglect, and theft. These written safeguards are the foundation of resident protection. · from a complaint |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Apr 2, 2025 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Apr 3, 2024 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Apr 3, 2024 | D · Potential for harm, one-off | The facility did not have a licensed pharmacist review each resident's complete medication regimen and medical chart every month, or did not follow its own rules for reporting medication problems. |
| Apr 3, 2024 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | F |
| 2025 | 4 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.06 | 4.83 | 3.95 | top 38% in Minnesota; top 12% in the U.S. |
| Registered Nurse hours | 1.27 | 1.22 | 0.69 | top 36% in Minnesota; top 8% in the U.S. |
| Weekend total nurse staffing | 4.44 | 4.27 | 3.50 | top 39% in Minnesota; top 13% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.55 | 0.69 | 0.48 | bottom 43% in Minnesota; top 28% in the U.S. |
| Total nursing staff turnover (%) | 43.9 | 42.2 | 45.8 | bottom 40% in Minnesota; top 47% in the U.S. |
| RN turnover (%) | 62.5 | 38.6 | 42.9 | bottom 14% in Minnesota; bottom 19% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.25, RN 1.07, weekend 3.73. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: —/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Avera Health | Organization | 5% or Greater Direct Ownership Interest | 100% | 03/01/2016 |
| Avera Marshall | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/17/2016 |
| Coudron, Christy | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2020 |
| Dover, James | Individual | Operational/Managerial Control | NOT APPLICABLE | 10/23/2023 |
| Hennen, Sharon | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Koenen, Lavonne | Individual | Corporate Director | NOT APPLICABLE | 07/01/2020 |
| Kooiman, Thomas | Individual | Corporate Officer | NOT APPLICABLE | 05/29/2022 |
| Kooiman, Thomas | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/29/2022 |
| Kooiman, Thomas | Individual | ADP of the SNF | NOT APPLICABLE | 02/16/2026 |
| Lautt, Julie | Individual | Corporate Officer | NOT APPLICABLE | 03/01/2020 |
| Lorang, Thomas | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| Louwagie, Curtis | Individual | Corporate Director | NOT APPLICABLE | 09/11/2017 |
| Novak, Karie | Individual | Corporate Director | NOT APPLICABLE | 07/01/2024 |
| O'Leary, Tim | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Reynolds, Christopher | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
| Reynolds, Christopher | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2023 |
| Reynolds, Christopher | Individual | ADP of the SNF | NOT APPLICABLE | 02/12/2026 |
| Sieling, Amanda | Individual | Corporate Director | NOT APPLICABLE | 07/01/2018 |
| Streier, Debra | Individual | Corporate Officer | NOT APPLICABLE | 02/01/2021 |
| Vroman, Jill | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "What specific steps do you take to prevent abuse and neglect, and how are staff trained on them?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Does a pharmacist review every resident's medications and chart monthly, and how are their concerns acted on?"
- "What is your approach to psychiatric medications — how do you try non-drug options first and work to reduce doses over time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Good Samaritan Society - Pipestone | 19.6 mi | Pipestone, MN | ★★★☆☆ | 3/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245357.