South Dakota › Yankton County › Yankton
Avera Sister James Care Center
2111 West 11th Street, Yankton, SD 57078
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Avera Sister James Care Center is a Non-profit, corporation nursing home in Yankton, South Dakota, certified for 194 beds and caring for about 189 residents a day.
CMS gives it 5 of 5 stars overall, above the South Dakota median of 3; the health inspection rating is 4, staffing 5 and quality measures 4.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (4, 2, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 4.6 per 100 beds, fewer than the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $8K.
Reported nurse staffing is 4.1 hours per resident per day (1.2 RN), close to the South Dakota median of 3.6; nursing staff turnover is 31.3%.
Compared with county, state and nation
| Measure | This facility | Yankton Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 9 | 16 | 28.7 |
| Citations per 100 beds | 4.6 | 7.2 | 23.9 | 26.8 |
| Total nurse hours per resident day | 4.1 | 8.6 | 3.6 | 3.9 |
| RN hours per resident day | 1.2 | 2.6 | 0.8 | 0.7 |
| Nursing staff turnover | 31.3% | 37.4% | 46.6% | 45.8% |
| Fines listed | $8,492 | $8,492 | $20,183 | — |
County and state figures are medians across facilities (2 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 14 May 2026, 8 Jan 2025.
Severity mix: G ×1 D ×4 E ×4
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 14 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 21 Jun 2026 |
| 14 May 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 21 Jun 2026 |
| 14 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 21 Jun 2026 |
| 5 Feb 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 5 Mar 2026 |
| 8 Jan 2025 | F0926 | Have policies on smoking. | E | Standard survey | 15 Feb 2025 |
| 8 Jan 2025 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 15 Feb 2025 |
| 24 Jan 2024 | F0676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Complaint investigation | 15 Feb 2024 |
| 14 Sep 2023 | F0625 | 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. | D | Standard survey | 13 Oct 2023 |
| 14 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 13 Oct 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 5 Feb 2026 | Fine | $8,492 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 31.3%, RNs 22.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.8% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.9% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.4% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Sacred Heart Health Services. Chain: Avera Health (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Avera Health | 5% or greater direct ownership interest | NO PERCENTAGE PROVIDED | 01/01/2001 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Yankton County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Sd Human Services Center - Geriatric Program | Yankton | 69 | 5 | 4 | 5 | 5 | 7.2 | — | 5 Jun 2025 |
All 2 facilities in Yankton County
Questions and answers
How many deficiencies has Avera Sister James Care Center been cited for?
9 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Avera Sister James Care Center been fined?
Yes. CMS lists fines totalling $8K in the period covered.
How does staffing at Avera Sister James Care Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Avera Sister James Care Center?
It is part of the Avera Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Avera Health. Individual owners and managers are not listed on this site.
When was Avera Sister James Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 14 May 2026; the most recent standard health survey was 14 May 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.