Avera Sister James Care Center
Nursing home in Yankton, SD
Medicare & Medicaid certified5★ overall (CMS)
Public-record details
- Address
- 2111 West 11th Street, Yankton, SD 57078
- Phone
- (605) 668-8900
- Listed under
- Nonprofit, 4–5 star overall rating
- Medicare CCN
- 435070
- Overall star rating
- 5 of 5 ★★★★★
- Health inspection rating
- 4 of 5
- Staffing rating
- 5 of 5
- Quality measures rating
- 4 of 5
- Certified beds
- 194
- Average residents per day
- 189
- Ownership
- Nonprofit, corporation
- Legal business name
- Sacred Heart Health Services
- Chain
- Avera Health (13 facilities)
- Certified for
- Medicare and Medicaid
- First approved by Medicare/Medicaid
- Jul 1, 1993
- Changed ownership in last 12 months
- No
- Continuing care retirement community
- No
- Located inside a hospital
- No
- Resident or family council
- Resident council
- Sprinklers in all required areas
- Yes
Inspection record
Most recent standard health inspection: May 14, 2026. CMS lists 9 health citations for this facility across its last three standard inspection cycles and complaint inspections (Sep 14, 2023 to May 14, 2026): 2 from complaint inspections, 1 at the “actual harm” level or higher.
| Inspection | Citation | Severity |
|---|---|---|
| May 14, 2026 | Provide safe and appropriate respiratory care for a resident when needed. | D |
| May 14, 2026 | Ensure each resident receives an accurate assessment. | E |
| May 14, 2026 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| Feb 5, 2026 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| Jan 8, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. | D |
| Jan 8, 2025 | Have policies on smoking. | E |
| Jan 24, 2024 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E |
| Sep 14, 2023 | 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 |
| Sep 14, 2023 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
Fines and payment denials
CMS records 1 fine totalling $8,492 in the last three years.
| Feb 5, 2026 | Fine: $8,492 |
Staffing
- Total nurse staffing per resident per day
- 4.10 hours
- Registered nurse (RN) time per resident per day
- 1.17 hours
- Nurse aide time per resident per day
- 2.77 hours
- Total nurse staffing on weekends
- 3.68 hours
- Nursing staff turnover (yearly)
- 31%
- RN turnover (yearly)
- 22%
- Administrators who left in the past year
- 0
A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.