Nursing HomeInspections

Avera Sister James Care Center

Nursing home in Yankton, SD

Medicare & Medicaid certified5★ overall (CMS)

Call (605) 668-8900Send a messageMap ↗

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

CMS certification number 435070. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

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.

InspectionCitationSeverity
May 14, 2026Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
May 14, 2026Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning
E
Potential for more than minimal harm, pattern
May 14, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary
E
Potential for more than minimal harm, pattern
Feb 5, 2026Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
G
Actual harm, isolated
Jan 8, 2025Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights
D
Potential for more than minimal harm, isolated
Jan 8, 2025Have policies on smoking.
Environmental
E
Potential for more than minimal harm, pattern
Jan 24, 2024Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Quality of Life and Care · complaint inspection
E
Potential for more than minimal harm, pattern
Sep 14, 2023Notify 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
D
Potential for more than minimal harm, isolated
Sep 14, 2023Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning
D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $8,492 in the last three years.

Feb 5, 2026Fine: $8,492

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

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

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

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.

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