Avera Sister James Care Center
2111 West 11th Street, Yankton, SD 57078
Avera Sister James Care Center, a 194-bed non profit - corporation nursing facility in Yankton, SD, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #10 of 93 rated homes in SD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 6056688900
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- 5 / 5
- Much above average · CMS overall · nat'l 3.0
- #10 of 93
- In-state rank among rated SD homes
- 4.10
- Above average · nurse hrs/day · nat'l 3.86
- 9
- Inspection findings · 1 serious
The verdict
Avera Sister James Care Center, a 194-bed non profit - corporation nursing facility in Yankton, SD, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #10 of 93 rated homes in SD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
- 5 / 5
- CMS overall · national 3.0
- #10 of 93
- In-state rank among rated SD homes
- 4.10
- Nurse hrs/resident-day · national 3.86
- 9
- Inspection findings · 1 serious
CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.
In-state ownership mix · peer inventory
How 96 SD nursing homes split by ownership sector
This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 435070
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 194
- Residents
- 189
- In Hospital
- No
- County
- Yankton
- Last Inspection
- May 14, 2026
Staffing Data
How the 4.10 total nursing hours per resident-day are staffed:
- RN Hours
- 1.17 (nat'l avg: 0.69)
- LPN Hours
- 0.17
- CNA Hours
- 2.77
- Total Nursing Hours
- 4.10 (nat'l avg: 3.86)
- PT Hours
- 0.07
- Nursing Turnover
- 31.3%
- RN Turnover
- 22.0%
What the CMS Record Reveals About Avera Sister James Care Center
According to CMS Nursing Home Compare, Avera Sister James Care Center ranks #10 of 93 rated nursing homes in SD on overall stars (tie-broken by health+staffing+quality, then fewer fines). Avera Sister James Care Center operates 194 certified beds in Yankton, SD with approximately 189 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 4★).
The inspection file contains 9 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. CMS enforcement records show 1 penalty totaling $8K levied against this facility. Staffing is reported at 4.10 total nursing hours per resident day (national average 3.86), with RN coverage at 1.17 per resident day.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Avera Sister James Care Center falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 31.3% (CMS payroll-based measure).
Why sub-scores and the CMS methodology matter
The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.
For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.
Deficiency History (9 most recent)
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Jun 21, 2026
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Jun 21, 2026
Ensure each resident receives an accurate assessment.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jun 21, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 5, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Category: Resident Rights Deficiencies
Corrected: Feb 15, 2025
Have policies on smoking.
Category: Environmental Deficiencies
Corrected: Feb 15, 2025
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Category: Quality of Life and Care Deficiencies
Corrected: Feb 15, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Oct 13, 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.
Category: Resident Rights Deficiencies
Corrected: Oct 13, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 20.8% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.7% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 4.4% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.9% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.7% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.4% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 1.2% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 2.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 3.5% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.8% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 20.0% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 100.0% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 23.9% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 100.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 100.0% | No |
Penalty History 1 penalties totaling $8K
| Date | Type | Amount |
|---|---|---|
| Feb 5, 2026 | Fine | $8K |
Nationwide facilities with similar scale or staffing
Two data-derived peer sets for Avera Sister James Care Center, both outside SD so the neighborhoods are not the same-state geography list below.
Similar bed count
Nearest CMS certified bed counts outside SD (194 beds here).
Similar staffing hours
Nearest CMS adjusted total nurse hours per resident day outside SD (4.27 here).
Nearby Nursing Homes in SD
95 other nursing homes are on record in SD; 6 are shown here.
Aberdeen Health and Rehab
Aberdeen, SD
Alcester Care And Rehab Center, Inc
Alcester, SD
Aurora Brule Nursing Home INC
White Lake, SD
Avantara Arrowhead
Rapid City, SD
Avantara Clark City
Clark, SD
Avantara Groton
Groton, SD
Understanding Nursing Home Data
What the CMS records show for Avera Sister James Care Center
The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.
- The SD registry aggregates state averages and the highest-rated homes in this cohort. View SD registry
- Peer homes near 194 beds show how CMS stars vary at a similar scale in SD. Compare a similar-size peer
- CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work
CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.
Frequently Asked Questions
What is the overall CMS rating for Avera Sister James Care Center?
Where does Avera Sister James Care Center rank among nursing homes in SD?
What are the staffing levels at Avera Sister James Care Center?
How many beds does Avera Sister James Care Center have?
Does Avera Sister James Care Center have any deficiencies on record?
Has Avera Sister James Care Center received any fines or penalties?
Who owns Avera Sister James Care Center?
When was Avera Sister James Care Center last inspected?
What quality measures are tracked for Avera Sister James Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Verify the same CCN on Medicare.gov Care Compare and with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
