87/100
Excellent
Avera Sister James Care Center
2111 West 11Th Street, Yankton, SD 57078
- Certified beds
- 194
- Occupancy
- 97%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$8,492 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Avera Sister James Care Center
Avera Sister James Care Center runs on 4.10 nurse hours per resident per day, roughly 6% above the national average, and its weekend coverage dips about 10% below its own weekday level, worth asking about if you're planning visits or worrying about Saturday-night care. Staff turnover sits at 31.3%, well under the national 45.8%, which suggests people stay. Nine deficiencies on the current record, one serious enough to reach harm or jeopardy level, none abuse-related, and the last inspection was May 2026, so the record is recent rather than stale. Nonprofit ownership under Avera. The numbers point to a home that's generally steady on staffing and quality, with one inspection finding worth reading closely.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
22/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.27 total nurse hours per resident per day (national median 3.77)
- →1.17 RN hours per resident per day
- →Weekend staffing drops 10% against weekdays
Staff stability
15/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →31% of nursing staff left in the last year
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
8/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$8,492 in federal fines across 1 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: May 14, 2026 (5 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
Who owns this home
Full recordPart of AVERA HEALTH, which operates 13 homes. Staffing budgets are usually set at chain level, not in the building.
What families say
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Common questions about Avera Sister James Care Center
What is the ElderGrade for Avera Sister James Care Center? +
Avera Sister James Care Center holds an ElderGrade of A (87 out of 100), which we describe as "excellent". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Avera Sister James Care Center? +
Residents receive an average of 4.10 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Avera Sister James Care Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Avera Sister James Care Center accept Medicaid? +
Yes, Avera Sister James Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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