CCN 435070
Avera Sister James Care Center
2111 WEST 11TH STREET, Yankton, SD 57078 · Yankton County
- Ownership
- Non profit - Corporation
- Certified beds
- 194
- Residents per day
- 189.0
- Health citations
- 9
- Penalties
- 1
- Fines
- 1 · $8,492
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 2.77
- 2.52
- 2.32
- LPN/LVN
- 0.17
- 0.47
- 0.86
- Registered nurse
- 1.17
- 0.80
- 0.69
- Total nurse staff
- 4.10
- 3.79
- 3.86
- Weekend total
- 3.68
- 3.26
- 3.42
- Weekend RN
- 0.79
- 0.51
- 0.48
Adjusted total nurse hours: 4.27. Adjusted RN hours: 1.22. Case-mix total: 3.68. Case-mix index: 1.346.
Total nursing staff turnover: 31.3%. RN turnover: 22.0%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 1 fine totaling $8,492, and 0 payment denials.
| Date | Type | Amount or days |
|---|
| February 5, 2026 | Fine | $8,492 |
Cycle 1 standard survey: May 14, 2026. Health deficiencies counted in cycle 1: 4. Cycle 1 total health score: 40.
Cycle 2 standard survey: January 8, 2025. Cycle 2/3 health deficiencies: 3. Total weighted health survey score: 35.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 9 citations for this home, including 0 at immediate jeopardy and 1 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
May 14, 2026
3 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 1 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 21, 2026 |
| F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 1 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 21, 2026 |
| F695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · June 21, 2026 |
February 5, 2026
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Complaint survey · Cycle 1 | G: isolated, actual harm that is not immediate jeopardy | Deficient, Provider has date of correction · March 5, 2026 |
January 8, 2025
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F926 | Have policies on smoking. Environmental Deficiencies · Standard survey · Cycle 2 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · February 15, 2025 |
| F554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Standard survey · Cycle 2 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · February 15, 2025 |
January 24, 2024
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Quality of Life and Care Deficiencies · Complaint survey · Cycle 3 | E: pattern, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · February 15, 2024 |
September 14, 2023
2 citations
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F625 | 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. Resident Rights Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · October 13, 2023 |
| F658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · October 13, 2023 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections