Yankton, SD · less than 1 mile away
Avera Sister James Care Center
⌖ Yankton, SD · Yankton County
No photos yet
Medicare overall rating 5 of 5 stars
Certified beds194
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About Avera Sister James Care Center
Avera Sister James Care Center is a 194-bed nonprofit nursing home in Yankton, SD. Medicare rates it 5 out of 5 stars overall (much above average); the average in South Dakota is 2.9. At its last full inspection (May 2026), inspectors found 4 problems, fewer than the South Dakota average of 6.7. 1 citation in its recent inspections was for residents being harmed or put in immediate danger. Nurses and aides spend about 4 hr 06 min a day with each resident, about the same as the South Dakota average of 3 hr 47 min. About 31% of its nursing staff left in the past year. Medicare fined it $8,492 in the last three years. Its quality ratings are similar for short-term rehab (4 of 5) and long-term care (3 of 5).
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameAvera Sister James Care Center
LocationYankton County, South Dakota
Phone(605) 668-8900
Address2111 West 11th Street, Yankton, SD 57078 · Yankton County
CMS provider number435070
Ownership typeNon-profit (corporation)
Operating companyAvera Health · 13 homes
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceJuly 1, 1993 (33 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
3 strengths and 2 things to ask about in Medicare's inspection, fine and staffing records for this home.
Strengths
- Health citations at last inspection4 (May 2026)South Dakota average: 6.7. Most citations are minor and corrected within weeks.Strength
- Registered nurse time per resident1 hr 10 min a daySouth Dakota average: 48 minStrength
- Nursing staff turnover31% a yearSouth Dakota average: 48%Strength
About average
- Nurse staffing per resident4 hr 06 min a daySouth Dakota average: 3 hr 47 minAbout average
Things to ask about
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- Serious health citations1 for actual harmCitations where inspectors found residents were harmed or put in immediate danger, most recently in Feb 2026 (within the past year). All 1 were later corrected.Ask about this
- Fines and penalties1 fine totaling $8,492Federal penalties from the last three years, most recently in Feb 2026 (within the past year). The national average is $30,972 per home.Worth asking about
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the South Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Short-term rehab
For a stay of a few weeks after a hospital visit, such as after surgery or a stroke.
- Sent back to the hospital21.2%State average: 19.9%About average
- Needed an emergency room visit10.4%State average: 12.0%About average
- Newly given antipsychotic drugs1.2%State average: 2.0%Better than average
Physical therapist time: about 4 minutes per resident a day. That is more than the state average of 3 minutes. If rehab is the goal, ask how many therapy sessions a week to expect.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury4.4%State average: 5.5%About average
- Pressure sores (bedsores)3.7%State average: 4.6%About average
- Given antipsychotic drugs21.4%State average: 24.6%About average
- Hospital stays per 1,000 resident days1.6State average: 1.5About average
Source: Medicare (CMS) quality measures, compared with the South Dakota average. Lower is better for every rate shown.
Ratings over time
Its overall Medicare rating is 5 stars now, up from 4 stars in January 2019. It has ranged from 2 to 5 stars and changed 7 times.
Overall rating5★
Health inspections4★
Staffing5★
Quality of care4★
Nurse hours per resident per day4.1
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 2 | 4 | 5 | 3.3 |
| Jan 2020 | 2 | 1 | 4 | 5 | 3.6 |
| Jan 2021 | 5 | 3 | 4 | 5 | 3.4 |
| Jan 2022 | 5 | 3 | 4 | 5 | 3.3 |
| Jan 2023 | 5 | 5 | 4 | 5 | 3.3 |
| Jan 2024 | 5 | 4 | 4 | 5 | 3.5 |
| Feb 2025 | 5 | 5 | 4 | 5 | 3.7 |
| Feb 2026 | 5 | 5 | 5 | 5 | 4.0 |
| Sep 2026 | 5 | 4 | 5 | 4 | 4.1 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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