Nursing home · Top rated by CMS
Avera Sister James Care Center
2111 West 11Th Street, Yankton, SD 57078 · Map
Non profit - Corporation · 187 certified beds
Avera Sister James Care Center is a Medicare-certified nursing home in Yankton, South Dakota. CMS rates it 5 out of 5 stars overall (5/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.97 hours per resident per day, above the South Dakota average of 3.89. Its most recent inspection on Jan 8, 2025 cited 2 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Avera Sister James Care Center compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.97 | 3.89 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 1.04 | 0.80 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 2.71 | 2.61 | 2.34 | above avg |
| Nursing staff turnover | 34.2% | 49.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 2.0 | 6.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Avera Sister James Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Feb 5, 2026 · Full report (PDF) - Potential for harm
Have policies on smoking.
Environmental Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · Jan 8, 2025 · Full report (PDF) - Potential for harm
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 · Jan 24, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Sep 14, 2023
Show all 7 deficiencies
- Potential for harm
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 · Sep 14, 2023 - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Aug 11, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 2111 West 11Th Street
Yankton, SD 57078 - CMS certification #
- 435070
- Ownership
- Non profit - Corporation
- Certified beds
- 187
- Avg residents/day
- 187.2
- Provider type
- Medicare and Medicaid
- First certified
- 1993-07-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Avera Sister James Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Avera Sacred Heart Hospital, Yankton. 1.2 miles away, straight line. CMS overall hospital rating: 3 of 5 stars.
- Nearest Medicare nursing home
- SD Human Services Center - Geriatric Program, Yankton. 2.8 miles away, straight line.
- Nearest home health agency office
- Avera @ Home, Yankton. 0.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 1.8 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57078 as micropolitan (micropolitan core).
- Dialysis within 15 miles
- Avera Sacred Heart - Yankton Dialysis, Yankton, 1.2 miles away, straight line (CMS rating 3 of 5 stars)
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 57078.
Avera @ Home, office in Yankton, 0.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 130.1 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Yankton, SD, risk to homes is greater than 34% of communities in South Dakota and 52% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Avera Sister James Care Center a good nursing home?
CMS gives Avera Sister James Care Center an overall rating of 5 out of 5 stars, including 5/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Avera Sister James Care Center staffed?
Avera Sister James Care Center reports 3.97 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Avera Sister James Care Center had inspection problems?
Its most recent CMS inspection cited 2 deficiencies.
How many beds does Avera Sister James Care Center have?
Avera Sister James Care Center is certified for 187 beds.