The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2026 — isolated incident, actual harm.
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F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
AVERA SISTER JAMES CARE CENTER
YANKTON, SD · Medicare-certified · 194 beds
In good standing
Non-profitChain member
5 of 5 overall
AVERA SISTER JAMES CARE CENTER has a 5-star overall rating, with 5 stars for staffing and 4 stars for health inspection and quality measures. It reported 3.91 nursing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and recent inspection citations included accident hazards/supervision, smoking policies, and preserving residents’ ability to perform daily activities.
Facility ratings
Health inspections
Staffing
3.9113 hrs/resident/day
Quality measures
Last inspection: February 5, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.9113.
Staffing detail
- Registered nurses
- 1.08
- Licensed practical nurses
- 0.17
- Nurse aides
- 2.66
- Weekend nursing
- 3.45
Hours per resident per day.
Total staff turnover: 34%
Registered nurse turnover: 28%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
20.3%Worsening
Residents with a fall causing major injury
3.7%Worsening
Residents with pressure ulcers (bedsores)
4.1%Improving
Residents with a urinary tract infection
2%Steady
Residents who lost too much weight
3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
20.1%Worsening
Residents whose ability to walk got worse
18.2%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
17.9%Worsening
Short-stay residents newly given an antipsychotic
1.8%Improving
Residents with a long-term catheter
0.7%Steady
Residents with new or worsening incontinence
26.7%Improving
Residents with depressive symptoms
3.1%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.8%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to have policies to keep smoking safe and properly managed. Cited January 2025 — limited pattern, potential for harm.
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F-Tag 926 — 42 CFR §483.90 — S/S: E
The home failed to ensure residents kept their ability to do everyday activities unless there was a medical reason. Cited January 2024 — limited pattern, potential for harm.
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F-Tag 676 — 42 CFR §483.24 — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited August 2022 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The home failed to ensure residents who could safely take their own medicines were allowed to self-administer them. Cited January 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 554 — 42 CFR §483.10 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
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- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of AVERA HEALTH · 13 homes · 3.5 stars avg
- Occupancy
- 188.9 residents on an average day (97% of 194 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 32 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.