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
Data as of July 1, 2026
5 of 5 overall
AVERA SISTER JAMES CARE CENTER in Yankton, SD has a 5-star overall rating, with 4 stars for health inspections and quality measures and 5 stars for staffing. Reported nurse staffing is 4.10 hours per resident per day, matching the federal benchmark of 4.1, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.1036 hrs/resident/day
Quality measures
Last inspection: May 14, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.1036.
Staffing detail
- Registered nurses
- 1.17
- Licensed practical nurses
- 0.17
- Nurse aides
- 2.77
- Weekend nursing
- 3.68
Hours per resident per day.
Total staff turnover: 31%
Registered nurse turnover: 22%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
17.2%24.6%Worsening
Residents with a fall causing major injury
1.9%5.9%Worsening
Residents with pressure ulcers (bedsores)
5.8%4%Improving
Residents with a urinary tract infection
1.9%1.2%Improving
Residents who lost too much weight
3.1%0.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.3%22.6%Worsening
Residents whose ability to walk got worse
12.8%18.5%Worsening
Long-stay residents on antianxiety or sleep medication
14.9%24.6%Worsening
Short-stay residents newly given an antipsychotic
2.4%0%Improving
Residents with a long-term catheter
0.6%1.1%No change
Residents with new or worsening incontinence
27.3%20.6%Improving
Residents with depressive symptoms
6.7%2.7%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
99.4%100%Improving
Short-stay residents given the seasonal flu vaccine
—100%—
Short-stay residents given the pneumonia vaccine
100%100%No change
What the inspectors found
The nursing home failed to make sure each resident got an accurate assessment of their needs and condition. Cited May 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 641 — 42 CFR §483.20(g) — S/S: E
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited May 2026 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
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.
View the original federal record
F-Tag 676 — 42 CFR §483.24 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- 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.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of AVERA HEALTH · 13 homes · 3.4 stars avg
- Occupancy
- 189 residents on an average day (97% of 194 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.