Nursing homeActive
Avera Sister James Care Center
2111 West 11th Street, Yankton, SD 570786056688900194 certified beds · 189 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
5
since 2023
Deficiencies
9
● 0● 8● 1
Penalties · 3 yrs
$8,492
1 fine
Last survey
2026-05-14
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 4
Staffing 5
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-05-14 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2026-02-05 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2025-01-08 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2024-01-24 | Complaint | 010 | CMS-2567 (Care Compare) | — |
| 2023-09-14 | Standard | 020 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F641Ensure each resident receives an accurate assessment.Scope/severity EStandard
Care planningRecords
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-21Record 435070-20260514-F641
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-06-21Record 435070-20260514-F695
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity EStandard
Food & nutrition
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-06-21Record 435070-20260514-F812
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2026-03-05Record 435070-20260205-F689
F554Allow residents to self-administer drugs if determined clinically appropriate.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-02-15Record 435070-20250108-F554
F926Have policies on smoking.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-02-15Record 435070-20250108-F926
F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-02-15Record 435070-20240124-F676
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 435070-20230914-F625
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-10-13Record 435070-20230914-F658
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2026-02-05 | Civil money penalty | $8,492 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.17
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day4.10
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours3.68
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover31%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover22%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 3.7% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 4.4% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 21.4% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.7% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 20.8% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.1% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.0% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Avera Health Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | NO PERCENTAGE PROVIDED | — | — |
| Dover, James Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Erickson, Anthony Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Holstein, Martha Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Demuth, Jonathon Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Erickson, Anthony Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hanson, Victoria Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Holstein, Martha Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hunhoff, Bernie Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Hurley, John Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Kolecka, Debra Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Lautt, Julie Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Leon, Amy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Miner, Amy Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Moeller, Arthur Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Rezac, Barbara Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schindler, Steve Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Schmeichel, Steve Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Steward, Brian Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Strom, Richard Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Welbig, Lucille Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Avera Health — 13 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Yankton.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Sd Human Services Center - Geriatric Program Yankton | 2.8 mi | 2025-06-05 | 050 |
| Accura HealthCare of Hartington Hartington | 19.7 mi | 2026-02-23 | 150 |
| Sunset Manor Avera Health Irene | 19.6 mi | 2026-05-05 | 0124 |
| Wakonda Heritage Manor Wakonda | 18.6 mi | 2026-05-07 | 071 |
| Good Samaritan Society - Bloomfield Bloomfield | 22.4 mi | 2025-11-24 | 0170 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |