Avera Sister James Care Center: Staffing, Turnover, and Inspection Record
Avera Sister James Care Center is a 194-bed nonprofit nursing home in Yankton, South Dakota, part of Avera Health. In the CMS August 2026 release it reported 2.77 nurse aide hours per resident per day, 10% above the South Dakota average of 2.52, and 31.3% nursing staff turnover (South Dakota average 48.2%).
Avera Sister James Care Center
2111 West 11th StreetYankton, SD 57078
Yankton County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Avera Sister James Care Center, nurse aides logged 2.77 hours per resident per day, 10% above the South Dakota average. With about 189 residents a day, that works out to roughly 523 aide hours a day, or about 65 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 10% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.77 | 2.52 | 2.32 |
| Licensed practical nurses | 0.17 | 0.47 | 0.86 |
| Registered nurses | 1.17 | 0.80 | 0.69 |
| All nursing staff | 4.10 | 3.79 | 3.86 |
| All nursing staff, weekends | 3.68 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
31.3% of nursing staff at Avera Sister James Care Center left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 22.0%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on May 14, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 4 health deficiencies (South Dakota average 6.9). CMS lists 1 fine totaling $8,492 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Feb 5, 2026 | Fine | $8,492 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Avera Sister James Care Center holds 5 of 5 overall; the South Dakota average is 2.9.
About Avera Sister James Care Center
- Ownership: Non profit - Corporation
- Chain: Avera Health, 13 homes
- Legal name: Sacred Heart Health Services
- Medicare and Medicaid certified since: Jul 1, 1993
- Councils: resident council
- Area: rural
Nursing homes near Avera Sister James Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| SD Human Services Center - Geriatric Program Yankton | 2.8 | 69 | 5.94 | 8.62 | 37.4% | 5 | None |
| Wakonda Heritage Manor Wakonda | 18.6 | 38 | 2.59 | 3.85 | 33.3% | 5 | $12,675 |
| Sunset Manor Avera Health Irene · abuse citation | 19.6 | 58 | 3.69 | 5.10 | 70.4% | 2 | $40,596 |
| Accura HealthCare of Hartington Hartington | 19.7 | 47 | 2.37 | 3.41 | 31.4% | 5 | None |
| Good Samaritan Society - Bloomfield Bloomfield | 22.4 | 70 | 2.14 | 3.33 | 56.5% | 3 | None |
| Good Samaritan Society Tyndall Tyndall | 23.5 | 68 | 2.39 | 3.58 | 58.5% | 3 | $44,815 |
| Good Samaritan Society Scotland Scotland | 23.8 | 45 | 2.31 | 3.52 | 45.5% | 5 | None |
| Menno-Olivet Care Center Menno | 25.7 | 41 | 3.09 | 4.40 | 35.7% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.