Avera Sister James Care Center
Yankton, Yankton County, South Dakota · CCN 435070 · Non-profit (Corporation) · part of Avera Health (13 facilities, chain average 3.7 stars)
CMS rates Avera Sister James Care Center 5 of 5 overall as of August 2026. 194 certified beds, 189 residents a day on average. 9 citations on record from the current inspection cycles, 1 involving actual harm; 1 fine totalling $8,492.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★★★ 5 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 3 / 4 of 5 |
Staffing
| Total nurse staffing | 4.10358 hours per resident per day |
|---|---|
| Registered nurses | 1.17047 hours per resident per day |
| Weekend total | 3.68259 hours per resident per day |
| Nursing staff turnover | 31.3% (registered nurses 22%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-05-14 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · tag F0641 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-21 |
| 2026-05-14 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-06-21 |
| 2026-05-14 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · tag F0695 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-06-21 |
| 2026-02-05 complaint survey |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
G Actual harm that is not immediate jeopardy; isolated | Deficient, Provider has date of correction 2026-03-05 |
| 2025-01-08 | Have policies on smoking. Environmental Deficiencies · tag F0926 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2025-02-15 |
| 2025-01-08 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · tag F0554 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2025-02-15 |
| 2024-01-24 complaint survey |
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 · tag F0676 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2024-02-15 |
| 2023-09-14 | 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 · tag F0625 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-13 |
| 2023-09-14 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2023-10-13 |
Fines and payment denials
| Date | Penalty | Amount |
|---|---|---|
| 2026-02-05 | Fine | $8,492 |
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Avera Health Organization | 5% or greater direct ownership interest | — | 2001-01-01 |
| Erickson, Anthony Individual | adp of the snf | — | 2026-02-16 |
| Holstein, Martha Individual | adp of the snf | — | 2026-02-16 |
| Demuth, Jonathon Individual | corporate director | — | 2025-07-01 |
| Hunhoff, Bernie Individual | corporate director | — | 2019-07-01 |
| Hurley, John Individual | corporate director | — | 2020-07-01 |
| Kolecka, Debra Individual | corporate director | — | 2017-07-01 |
| Leon, Amy Individual | corporate director | — | 2019-07-01 |
| Miner, Amy Individual | corporate director | — | 2025-07-01 |
| Moeller, Arthur Individual | corporate director | — | 2024-07-01 |
| Rezac, Barbara Individual | corporate director | — | 2025-07-01 |
| Schindler, Steve Individual | corporate director | — | 2024-07-01 |
| Schmeichel, Steve Individual | corporate director | — | 2024-07-01 |
| Steward, Brian Individual | corporate director | — | 2018-07-01 |
| Strom, Richard Individual | corporate director | — | 2017-07-01 |
| Welbig, Lucille Individual | corporate director | — | 2002-07-01 |
| Hanson, Victoria Individual | corporate officer | — | 2025-05-03 |
| Lautt, Julie Individual | corporate officer | — | 2020-03-01 |
| Dover, James Individual | operational/managerial control | — | 2023-10-23 |
| Erickson, Anthony Individual | operational/managerial control | — | 2000-03-30 |
| Holstein, Martha Individual | operational/managerial control | — | 2025-02-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Avera Sister James Care Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Yankton County.