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Skilled nursing facility · CMS certified · CCN 435070

Avera Sister James Care Center

2111 West 11th Street, Yankton, SD 57078 · Yankton County · one of 96 skilled nursing facilities in South Dakota
194
certified beds
5 / 5
overall CMS rating
Nonprofit
ownership type
97.4%
occupancy, Oct 2026: 189 residents a day · South Dakota 84.5%
1.34
case mix, 0.95x the national average
4.10
nurse hours per resident day · South Dakota 3.79
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Avera Sister James Care Center compares

Yankton County has 1 other certified building, too few to compare, so this is against South Dakota. 96 buildings.

Better than most of South Dakota on 8 of 8 lines.

Occupancy, Oct 202697.4%Better than mostHigher than 88 of the 89 other buildings in South Dakota

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 89.1%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.10Better than mostHigher than 66 of the 90 other buildings in South Dakota

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 3.62. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating5 / 5Better than mostHigher than 73 of the 93 other buildings in South Dakota, level with 20

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating4 / 5Better than mostHigher than 58 of the 93 other buildings in South Dakota, level with 24

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating5 / 5Better than mostHigher than 69 of the 93 other buildings in South Dakota, level with 24

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 4 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating3 / 5Better than mostHigher than 48 of the 93 other buildings in South Dakota, level with 16

CMS's star rating for resident-care quality measures. The middle of the set: 2 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day1.14Better than mostHigher than 83 of the 90 other buildings in South Dakota

Registered nurse hours for each resident, each day. The middle of the set: 0.73. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited4Better than mostFewer than 80 of the 95 other buildings in South Dakota, the same as 3

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 9. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against South Dakota
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Avera Sister James Care Center
Google Street View · opens in Maps
Street View
2111 West 11th Street, Yankton, SD
Map around Avera Sister James Care Center
Map · Yankton County
Yankton County, South Dakota
2 skilled nursing facilities; average overall rating 5.0, South Dakota 3.0.
See how Yankton County compares ›
Cost report, against South Dakota
Each line is what this building filed with Medicare for its latest full year, beside the middle building in South Dakota. The rank counts from the top: 1st is the highest figure among South Dakota's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2025 to FY2026. What the buildings in South Dakota that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
85.8%
62
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
7.8%
68
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
53.6%
68
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$344
68
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$335
68
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$15
68
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
4.5%
66
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating5 / 5 · state 3
Health inspection4 / 5 · state 2.9
Staffing5 / 5 · state 3.5
RN hours per resident per day1.14 · state 0.78
Overall rating, last 8 quarters
055Q3’244Q4’245Q1’255Q2’255Q3’255Q4’255Q1’265Q2’26latest
back to 5 / 5 over the 8 quarters shown, having been as low as 4 / 5

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingSouth Dakotanationrecent quarters
Needed more help with daily activities20.0%better than state21.5%13.5%2025Q2: 21.3%2025Q3: 16.7%2025Q4: 22.7%2026Q1: 22.6%2026Q2: 18.1%
21.3% → 18.1%
Q2’25 to Q2’26
Catheter inserted and left in0.7%better than state1.9%0.7%2025Q2: 0.6%2025Q3: 0.6%2025Q4: 0.6%2026Q1: 1.1%2026Q2: 0.4%
0.6% → 0.4%
Q2’25 to Q2’26
Urinary tract infection1.5%better than state2.9%1.5%2025Q2: 1.9%2025Q3: 1.3%2025Q4: 2.4%2026Q1: 1.2%2026Q2: 1.2%
1.9% → 1.2%
Q2’25 to Q2’26
Fall with major injury5.4%better than state5.5%3.2%2025Q2: 1.9%2025Q3: 3.8%2025Q4: 6.0%2026Q1: 5.9%2026Q2: 6.0%
1.9% → 6.0%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)2.1%better than state2.2%1.5%2025Q2: 2.4%2025Q3: 2.2%2025Q4: 0.0%2026Q1: 0.0%2026Q2: 7.2%
2.4% → 7.2%
Q2’25 to Q2’26
Ability to walk independently worsened17.4%better than state18.3%12.7%2025Q2: 12.8%2025Q3: 20.5%2025Q4: 15.6%2026Q1: 18.5%2026Q2: 15.2%
12.8% → 15.2%
Q2’25 to Q2’26
Pressure ulcers3.9%better than state4.5%4.5%2025Q2: 5.8%2025Q3: 2.2%2025Q4: 2.9%2026Q1: 4.0%2026Q2: 6.3%
5.8% → 6.3%
Q2’25 to Q2’26
Given an antipsychotic22.8%better than state24.8%15.4%2025Q2: 17.2%2025Q3: 20.6%2025Q4: 22.5%2026Q1: 24.1%2026Q2: 23.5%
17.2% → 23.5%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
May 2026
last standard survey
4
deficiencies cited · South Dakota avg 10.1
$8,492
fines, last 3 years
Reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in South Dakota
state rate files
$249
median daily rate across the South Dakota buildings in our rate book, Jul 2026 file
South Dakota rates and what changed ›
Yankton County
buildingbedsoverallAvera Sister James Care Center1945 / 5Sd Human Services Center - Geriatric Program695 / 5
All South Dakota buildings in Yankton County ›
Also in Yankton, SD
1 other certified skilled nursing facility in Yankton
buildingbedsoverallSd Human Services Center - Geriatric Program695 / 5
South Dakota at a glance
96
buildings
5,835
licensed beds
84%
occupancy
32%
for-profit
South Dakota market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancySd Human Services Center - Geriatric ProgramYankton · 2.8 mi695 / 5under 70%Wakonda Heritage ManorWakonda · 18.6 mi384 / 5over 85%Sunset Manor Avera HealthIrene · 19.6 mi581 / 5over 85%Accura Healthcare of HartingtonHartington · 19.8 mi475 / 5under 70%Good Samaritan Society - BloomfieldBloomfield · 22.4 mi702 / 5under 70%Good Samaritan Society TyndallTyndall · 23.5 mi682 / 570-85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Avera Sister James Care Center?
Avera Sister James Care Center in Yankton, SD carries an overall CMS rating of 5 out of 5 stars in the Oct 2026 CMS file.
How many beds does Avera Sister James Care Center have?
Avera Sister James Care Center is certified for 194 beds in the Oct 2026 CMS file.
How full is Avera Sister James Care Center?
CMS's reported average residents put Avera Sister James Care Center's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.