Provider Name: AVERA SISTER JAMES CARE CENTER
Address: 2111 WEST 11TH STREET, YANKTON, SD 57078
Phone: (605) 668-8900
County: Yankton (670)
Ownership Type: Non profit - Corporation
Certified Beds: 187
Average Residents Per Day: 176. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: SACRED HEART HEALTH SERVICES
First Approved Date: July 1, 1993
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.31557, LPN Staff Hours Per Day: 0.2294, RN Staff Hours Per Day: 0.9571, Licensed Staff Hours Per Day: 1.1866
Total Nurse Staff Hours Per Day, per resident: 3.50219
Weekend Nurse Staff Hours: 2.92904, Weekend RN Staff Hours: 0.5713
PT Staff Hours Per Day, per resident: 0.0255
Nurse Staff Turnover: 34.5, Nurse Turnover Note:
RN Turnover: 17.6, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.8702, Case Mix LPN Hours Per Day: 0.6499, Case Mix RN Hours Per Day: 0.2990
Adjusted Nurse Aide Hours Per Day, per resident: 2.52228, Adjusted LPN Hours Per Day: 0.2605, Adjusted RN Hours Per Day: 1.2058
Total Adjusted Nurse Hours Per Day, per resident: 3.91554
Adjusted Weekend Nurse Hours Per Day, per resident: 3.27475
Health Survey Dates and Scores: Cycle 1: 2023-09-14 (Score: 16), Cycle 2: 2022-08-11 (Score: 8), Cycle 3: 2019-12-04 (Score: 8)
Total Weighted Health Score: 12.000
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 2111 WEST 11TH STREET,YANKTON,SD,57078 (42.8798, -97.428)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2024-02-15
Type: Health, Deficiency: 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.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-13
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-13
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-07
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-01-10
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-07
Type: Fire Safety, Tag: 0362, Version: New
Description: Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-09-07