All citations for Avera Sister James Care Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Avera Sister James Care Center

Last standard health inspection on record

May 14, 2026

Showing 1 to 9 of 9 citations

  1. Harm to a resident

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of February 5, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 5, 2026).

  2. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2026).

  3. No harm, with potential for more than minimal harm

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2026).

  4. No harm, with potential for more than minimal harm

    Have policies on smoking.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0926, Environmental Deficiencies. Inspection of January 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2025).

  5. No harm, with potential for more than minimal harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of January 24, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 15, 2024).

  6. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of May 14, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 21, 2026).

  7. No harm, with potential for more than minimal harm

    Allow residents to self-administer drugs if determined clinically appropriate.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0554, Resident Rights Deficiencies. Inspection of January 8, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 15, 2025).

  8. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of September 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2023).

  9. No harm, with potential for more than minimal harm

    Ensure services provided by the nursing facility meet professional standards of quality.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of September 14, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 13, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.