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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E3 | F8 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Dec 3, 2025 | Fire safety | Fire Safety Standard | 3 | Potential harm | — | Open → |
| Dec 3, 2025 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Sep 24, 2024 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 24, 2024 | Health | Health Standard | 2 | Potential harm | — | Open → |
| Sep 5, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 5, 2023 | Health | Health Standard | 5 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D7 | E3 | F8 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Dec 3, 2025 | K-0222 | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 30, 2026 | |
| Dec 3, 2025 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jan 30, 2026 | |
| Dec 3, 2025 | K-0353 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 2 facilities.
13 facilities in 3 states. CMS chain ID 61.
Chain average overall rating (CMS): 4.1
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avera Health | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2011 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Avera Health | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Feb 1, 2011 |
| Avera Health | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Feb 1, 2011 |
| Douglas Ekeren | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2014 |
| Carolyn Becker | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2017 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Avera Sister James Care Center 2111 West 11th Street, Yankton, SD 57078 CCN 435070 | 194 | May 14, 2026 | 91 harm | $8,492 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Plainview Manor 101 W Harper Ave, Plainview, NE 68769 CCN 285273 | 16.1 km | 39 | Aug 12, 2025 | 16 | — |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285284 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285284 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety |
| F · Potential harm Widespread |
| Corrected Jan 30, 2026 |
| Dec 3, 2025 | F-0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 17, 2025 |
| Dec 3, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 2, 2026 |
| Dec 3, 2025 | F-0699 | Provide care or services that was trauma informed and/or culturally competent. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jan 30, 2026 |
| Dec 3, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Jan 30, 2026 |
| Sep 24, 2024 | K-0753 | Have restrictions on the use of highly flammable decorations. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Oct 8, 2024 |
| Sep 24, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Oct 8, 2024 |
| Sep 24, 2024 | F-0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Medication management | E · Potential harm Pattern | Corrected Oct 9, 2024 |
| Sep 24, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Oct 9, 2024 |
| Sep 5, 2023 | K-0291 | Install emergency lighting that can last at least 1 1/2 hours. Egress Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 19, 2023 |
| Sep 5, 2023 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Sep 26, 2023 |
| Sep 5, 2023 | F-0606 | Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 5, 2023 |
| Sep 5, 2023 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Oct 5, 2023 |
| Sep 5, 2023 | F-0728 | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. Nursing and Physician Services Deficiencies · Staffing & supervision | E · Potential harm Pattern | Corrected Oct 5, 2023 |
| Sep 5, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Oct 5, 2023 |
| Sep 5, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Oct 5, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.62 (case-mix index 1.21).
| Douglas Ekeren | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2014 |
| Kathy Greeneway | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2017 |
| Scott Hiltunen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2021 |
| Bernie Hunhoff | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2019 |
| John Hurley | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2020 |
| Debra Kolecka | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2017 |
| Amy Leon | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2019 |
| Thomas Lorang | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2019 |
| Beth Mikkelsen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2019 |
| Steve Schindler | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2020 |
| Steve Schmeichel | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2021 |
| Roxanne Seifert | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2021 |
| Brian Steward | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2018 |
| Richard Strom | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jul 1, 2017 |
| Bobby Sutton | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Jun 18, 2018 |
| Lucille Welbig | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Feb 1, 2011 |
| Douglas Laflan | Individual | Managing employee | CONTRACTED MANAGING EMPLOYEE | not provided | Feb 1, 2011 |