South Dakota › Hamlin County › Estelline
Estelline Nursing and Care Center
205 Fjerestad Avenue East, Estelline, SD 57234
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Estelline Nursing and Care Center, in Estelline, South Dakota, is certified for 60 beds under government, city ownership.
CMS gives it 4 of 5 stars overall, above the South Dakota median of 3; the health inspection rating is 5, staffing 1 and quality measures 4.
Inspectors recorded 2 health deficiencies across the three most recent survey cycles (1, 0, 1 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 3.3 per 100 beds, fewer than the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $17K.
Reported nurse staffing is 2.0 hours per resident per day (0.4 RN), below the South Dakota median of 3.6; nursing staff turnover is 28.8%.
Compared with county, state and nation
| Measure | This facility | Hamlin Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 2 | 6 | 16 | 28.7 |
| Citations per 100 beds | 3.3 | 12.0 | 23.9 | 26.8 |
| Total nurse hours per resident day | 2.0 | 3.2 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 0.8 | 0.8 | 0.7 |
| Nursing staff turnover | 28.8% | 32.6% | 46.6% | 45.8% |
| Fines listed | $16,826 | $16,826 | $20,183 | — |
County and state figures are medians across facilities (2 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 25 Jun 2026, 3 Apr 2025.
Severity mix: L ×1 D ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 25 Jun 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard survey | 3 Aug 2026 |
| 14 Dec 2023 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | L | Standard survey | 12 Jan 2024 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 14 Dec 2023 | Fine | $16,826 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 28.8%, RNs 27.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 11.7% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.5% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.4% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 4.8% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.9% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.4% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.5% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, city. Legal business name: City Of Estelline.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| City of Estelline | Operational/managerial control | NOT APPLICABLE | 12/03/2024 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Hamlin County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Avantara Lake Norden | Lake Norden | 50 | 5 | 4 | 4 | 6 | 12.0 | — | 19 Feb 2026 |
All 2 facilities in Hamlin County
Questions and answers
How many deficiencies has Estelline Nursing and Care Center been cited for?
2 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Estelline Nursing and Care Center been fined?
Yes. CMS lists fines totalling $17K in the period covered.
How does staffing at Estelline Nursing and Care Center compare?
Reported total nurse staffing is 2.0 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Estelline Nursing and Care Center?
Ownership type is government, city. Organisations in the CMS ownership record include City of Estelline. Individual owners and managers are not listed on this site.
When was Estelline Nursing and Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 25 Jun 2026; the most recent standard health survey was 25 Jun 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.