nursing home in Estelline, SD
Estelline Nursing and Care Center
205 Fjerestad Avenue East, Estelline, SD 57234 · (605) 873-2278
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★1
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Estelline Nursing and Care Center at a glance
Estelline Nursing and Care Center is a 60-bed government nursing home in Estelline, South Dakota (Hamlin County).
CMS gives it 4 out of 5 stars on its overall star rating, better than the South Dakota average of 2.9.
Residents receive about 2 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (June 25, 2026) found 1 health citation. The South Dakota average is 6.7.
Federal regulators fined it 1 time in the past three years, totaling $16,826.
Nursing staff turnover is 28.8% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- Government - City
- Beds
- 60
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- May 1, 1996
- Resident/family council
- Resident
- County
- Hamlin County
- CMS Certification Number
- 435099
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 4 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 1 / 5 | 3.5 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 5 / 5 | 2.6 / 5 | 3.8 / 5 | Better |
| Short-stay (rehab) quality rating (higher is better) | 3 / 5 | 3.3 / 5 | 3.3 / 5 | Average |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.04 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.45 hrs | 0.80 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.38 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 1.62 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 28.8% | 48.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 27.3% | 34.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 1 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 3 | 72.2 | 80.6 | Better |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 1 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $16,826 | $40,815 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 1 | 2 | 1 | Average |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 60 | 61 | 107 | |
| Average residents per day | 56 | 52 | 86 | |
| Occupancy | 93.5% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2.4% | 5.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.4% | 4.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 16.5% | 24.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 1.5% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 11.7% | 21.3% | 13.9% | Better |
| Long-stay residents whose walking worsened (lower is better) | 10.9% | 19.4% | 14.1% | Better |
| Long-stay residents who lose too much weight (lower is better) | 2.5% | 5.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 14.1% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 16% | 25.4% | 19% | Better |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 4.8% | 2% | 1.6% | Worse |
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 2 health deficiencies and 2 fire safety deficiencies in the inspection records CMS currently publishes. 1 citation involved actual harm, including 1 rated "immediate jeopardy".
| Date | Citation | Severity | Status |
|---|---|---|---|
| June 25, 2026 Fire safety | 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 · Tag K0222 | F Potential harm, widespread | Corrected August 13, 2026 |
| June 25, 2026 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected August 13, 2026 |
| June 25, 2026 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | D Potential harm, isolated | Corrected August 3, 2026 |
| December 14, 2023 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | L Immediate jeopardy, widespread | Corrected January 12, 2024 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 1 federal penalty in the past three years, including $16,826 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| December 14, 2023 | Fine | $16,826 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| CECIL, DANIEL Individual | adp of the snf | NOT APPLICABLE | 01/01/2021 |
| HANSSEN, JASON Individual | adp of the snf | NOT APPLICABLE | 11/04/2024 |
| HANSSEN, JASON Individual | corporate officer | NOT APPLICABLE | 11/04/2024 |
| CITY OF ESTELLINE Organization | operational/managerial control | NOT APPLICABLE | 12/03/2024 |
| HANSSEN, JASON Individual | operational/managerial control | NOT APPLICABLE | 11/04/2024 |
Other nursing homes near Estelline Nursing and Care Center
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Avantara Watertown
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Frequently asked questions
What is Estelline Nursing and Care Center's rating?
Estelline Nursing and Care Center has 4 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Estelline Nursing and Care Center receive?
Its most recent standard health inspection found 1 citation, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Estelline Nursing and Care Center accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Estelline Nursing and Care Center?
It is government - city. The ownership section on this page lists the owners and managers reported to CMS.
Where is Estelline Nursing and Care Center and how do I contact it?
Estelline Nursing and Care Center is at 205 Fjerestad Avenue East, Estelline, SD 57234. Phone: (605) 873-2278.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.