Nursing HomeInspections

Estelline Nursing and Care Center

Nursing home in Estelline, SD

Medicare & Medicaid certified4★ overall (CMS)

Call (605) 873-2278Send a messageMap ↗

Public-record details

Address
205 Fjerestad Avenue East, Estelline, SD 57234
Phone
(605) 873-2278
Listed under
Government-owned, 4–5 star overall rating
Medicare CCN
435099
Overall star rating
4 of 5 ★★★★☆
Health inspection rating
5 of 5
Staffing rating
1 of 5
Quality measures rating
4 of 5
Certified beds
60
Average residents per day
56
Ownership
Government, city
Legal business name
City of Estelline
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
May 1, 1996
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 435099. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Jun 25, 2026. CMS lists 2 health citations for this facility across its last three standard inspection cycles and complaint inspections (Dec 14, 2023 to Jun 25, 2026): 0 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Jun 25, 2026Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		D
Potential for more than minimal harm, isolated
Dec 14, 2023Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary		L
Immediate jeopardy, widespread

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records 1 fine totalling $16,826 in the last three years.

Dec 14, 2023Fine: $16,826

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
2.04 hours
Registered nurse (RN) time per resident per day
0.45 hours
Nurse aide time per resident per day
1.38 hours
Total nurse staffing on weekends
1.62 hours
Nursing staff turnover (yearly)
29%
RN turnover (yearly)
27%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.