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    Nursing home · ESTELLINE, SD

    Estelline Nursing and Care Center

    205 FJERESTAD AVENUE EAST, ESTELLINE, SD 57234

    CMS certification number: 435099 · Updated October 1, 2026

    Request care assistance6058732278Directions

    At a glance

    Official CMS profile

    CMS overall rating

    5 / 5

    Certified beds

    60

    Residents / day

    56.9

    Ownership

    Government - City

    Facility information

    Certification
    Medicare and Medicaid
    Ownership
    Government - City
    County
    Hamlin
    Certified beds
    60
    Average residents per day
    56.9
    First certified
    May 1, 1996

    CMS quality ratings

    Overall
    5 / 5
    Health inspections
    5 / 5
    Staffing
    5 / 5
    Quality measures
    5 / 5

    These are CMS quality ratings, not customer reviews.

    How this home compares locally

    Other homes in Hamlin, South Dakota. Missing values are excluded; this home is excluded from peer averages.

    CMS overall rating / 5

    This home
    5.00
    County peers
    5.00
    n=1
    State peers
    2.97

    Nurse hours / resident / day

    This home
    3.24
    County peers
    3.35
    n=1
    State peers
    3.86
    n=90

    Weekend nurse hours / resident / day

    This home
    2.61
    County peers
    2.95
    n=1
    State peers
    3.29
    n=90

    Nursing staff turnover (%)

    This home
    25.50
    County peers
    38.60
    n=1
    State peers
    48.83
    n=86

    Reported staffing is not adjusted for resident needs. These are descriptive averages, not a quality ranking or prediction of care. Sources and methodology

    Questions for your visit

    • Reported weekend staffing is 19.4% below the all-days average. How is weekend coverage maintained?
    • What has changed since your latest health inspection?
    • CMS reports 25.5% total nursing staff turnover. How do you retain staff and maintain continuity of care?
    • Which services are included, what costs extra, and can you provide a written care and payment plan?

    Published record coverage

    Hospital measures
    4
    Fire safety citations
    2
    Health citations
    2
    Resident measures
    17
    Ownership records
    5
    Penalties
    1
    SNF rehabilitation measures
    57
    Inspection summaries
    3
    Medicare performance records
    1

    Counts reflect the imported CMS publication, not a complete lifetime history. Zero records does not establish zero historical events.

    Full CMS profile

    Staffing & operations

    1 source records · CMS source date 2026-10-01CMS source

    Staffing hours are per resident per day; turnover figures are percentages. Blank values are not zero.

    Reported Total Nurse Staffing Hours per Resident per Day
    3.23692
    Reported RN Staffing Hours per Resident per Day
    0.71008
    Reported LPN Staffing Hours per Resident per Day
    0.32545
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.20139
    Total number of nurse staff hours per resident per day on the weekend
    2.60806
    Registered Nurse hours per resident per day on the weekend
    0.39170
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00447
    Total nursing staff turnover
    25.5
    Registered Nurse turnover
    18.2
    Number of administrators who have left the nursing home
    0
    Chain Name
    Not reported
    Number of Facilities in Chain
    Not reported
    Chain Average Overall 5-star Rating
    Not reported
    Special Focus Status
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    With a Resident and Family Council
    Resident
    Automatic Sprinkler Systems in All Required Areas
    Yes
    All provider source fields
    State
    SD
    Urban
    N
    Chain ID
    Not reported
    Latitude
    44.6224
    Location
    205 FJERESTAD AVENUE EAST,ESTELLINE,SD,57234
    ZIP Code
    57234
    City/Town
    ESTELLINE
    Longitude
    -96.959
    QM Rating
    5
    Abuse Icon
    N
    Chain Name
    Not reported
    County/Parish
    Hamlin
    Provider Name
    Estelline Nursing and Care Center
    Provider Type
    Medicare and Medicaid
    Overall Rating
    5
    Ownership Type
    Government - City
    Number of Fines
    1
    Processing Date
    2026-10-01
    Staffing Rating
    5
    Provider Address
    205 FJERESTAD AVENUE EAST
    Telephone Number
    6058732278
    Geocoding Footnote
    22
    QM Rating Footnote
    Not reported
    Legal Business Name
    CITY OF ESTELLINE
    Long-Stay QM Rating
    5
    High Performing Icon
    N
    Short-Stay QM Rating
    Not reported
    Special Focus Status
    Not reported
    Nursing Case-Mix Index
    1.08911
    Chain Average QM Rating
    Not reported
    Overall Rating Footnote
    Not reported
    Health Inspection Rating
    5
    Number of Certified Beds
    60
    Provider SSA County Code
    280
    Staffing Rating Footnote
    Not reported
    Number of Payment Denials
    0
    Registered Nurse turnover
    18.2
    Total Number of Penalties
    1
    Reported Staffing Footnote
    Not reported
    Long-Stay QM Rating Footnote
    Not reported
    Nursing Case-Mix Index Ratio
    0.77228
    Provider Resides in Hospital
    N
    Total nursing staff turnover
    25.5
    Chain Average Staffing Rating
    Not reported
    Number of Facilities in Chain
    Not reported
    Short-Stay QM Rating Footnote
    2
    CMS Certification Number (CCN)
    435099
    Administrator turnover footnote
    Not reported
    Total Amount of Fines in Dollars
    16826.00
    Health Inspection Rating Footnote
    Not reported
    Rating Cycle 1 Total Health Score
    4
    Registered Nurse turnover footnote
    Not reported
    Total Weighted Health Survey Score
    3.000
    With a Resident and Family Council
    Resident
    Average Number of Residents per Day
    56.9
    Chain Average Overall 5-star Rating
    Not reported
    Rating Cycle 1 Health Revisit Score
    0
    Rating Cycle 2/3 Total Health Score
    0
    Continuing Care Retirement Community
    N
    Physical Therapist Staffing Footnote
    Not reported
    Rating Cycle 2/3 Health Revisit Score
    0
    Total nursing staff turnover footnote
    Not reported
    Chain Average Health Inspection Rating
    Not reported
    Rating Cycle 1 Health Deficiency Score
    4
    Rating Cycle 1 Standard Survey Footnote
    Not reported
    Rating Cycle 2 Standard Survey Footnote
    Not reported
    Rating Cycle 1 Number of Health Revisits
    1
    Rating Cycle 2/3 Health Deficiency Score
    0
    Rating Cycle 1 Standard Survey Health Date
    2026-06-25
    Rating Cycle 2 Standard Health Survey Date
    2025-04-03
    Rating Cycle 2/3 Number of Health Revisits
    0
    Average Number of Residents per Day Footnote
    Not reported
    Provider Changed Ownership in Last 12 Months
    N
    Adjusted RN Staffing Hours per Resident per Day
    0.91225
    Case-Mix RN Staffing Hours per Resident per Day
    0.53414
    Reported RN Staffing Hours per Resident per Day
    0.71008
    Adjusted LPN Staffing Hours per Resident per Day
    0.41811
    Case-Mix LPN Staffing Hours per Resident per Day
    0.66560
    Reported LPN Staffing Hours per Resident per Day
    0.32545
    Automatic Sprinkler Systems in All Required Areas
    Yes
    Rating Cycle 1 Total Number of Health Deficiencies
    1
    Most Recent Health Inspection More Than 2 Years Ago
    N
    Rating Cycle 2/3 Total Number of Health Deficiencies
    0
    Rating Cycle 1 Number of Standard Health Deficiencies
    1
    Rating Cycle 2 Number of Standard Health Deficiencies
    0
    Reported Licensed Staffing Hours per Resident per Day
    1.03553
    Number of Citations from Infection Control Inspections
    Not reported
    Rating Cycle 1 Number of Complaint Health Deficiencies
    0
    Adjusted Nurse Aide Staffing Hours per Resident per Day
    2.82816
    Case-Mix Nurse Aide Staffing Hours per Resident per Day
    1.81281
    Number of administrators who have left the nursing home
    0
    Reported Nurse Aide Staffing Hours per Resident per Day
    2.20139
    Adjusted Total Nurse Staffing Hours per Resident per Day
    4.15851
    Case-Mix Total Nurse Staffing Hours per Resident per Day
    3.01254
    Rating Cycle 2/3 Number of Complaint Health Deficiencies
    0
    Reported Total Nurse Staffing Hours per Resident per Day
    3.23692
    Registered Nurse hours per resident per day on the weekend
    0.39170
    Date First Approved to Provide Medicare and Medicaid Services
    1996-05-01
    Reported Physical Therapist Staffing Hours per Resident Per Day
    0.00447
    Adjusted Weekend Total Nurse Staffing Hours per Resident per Day
    3.35061
    Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day
    2.65125
    Total number of nurse staff hours per resident per day on the weekend
    2.60806

    COMMUNITY EXPERIENCE

    Reviews of Estelline Nursing and Care Center

    Consumer experiences, separate from CMS ratings. Accounts are verified; care experiences are not independently verified.

    No published community reviews yet.

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    Source: Centers for Medicare & Medicaid Services · Data processed October 1, 2026