Estelline Nursing and Care Center

205 Fjerestad Avenue East · Estelline, SD · 57234 · 6058732278

60 certified beds Government - City

  • Inspection results have improved across recent cycles.

Red flags

1 immediate-jeopardy citation in prior inspection cycles

Serious past findings — check whether the underlying problems were fixed and stayed fixed.

Score breakdown

Inspection record 30% of score 62
Serious harm & abuse 20% 94
Staffing 20% 61
Federal penalties 15% 73
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 3 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.133.48 min · 4.1 strong
RN hours / resident-day0.760.55–0.75
Weekend hours / resident-day2.55≈ weekday level
Nursing turnover / yearmedian 45%
Fines (3-yr window)1 · $16,826

Inspection citations (1 in the current record)

  • Immediate jeopardy · L December 14, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected January 12, 2024 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
December 14, 2023Fine$16,826

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435099 · certified since May 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.