Nursing home
Estelline Nursing and Care Center
205 Fjerestad Avenue East, Estelline, SD 57234 · Map
Government - City · 60 certified beds
Estelline Nursing and Care Center is a Medicare-certified nursing home in Estelline, South Dakota. CMS rates it 4 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 3.22 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Apr 3, 2025 cited 0 deficiencies.
- 1 fine totaling $16,826In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Estelline Nursing and Care Center compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.22 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.73 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.17 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | —% | 49.7% | 46.4% | — |
| Deficiencies cited, last inspection | 0.0 | 6.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
Penalties in CMS records: 1 fine totaling $16,826, 1 total penalty.
What inspectors found at Estelline Nursing and Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Immediate jeopardy
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Dec 14, 2023 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 205 Fjerestad Avenue East
Estelline, SD 57234 - CMS certification #
- 435099
- Ownership
- Government - City
- Certified beds
- 60
- Avg residents/day
- 54.5
- Provider type
- Medicare and Medicaid
- First certified
- 1996-05-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Estelline Nursing and Care Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Sanford Clear Lake Medical Center, Clear Lake. 16.0 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Avantara Lake Norden, Lake Norden. 12.7 miles away, straight line.
- Nearest home health agency office
- Prairie Lakes Home Health, Watertown. 21.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Lewis Drug. 16.4 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57234 as rural (rural area).
- Hospice
- 2 Medicare hospices tell CMS they serve ZIP code 57234.
Prairie Lakes Hospice, office in Watertown, 21.4 miles away, straight line (CMS family survey rating 4 of 5 stars)
Brookings Health System, office in Brookings, 23.7 miles away, straight line - Nearest geriatric medicine practice
- Hutchinson Health, Hutchinson. 127.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- Wildfire risk to homes
- In Hamlin County, SD, risk to homes is greater than 8% of communities in South Dakota and 30% of communities nationwide. USDA rates the whole county, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively moderate, tornado relatively high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | No plain statements of services found |
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Frequently asked questions
Is Estelline Nursing and Care Center a good nursing home?
CMS gives Estelline Nursing and Care Center an overall rating of 4 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Estelline Nursing and Care Center staffed?
Estelline Nursing and Care Center reports 3.22 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Estelline Nursing and Care Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Estelline Nursing and Care Center have?
Estelline Nursing and Care Center is certified for 60 beds.