ElderGrade
C

61.5/100

Average

Estelline Nursing And Care Center

205 Fjerestad Avenue East, Estelline, SD 57234

CMS 2/5 stars #2 of 2 in Hamlin County (605) 873-2278
Certified beds
60
Occupancy
94%
Ownership
Government
Accepts
Medicare + Medicaid

What to ask about before you visit

These are findings in the public CMS record for this home. They are not our opinion — each one comes straight from a federal inspection or enforcement file.

  • 1 citation(s) involving actual harm or immediate jeopardy

    Inspectors found violations at scope/severity G or above, meaning residents were harmed or placed in immediate jeopardy.

  • $16,826 in federal fines

    CMS has fined this facility across 1 penalty action(s).

How this grade was calculated

Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.

Inspection safety

20/30

Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.

  • -10 for 1 immediate-jeopardy citation(s) in the last 3 years

Staffing

6.5/30

Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.

  • 2.58 total nurse hours per resident per day (national median 3.77)
  • 0.45 RN hours per resident per day
  • Weekend staffing drops 21% against weekdays

Staff stability

15/15

How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.

  • 29% of nursing staff left in the last year

Resident outcomes

12/15

The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.

  • 4 of 5 stars on the CMS quality-measure rating

Enforcement history

8/10

Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.

  • $16,826 in federal fines across 1 action(s)

Grade ceiling applied

  • Capped at 64 (grade C) — immediate-jeopardy citation in the last 3 years

Staffing, against the national average

Full detail

Hours of nursing care each resident receives per day. The marker on each bar is the national average.

Total nurse hours per resident per day 2.04 hrs
National average 3.86 hrs Below average
Registered nurse (RN) hours 0.45 hrs
National average 0.69 hrs Below average

RNs are the licence level most likely to catch a resident deteriorating.

Weekend nurse hours 1.62 hrs
National average 3.42 hrs Below average

The shift most families visit, and the one thinned first.

Nursing staff turnover 28.80%
National average 45.80% Better than average

The share of nursing staff who left over the last year.

Recent inspection findings

Last standard health inspection: April 3, 2025 (1 year ago). That inspection produced no citations — the findings below are older.

L Dec 14, 2023 F0812

Nutrition and Dietary Deficiencies

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

Immediate jeopardy to resident health or safety

Who owns this home

Full record
Owner Type Role Since
HANSSEN, JASON Individual CORPORATE OFFICER
CITY OF ESTELLINE Organization OPERATIONAL/MANAGERIAL CONTROL
HANSSEN, JASON Individual OPERATIONAL/MANAGERIAL CONTROL
CECIL, DANIEL Individual ADP OF THE SNF
HANSSEN, JASON Individual ADP OF THE SNF

What families say

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Common questions about Estelline Nursing And Care Center

What is the ElderGrade for Estelline Nursing And Care Center? +

Estelline Nursing And Care Center holds an ElderGrade of C (61.5 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.

How many nursing hours does each resident get at Estelline Nursing And Care Center? +

Residents receive an average of 2.04 nursing hours per day across all nursing staff, against a national average of 3.86 hours.

Has Estelline Nursing And Care Center been cited for harming residents? +

Yes. 1 of the 1 citations on record were scored at scope and severity G or above, meaning inspectors found actual harm to a resident or immediate jeopardy to resident safety.

Does Estelline Nursing And Care Center accept Medicaid? +

Yes, Estelline Nursing And Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.