Estelline Nursing and Care Center

205 FJERESTAD AVENUE EAST, ESTELLINE, SD 57234 · CCN 435099 · 60 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections3 of 5CMS staffing1 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

1 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.

Get the full report Watch this facility

Serious inspection findings

2023-12-14 — IMMEDIATE JEOPARDY (tag F0812, severity L)

Nutrition and Dietary Deficiencies · correction not recorded in CMS data

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

Staffing, from payroll records

Nursing hours / resident / day

1.92

state median 2.96

Weekend staffing gap

−21%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.33

registered nurses only

Contract (agency) staff

share of all nursing hours

Days with zero RN hours reported

with residents present

Nursing staff turnover

29%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

Keep an eye on this facility

Monitoring alerts are launching soon: new citations, penalties, ownership changes, and staffing drops for facilities you follow. Leave your email and we'll notify you when it goes live for Estelline Nursing and Care Center.

Penalties and enforcement

1 enforcement action(s), totaling $16,826 in fines.

Date	Type	Amount
2023-12-14	Fine	$16,826

Ownership

Ownership type: Government - City.

Full citation history

By severity: Immediate jeopardy: 1

Survey date	Tag	Category	Severity	Corrected
2023-12-14	F0812	Nutrition and Dietary Deficiencies	L	not recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Estelline Nursing and Care Center, ESTELLINE” at medicare.gov/care-compare.