Estelline Nursing and Care Center in Estelline, SD has an overall 3 out of 5 stars, with average health inspection and staffing ratings and a stronger 4 out of 5 for quality measures. It reported 3.13 nurse staffing hours per resident per day, below the federal benchmark of 4.1, and had no fines in the last 24 months.
Last inspection: April 3, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.1344.
Staffing detail
Registered nurses
0.76
Licensed practical nurses
0.32
Nurse aides
2.05
Weekend nursing
2.55
Hours per resident per day.
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
18.2%Improving
Residents with a fall causing major injury
2.9%Improving
Residents with pressure ulcers (bedsores)
1.4%Worsening
Residents with a urinary tract infection
2%Improving
Residents who lost too much weight
3%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
12.3%Worsening
Residents whose ability to walk got worse
11.9%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
14.3%Worsening
Short-stay residents newly given an antipsychotic
3.6%Steady
Residents with a long-term catheter
0.7%Improving
Residents with new or worsening incontinence
14.3%Worsening
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2023 — widespread issue, immediate jeopardy to residents.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: L
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,826 in total fines.
Federal fine
Dec 14, 2023
$16,826
Operator & ownership
Ownership
Government - City
Occupancy
54.1 residents on an average day (90% of 60 beds)
Resident voice
Resident council
Medicare history
Certified for 30 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.