GoodStanding

Nursing home report

Estelline Nursing and Care Center

ESTELLINE, SD · Medicare-certified · 60 beds

In good standing
Government-run
Data as of July 1, 2026
2 of 5 overall

Estelline Nursing and Care Center has an overall rating of 2 out of 5 stars. The main concern is staffing, with a 1-star staffing rating and reported nurse staffing of 2.04 hours per resident per day, well below the 4.1-hour federal benchmark; the facility has no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.037 hrs/resident/day

Quality measures

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 2.037.

Staffing detail

Registered nurses
0.45
Licensed practical nurses
0.21
Nurse aides
1.38
Weekend nursing
1.62

Hours per resident per day.

Total staff turnover: 29%
Registered nurse turnover: 27%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

19.1%15.2%Improving

Residents with a fall causing major injury

1.9%3.7%Worsening

Residents with pressure ulcers (bedsores)

0%0%No change

Residents with a urinary tract infection

0%1.9%Worsening

Residents who lost too much weight

2%3.9%Worsening

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

11.8%7.7%Improving

Residents whose ability to walk got worse

13.1%16.4%Worsening

Long-stay residents on antianxiety or sleep medication

11.8%13.5%Worsening

Short-stay residents newly given an antipsychotic

4.8%

Residents with a long-term catheter

0%0%No change

Residents with new or worsening incontinence

19.7%14.6%Improving

Residents with depressive symptoms

0%0%No change

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

100%100%No change

Short-stay residents given the pneumonia vaccine

100%

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

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. 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
56.1 residents on an average day (94% 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.