About Estelline Nursing And Care CenterEstelline Nursing And Care Center is located at 205 Fjerestad Avenue East, Estelline, SD, reachable at (605) 873-2278. This Government – City facility operates 60.0 certified beds and serves an average of 54 residents per day. Medicare and Medicaid services have been provided since 1996-05-01. The facility currently holds a above average (4-star) overall rating from the Centers for Medicare & Medicaid Services (CMS).
#3832 of 14703 nationally – #21 of 97 in South Dakota
Who Is This Facility Best For?
Estelline Nursing And Care Center offers a mid-range care option in Estelline, SD.
Overall Rating 2022-2026
Total Nurse Hours/Day 2022-2026
Current Ratings (2026)
Overall Rating
★★★★★4 / 5
Health Inspection
★★★★★3 / 5
Staffing Rating
★★★★★3 / 5
Quality Measures (QM)
★★★★★5 / 5
Long-Stay QM Rating
★★★★★5 / 5
Short-Stay QM Rating
N/A
5-Year Rating Trends
Overall Rating
Health Inspection Rating
Quality of Care (QM)
Staffing Rating
Average Residents per Day
Occupancy % (Residents / Beds)
Staffing InsightEstelline Nursing And Care Center currently provides 3 hours 13 minutes of total nurse staffing per resident per day, including 44 minutes of Registered Nurse (RN) coverage. The CMS Staffing Rating is 3 out of 5 (average).
Current Staffing Hours Per Resident Per Day (2026)
Total Nurse Staffing3 hours 13 minutes
Nurse Aide Hours2 hours 10 minutes
Licensed Practical Nurse (LPN) Hours19 minutes
Registered Nurse (RN) Hours44 minutes
Physical Therapist Hours0 minutes
National average total nurse staffing is approximately 3.5 hours per day
Weekend Staffing Hours Per Resident Per Day (2026)
Weekend Total Nurse Hours2 hours 34 minutes
Weekend Registered Nurse (RN) Hours25 minutes
Weekend staffing is typically lower than weekday levels. Ask the facility about their weekend nurse-to-resident ratios.
5-Year Staffing Trends
Total Nurse Hours/Day
Registered Nurse (RN) Hours/Day
Licensed Practical Nurse (LPN) Hours/Day
Nurse Aide Hours/Day
Total Staff Turnover %
Registered Nurse (RN) Turnover %
Compliance SummaryIn the current reporting period, the facility received 1 fine(s) totaling $16,826. No substantiated complaints have been recorded in the available data.
Nationally, Estelline Nursing And Care Center ranks 3832nd out of 14,703 facilities (composite score: 79.7/100), placing it in the above average nationwide. Within SD, it ranks 21st out of 97 nursing homes. For 2026 staffing: total nurse hours rank #11,841 nationally and RN hours rank #4,450 nationally (#52 in SD).
Total Nurse Staffing – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
SD State Rank
Note
2022
3.43
#8,460 / 14,703
#45 / 97
Below average
2023
3.24
#10,139 / 14,703
#65 / 97
Below average
2024
2.92
#12,891 / 14,703
#82 / 97
⚠️ Bottom 25%
2025
3.03
#12,805 / 14,703
#85 / 97
⚠️ Bottom 25%
2026
3.22
#11,841 / 14,703
#72 / 97
⚠️ Bottom 25%
Registered Nurse (RN) Hours – Year-by-Year National and State Ranks
Year
Hours/Day
National Rank
SD State Rank
Note
2022
0.97
#2,266 / 14,703
#24 / 97
Top 25%
2023
0.89
#2,491 / 14,703
#26 / 97
Top 25%
2024
0.86
#2,736 / 14,703
#29 / 97
Top 25%
2025
0.70
#4,839 / 14,703
#58 / 97
Above average
2026
0.73
#4,450 / 14,703
#52 / 97
Above average
Total Nurse Rank – National (lower number = better)
Registered Nurse Rank – National (lower number = better)
Frequently Asked Questions
Estelline Nursing And Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1996-05-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (605) 873-2278 or your local Medicaid office to verify current eligibility.
Estelline Nursing And Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 4 out of 5 stars. This is made up of three components: Health Inspection (3★), Staffing (3★), and Quality of Resident Care (5★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 79.7/100, placing it #3832 of 14703 facilities nationally and #21 of 97 in South Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.
Each resident at Estelline Nursing And Care Center receives a reported average of 3 hours 13 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 44 minutes; Licensed Practical Nurse (LPN) — 19 minutes; Nurse Aide — 2 hours 10 minutes. On weekends, total nurse staffing is 2 hours 34 minutes per resident per day. The CMS Staffing Rating for this facility is 3 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Families are encouraged to ask about current staffing schedules during their facility visit.
In the current reporting period, the facility received 1 fine(s) totaling $16,826. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $16,826, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 37.5 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.
Nationally, Estelline Nursing And Care Center ranks 3832nd out of 14,703 facilities (composite score: 79.7/100), placing it in the above average nationwide. Within SD, it ranks 21st out of 97 nursing homes. For 2026 staffing: total nurse hours rank #11,841 nationally and RN hours rank #4,450 nationally (#52 in SD). Our composite quality score of 79.7/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Estelline, visit: https://nursinghomesnearme.org/south_dakota/estelline/
Data Disclaimer: All data on this page is sourced exclusively from the official CMS (Centers for Medicare and Medicaid Services) Nursing Home Compare dataset, covering reporting periods from 2022 through 2026. This includes facility ratings, staffing hours, inspection scores, fines, complaints, and geographic coordinates. NursingHomesNearMe.org does not independently verify, collect, or alter this data. Composite scores and rankings are calculated by NursingHomesNearMe.org – learn how rankings are calculated. Information may not reflect current facility conditions. Always contact the facility directly and verify at medicare.gov/care-compare before making care decisions.