CCN 435099
Estelline Nursing and Care Center
205 FJERESTAD AVENUE EAST, Estelline, SD 57234 · Hamlin County
- Ownership
- Government - City
- Certified beds
- 60
- Residents per day
- 56.1
- Health citations
- 2
- Penalties
- 1
- Fines
- 1 · $16,826
- Map
- Open location. CMS based the coordinates on the ZIP code because the street address did not match.
Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Staffing hours
Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.
- Measure
- This home
- State
- U.S.
- Nurse aide
- 1.38
- 2.52
- 2.32
- LPN/LVN
- 0.21
- 0.47
- 0.86
- Registered nurse
- 0.45
- 0.80
- 0.69
- Total nurse staff
- 2.04
- 3.79
- 3.86
- Weekend total
- 1.62
- 3.26
- 3.42
- Weekend RN
- 0.23
- 0.51
- 0.48
Adjusted total nurse hours: 2.58. Adjusted RN hours: 0.57. Case-mix total: 3.03. Case-mix index: 1.106.
Total nursing staff turnover: 28.8%. RN turnover: 27.3%. Administrators who left: 0.
How to read staffing hours
Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Fines and penalties
CMS reports 1 fine totaling $16,826, and 0 payment denials.
| Date | Type | Amount or days |
|---|
| December 14, 2023 | Fine | $16,826 |
Cycle 1 standard survey: June 25, 2026. Health deficiencies counted in cycle 1: 1. Cycle 1 total health score: 4.
Cycle 2 standard survey: April 3, 2025. Cycle 2/3 health deficiencies: 0. Total weighted health survey score: 3.
Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections
Health inspection citations
The Health Deficiencies file lists 2 citations for this home, including 1 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.
June 25, 2026
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 1 | D: isolated, no actual harm, with potential for more than minimal harm | Deficient, Provider has date of correction · August 3, 2026 |
December 14, 2023
1 citation
| Tag | What CMS cited | Scope and severity | Status |
|---|
| F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 3 | L: widespread, immediate jeopardy to resident health or safety | Deficient, Provider has date of correction · January 12, 2024 |
Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections