Total health inspections
1
South Dakota average 4.5
Last Health inspection on Dec 2023
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Estelline Nursing and Care Center
Nursing Home in South Dakota
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Estelline Nursing and Care Center
Nursing Home in South Dakota
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Estelline Nursing and Care Center is located in Estelline, South Dakota. It provides various medical services and care options for residents. The center is committed to enhancing the quality of life for its residents.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
87.1%
Rank #26 / 61Occupancy rate — state benchmarkedThis home is ranked 26th out of 61 homes in South Dakota.Shows this facility's occupancy rate versus the South Dakota average, with its statewide rank out of 61. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
1,004 days
Occupancy rate
87.1%
Rank #26 / 61Occupancy rate — state benchmarkedThis home is ranked 26th out of 61 homes in South Dakota.Shows this facility's occupancy rate versus the South Dakota average, with its statewide rank out of 61. Higher occupancy signals strong local demand and financial stability.
Avg. Length of Stay
1,004 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
79% of new residents, usually for short-term rehab.
Typical stay
20 days
Private pay
15% of new residents, often for short stays.
Typical stay
3 - 4 years
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
4 - 5 years
Finances and operations
Voluntary non-profit community
Home revenue
$5.0M
Surplus of revenue
$492.5K
Voluntary non-profit community
Home revenue
$5.0M Rank #49 / 61Revenue — state benchmarkedThis home is ranked 49th out of 61 homes in South Dakota.Shows this facility's annual revenue compared to the South Dakota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.
Surplus of revenue
$492.5K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #33 / 61Payroll — state benchmarkedThis home is ranked 33rd out of 61 homes in South Dakota.Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
$2.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #33 / 61Payroll — state benchmarkedThis home is ranked 33rd out of 61 homes in South Dakota.Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$1.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.5M
60-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyHamlin
License Number10617
CMS Certification Number435099
Estelline Nursing and Care Center is administrated by Hanssen, Jason.
Specific ProgramsMedical services, Physical Therapy, Sanford Clinic
Health Inspection History
Inspections
Total health citations
1
Rank #1 / 66Health citations — state benchmarkedThis home is ranked 1st out of 66 homes in South Dakota.Shows this facility's total health deficiency citations benchmarked to the South Dakota state average, with a ranking across all 66 SD SNFs. Lower citation counts earn a better rank.
South Dakota average 14.8
Citations per inspection
1
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 1 citation resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
Rank #1 / 58Severe citations — state benchmarkedThis home is ranked 1st out of 58 homes in South Dakota.Shows citations where actual resident harm occurred, compared to the South Dakota average and ranked across 58 SNFs statewide. Even a single severe citation is significant — lower is always better.
233% worse than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
0
0
100% better than South Dakota averageSouth Dakota average: 1.8
1 critical citation
0 serious citations
0 moderate citations
0 minor citations
Citations history (last 3 years)
Nutrition critical citation
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 14, 2023
Issues related to food quality, meal service, and resident's nutritional needs.
Dec 14, 2023
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Compare Nursing Homes around South Dakota The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Filter by care type
| Alcester Care and Rehab Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Alcester (Alcester Township) | 41 | 94.9% | +19% | 3.72 | +30% | -14% | 2 | 11 | 2.2 | 1 | 37 | - | - | Stroschein Properties Iii Llc | $3.0M | $1.5M | 50.6% | 435062 | ||||
| Avantara Clark City |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Clark | 35 | 79.4% | -1% | 3.15 | -22% | -27% | 1 | 5 | 1.3 | 1 | 31 | - | 31 | Schlomer, Tiffany | $6.0M | $1.5M | 25.5% | 435058 | ||||
| Aurora Brule Nursing Home Inc. |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | White Lake (White Lake Township) | 50 | 61.7% | -23% | 3.45 | +29% | -20% | 2 | 16 | 3.2 | 1 | 40 | - | - | Aurora-Brule Nursing Home | $2.9M | $1.5M | 51.8% | 435132 | ||||
| Estelline Nursing and Care Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Estelline (Estelline Township) | 60 | 87.1% | +9% | - | -1% | - | 1 | 1 | 1.0 | 1 | 55 | - | - | City Of Estelline | $5.0M | $2.8M | 55.1% | 435099 | ||||
| Avantara Arrowhead |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Rapid City (Broadmoor Subdivision) | 68 | 75.2% | -6% | 2.80 | +52% | -36% | 5 | 34 | 3.8 | 9 | 61 | - | 12 | Preston, Philip | $10.7M | $2.9M | 27.3% | 435051 |
Financial Assistance for
Nursing Home in South Dakota
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Estimated distance in miles from Estelline's city center to Estelline Nursing and Care Center's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
74
Employees
68
Contractors
6
Staff to resident ratio
1.37:1
28% worse than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
30
Average shift
7.1 hours
8% worse than South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
19,458
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.2 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
5
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.3 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
42
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.9 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
1%
186 contractor hours this quarter
Occupational Therapy Assistant: 1
Physician Assistant: 1
Occupational Therapy Aide: 1
Medical Director: 1
Physical Therapy Aide: 1
Qualified Social Worker: 1
Staff by category
| Certified Nursing Assistant | 42 | 0 | 42 | 11,317 | 91 | 100% | 6.9 |
| Registered Nurse | 8 | 0 | 8 | 2,493 | 91 | 100% | 7.2 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,489 | 86 | 95% | 7.3 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,095 | 91 | 100% | 7.6 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 962 | 67 | 74% | 9 |
| Speech Language Pathologist | 1 | 0 | 1 | 499 | 68 | 75% | 7.3 |
| Administrator | 1 | 0 | 1 | 488 | 61 | 67% | 8 |
| Dietitian | 1 | 0 | 1 | 466 | 63 | 69% | 7.4 |
| Mental Health Service Worker | 1 | 0 | 1 | 434 | 53 | 58% | 8.2 |
| Physician Assistant | 0 | 1 | 1 | 52 | 8 | 9% | 6.5 |
| Medical Director | 0 | 1 | 1 | 44 | 6 | 7% | 7.3 |
| Physical Therapy Aide | 0 | 1 | 1 | 37 | 18 | 20% | 2.1 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 33 | 3 | 3% | 10.9 |
| Respiratory Therapy Technician | 2 | 0 | 2 | 14 | 8 | 9% | 1.8 |
| Physical Therapy Assistant | 1 | 0 | 1 | 13 | 4 | 4% | 3.3 |
| Qualified Social Worker | 1 | 1 | 2 | 12 | 12 | 13% | 1 |
| Occupational Therapy Aide | 0 | 1 | 1 | 10 | 2 | 2% | 5 |
42 Certified Nursing Assistant
% of Days
100%
8 Registered Nurse
% of Days
100%
5 Licensed Practical Nurse
% of Days
95%
3 Other Dietary Services Staff
% of Days
100%
2 Clinical Nurse Specialist
% of Days
74%
1 Speech Language Pathologist
% of Days
75%
1 Administrator
% of Days
67%
1 Dietitian
% of Days
69%
1 Mental Health Service Worker
% of Days
58%
1 Physician Assistant
% of Days
9%
1 Medical Director
% of Days
7%
1 Physical Therapy Aide
% of Days
20%
1 Occupational Therapy Assistant
% of Days
3%
2 Respiratory Therapy Technician
% of Days
9%
1 Physical Therapy Assistant
% of Days
4%
2 Qualified Social Worker
% of Days
13%
1 Occupational Therapy Aide
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
54
Medicare
2
3.7% of residents
Medicaid
18
33.3% of residents
Private pay or other
34
63% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.0
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
7.0
42% better than South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.2
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
14.2
41% better than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
11.9%
Percent of long-stay residents whose need for help with daily activities has increased
11.9%
47% better than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
14.5%
Percent of long-stay residents whose ability to move independently worsened
14.5%
36% better than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
16.2%
39% better than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
Percent of long-stay residents experiencing one or more falls with major injury
5.2%
In line with South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.7%
Percent of long-stay high risk residents with pressure ulcers
0.7%
85% better than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.9%
Percent of long-stay residents with a urinary tract infection
1.9%
45% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
2.6%
Percent of long-stay residents who lose too much weight
2.6%
52% better than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
22.8%
Percent of long-stay residents who received an antipsychotic medication
22.8%
7% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with South Dakota averageSouth Dakota average: 96.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
Percent of short-stay residents who newly received an antipsychotic medication
3.2%
84% worse than South Dakota averageSouth Dakota average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
Total fines amount
$17K
58% lower than South Dakota averageSouth Dakota average: $40K
Number of fines
1 Rank #1 / 56Federal fines — state benchmarkedThis home is ranked 1st out of 56 homes in South Dakota.Shows this facility's CMS fine count alongside the South Dakota average, and where it ranks among all 56 skilled nursing facilities in the state. Fewer fines mean a better rank.
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$17K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 14, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Dec 14, 2023
$17K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Estelline Nursing and Care Center based on CMS SNF Cost Reports.
Occupancy Rate
87.1%
↑ 1.8pp vs 2022
Net Income
$492.5K
↑ ~$147.4K vs 2022
Total Payroll
$3.6M
↑ ~$148.5K vs 2022
Profit Margin
10.1%
↑ 2.3pp vs 2022
Loading trend charts...
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