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Estelline Nursing and Care Center
Nursing Home & Assisted Living · South Dakota, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Estelline Nursing and Care Center, Nursing Home in Estelline, SD — Signage welcoming visitors to Estelline Nursing and Care Center

Estelline Nursing and Care Center

Nursing Home & Assisted Living · South Dakota, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
205 Fjerestad Ave E, Estelline, SD 57234 View map Calculator: See prices in your area
Estelline Nursing and Care Center accepts Medicare, Medicaid, and private pay.
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Estelline Nursing and Care Center accepts Medicare, Medicaid, and private pay.

Overview of Estelline Nursing and Care Center

Estelline Nursing and Care Center serves Hamlin County residents through long-term skilled nursing and memory care services in Estelline, South Dakota. The City of Estelline operates the nonprofit 60-bed facility under administrator Jason Hanssen.

CMS rates the community 3 stars overall, with standout performance on Health Inspection and Quality Measures, both above the South Dakota average, offset by Staffing hours that run below state benchmarks across all nursing categories. Total nurse staffing averages roughly 3 hours per resident per day, about 23% below the state average on weekends, which is the figure that most directly affects residents requiring regular assistance.

The single inspection on record since 2023 resulted in one citation: a corrected nutrition finding from December 2023, placing the facility first among 59 South Dakota nursing homes with the lowest citation count. The state average over the same period is 14.8. Sanford Clinic provides on-site medical services, extending clinical access without requiring residents to travel off campus.

The facility’s occupancy rate is 87.1%, above the South Dakota average of 79.9%, indicating consistent local demand. The average length of stay is approximately 1,004 days, which reflects a population oriented toward long-term residence rather than post-acute turnover.

Estelline Nursing and Care Center suits older adults in Hamlin County seeking long-term skilled nursing care within a small, municipally operated community, particularly those for whom a strong inspection record and stable quality measures carry more weight than staffing volume.

(605) 873-2278
(605) 873-2278

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▲ 10.5% Above SD avg. ▲ 10.5% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 10.9% Above SD avg. ▲ 10.9% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▼ 9.5% Below SD avg. ▼ 9.5% Below SD avg.SD average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▲ 46.7% Above SD avg. ▲ 46.7% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to South Dakota state averages

Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 46m per day ▼ 5% State avg: 48m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 19m per day ▼ 33% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 3m per day ▼ 22% State avg: 2h 37m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 2h 33m per day ▼ 23% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day ▼ 77% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 27m per day ▼ 12% State avg: 31m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
1,004 days
Bed community size
60-bed community Rank #54 / 117Bed count — State benchmarkedThis home is ranked 54th out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 22 / 100 Rank #108 / 159Walk Score — State benchmarkedThis home is ranked 108th out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota facilities. Higher scores benefit residents, families, and staff.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
87%
Rank #27 / 62Occupancy rate — State benchmarkedThis home is ranked 27th out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the South Dakota average: 79.9%
Occupied beds
52 / 60
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyHamlin
License Number10617
CMS Certification Number435099

Ownership & Operating Entity

Estelline Nursing and Care Center is administrated by Jason Hanssen.

Amenities & Lifestyle

Specific ProgramsSanford Clinic

Contact Estelline Nursing and Care Center

Health Inspection History

Inspections since 2023
Total health inspections 1

South Dakota average 4.5

Last Health inspection on Dec 2023

Total health citations
1 Rank #1 / 67Health citations — State benchmarkedThis home is ranked 1st out of 67 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 67 SD facilities. Lower citation counts earn a better rank.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

South Dakota average 14.8

Citations per inspection
1 Rank #1 / 67Citations per inspection — State benchmarkedThis home is ranked 1st out of 67 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 67 facilities with citation data. Lower is better.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

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
233% worse than South Dakota average

South Dakota average: 0.3

Serious health citations
0
100% better than South Dakota average

South Dakota average: 1.8

1 critical citation South Dakota average: 0.3
0 serious citations South Dakota average: 1.8
0 moderate citations South Dakota average: 12.6
0 minor citations South Dakota average: 0
Citations history (last 3 years)
Nutrition critical citation 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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 73
Employees 66
Contractors 7
Staff to resident ratio 1.35 : 1
30% fewer staff per resident than South Dakota average
South Dakota average ratio: 1.93 : 1 South Dakota average ratio: 1.93 : 1See full South Dakota ranking
Avg staff/day 29
Average shift 7.1 hours
8% worse than South Dakota average
South Dakota average: 7.7 hours South Dakota average shift: 7.7 hoursSee full South Dakota ranking
Total staff hours (quarter) 18,953

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 9 RN Staff are full-time employees. No contractors work on this role. 9
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 5 LPN Staff are full-time employees. No contractors work on this role. 5
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 38 CNA Staff are full-time employees. No contractors work on this role. 38
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

1.3%

249 contractor hours this quarter

Qualified Social Worker: 1 Physical Therapy Aide: 1 Respiratory Therapy Technician: 1 Physician Assistant: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1 Medical Director: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant3803810,19392100%7
Registered Nurse9092,88492100%7.4
Licensed Practical Nurse5051,6108795%7.5
Other Dietary Services Staff3031,18892100%7.6
Clinical Nurse Specialist2029106368%8.8
Dietitian1014806672%7.3
Speech Language Pathologist1014786571%7.3
Mental Health Service Worker1014665964%7.9
Administrator1014485661%8
Physician Assistant011581011%5.8
Respiratory Therapy Technician213583033%1.9
Physical Therapy Aide011542830%1.9
Occupational Therapy Aide011451718%2.6
Medical Director0112533%8.3
Physical Therapy Assistant202242123%1
Occupational Therapy Assistant0111822%9.1
Qualified Social Worker112141213%1.2
38 Certified Nursing Assistant
% of Days 100%
9 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 68%
1 Dietitian
% of Days 72%
1 Speech Language Pathologist
% of Days 71%
1 Mental Health Service Worker
% of Days 64%
1 Administrator
% of Days 61%
1 Physician Assistant
% of Days 11%
3 Respiratory Therapy Technician
% of Days 33%
1 Physical Therapy Aide
% of Days 30%
1 Occupational Therapy Aide
% of Days 18%
1 Medical Director
% of Days 3%
2 Physical Therapy Assistant
% of Days 23%
1 Occupational Therapy Assistant
% of Days 2%
2 Qualified Social Worker
% of Days 13%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2023

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 Rank #34 / 67Federal fines — State benchmarkedThis home is ranked 34th out of 67 homes in South Dakota. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
58% lower than South Dakota average

South Dakota average: $40K

Number of fines 1
51% fewer fines than South Dakota average

South Dakota average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with South Dakota average

South 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.

1 penalty in the past 3 years

Dec 14, 2023 · $17K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Dec 14, 2023
$17K

Last updated: Jan 2026

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 Info 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 average

South Dakota average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 14.2
41% better than South Dakota average

South Dakota average: 23.9

Long-stay resident measures
Significantly above average South Dakota avg: 2.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 11.9%
47% better than South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 14.5%
36% better than South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 16.2%
39% better than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 5.2%
In line with South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 0.7%
85% better than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.9%
45% better than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.6%
52% better than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 22.8%
7% better than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
5% better than South Dakota average

South Dakota average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with South Dakota average

South Dakota average: 96.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.94
38% better than South Dakota average

South Dakota average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.04
44% better than South Dakota average

South Dakota average: 1.85

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
18% better than South Dakota average

South Dakota average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 3.2%
84% worse than South Dakota average

South Dakota average: 1.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than South Dakota average

South Dakota average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 28.0%
48% worse than South Dakota average

South Dakota average: 53.7%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Privately-owned community
Operated by a partnership between two or more business owners.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.8M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$337.0K
Privately-owned community Operated by a partnership between two or more business owners.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$4.8M Rank #49 / 63Revenue — State benchmarkedThis home is ranked 49th out of 63 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
$337.0K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$155.4K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #34 / 63Payroll — State benchmarkedThis home is ranked 34th out of 63 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.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$3.5M 73.2% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #7 / 63Payroll % — State benchmarkedThis home is ranked 7th out of 63 homes in South Dakota. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$958.8K
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$4.5M
How we calculate these figures

This home is administrated by Jason Hanssen.

This home is owned by City Of Estelline

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435099

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (79% of admissions), and a typical Medicare stay runs around 20 days.

Admissions
61 total

Coverage residents most often arrive under.

Medicare 79%
Private pay 15%
Medicaid 7%
Discharges
19 total

Coverage residents most often leave under.

Medicare 68%
Private pay 26%
Medicaid 5%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Estelline Nursing and Care Center

Address 0.0 miles from city center Info Estimated distance in miles from Estelline's city center to Estelline Nursing and Care Center's address, calculated via Google Maps.

Calculate Travel Distance to Estelline Nursing and Care Center

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Address

Compare Nursing Home around South Dakota

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

5 facilities compared · CMS & SD Dept. of Health data

Avera Maryhouse
NH
AL
HC
Pierre
67
Facility 67
SD AVG 69
Rank #49 / 117
--
5.30
Facility 5.30
SD AVG 4.34
Rank #7 / 65
 +18%+22%
$0
Facility $0
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Rank #1 / 67
9
Facility 9
SD AVG 14.8
Rank #17 / 67
2.3
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-59-
60
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SD AVG 39
Rank #39 / 159
----435034
Bethesda Home of Aberdeen
NH
AL
HC
NC
RC
Aberdeen (Melrose Addition)
86
Facility 86
SD AVG 69
Rank #27 / 117
92.8%
Facility 92.8%
SD AVG 79.9%
Rank #10 / 62
+16%
4.38
Facility 4.38
SD AVG 4.34
Rank #19 / 65
 -22%+1%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
7
Facility 7
SD AVG 14.8
Rank #9 / 67
2.3
Facility 2.3
SD AVG 3.3
Rank #20 / 67
-85-
12
Facility 12
SD AVG 39
Rank #127 / 159
Scott Eisenbeisz
$9.7M
Facility $9.7M
SD AVG $6.7M
Rank #17 / 63
$7.2M
Facility $7.2M
SD AVG $2.6M
Rank #5 / 63
74.3%
Facility 74.3%
SD AVG 40.8%
Rank #6 / 63
435073
Fountain Springs Healthcare Center
NH
AL
IL
Rapid City
10
Facility 10
SD AVG 69
Rank #116 / 117
87.3%
Facility 87.3%
SD AVG 79.9%
Rank #24 / 62
+9%
3.82
Facility 3.82
SD AVG 4.34
Rank #33 / 65
 -2%-12%
$22.5k
Facility $22.5k
SD AVG $38.5k
Rank #40 / 67
11
Facility 11
SD AVG 14.8
Rank #21 / 67
1.6
Facility 1.6
SD AVG 3.3
Rank #12 / 67
282-
16
Facility 16
SD AVG 39
Rank #120 / 159
-
$6.8M
Facility $6.8M
SD AVG $6.7M
Rank #26 / 63
$3.1M
Facility $3.1M
SD AVG $2.6M
Rank #27 / 63
45.6%
Facility 45.6%
SD AVG 40.8%
Rank #31 / 63
435110
Estelline Nursing and Care Center
NH
AL
Estelline (Estelline Township)
60
Facility 60
SD AVG 69
Rank #54 / 117
87.1%
Facility 87.1%
SD AVG 79.9%
Rank #27 / 62
+9%- +11%-
$16.8k
Facility $16.8k
SD AVG $38.5k
Rank #34 / 67
1
Facility 1
SD AVG 14.8
Rank #1 / 67
1.0
Facility 1.0
SD AVG 3.3
Rank #1 / 67
154-
22
Facility 22
SD AVG 39
Rank #108 / 159
City Of Estelline
$4.8M
Facility $4.8M
SD AVG $6.7M
Rank #49 / 63
$3.5M
Facility $3.5M
SD AVG $2.6M
Rank #34 / 63
73.2%
Facility 73.2%
SD AVG 40.8%
Rank #7 / 63
435099
Avera Mother Joseph Manor Retirement Community
NH
AL
HC
IL
Aberdeen
81
Facility 81
SD AVG 69
Rank #32 / 117
--
4.62
Facility 4.62
SD AVG 4.34
Rank #14 / 65
 -24%+6%
$8.8k
Facility $8.8k
SD AVG $38.5k
Rank #18 / 67
12
Facility 12
SD AVG 14.8
Rank #26 / 67
1.7
Facility 1.7
SD AVG 3.3
Rank #13 / 67
376-
31
Facility 31
SD AVG 39
Rank #93 / 159
----435042
Nursing Home Explorer

Financial Assistance for
Nursing Home in South Dakota

Estelline Nursing and Care Center is located in Estelline, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.

Get Financial aid guidance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled
General South Dakota resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
SD

Sparse population aids rural access; limited providers.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

South Dakota Elderly Services Program

SD ESP

Age 60+
General South Dakota resident, at risk of decline.
Income Limits ~$1,732/month individual, varies
Asset Limits $5,000 individual
SD

Limited funding; rural focus.

Benefits
In-home care (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

Age 65+ or disabled
General SD resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
SD

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized
General SD resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
SD

Covers gas, electric, propane; weatherization add-on available.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Age —
General Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
SD

Rural emphasis; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General SD resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
SD

Supports rural veterans; high demand near Sioux Falls VA.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

Age 65+ (or disabled) by Jan 1
General SD resident entire prior year, homeowner/renter.
Income Limits (2025) ~$20,192/year (single), ~$24,679/year (multiple-member household).
Asset Limits Not assessed; income-focused.
SD

Refunds up to $575; ~10,000 seniors benefit annually.

Benefits
Tax refund (~$250-$575/year based on income)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+
General SD resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
SD

Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled)
General SD resident 200+ days prior year, homeowner.
Income Limits (2025) ~$35,000/year (single), ~$45,000/year (multiple-member household).
Asset Limits Property value < $250,000 (single), $300,000 (multiple).
SD

Saves ~$300-$600/year avg.; applies to primary residence.

Benefits
Assessment freeze (~$300-$600/year savings)

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+
General SD resident (or spouse of any age); no income/asset limits.
Income Limits (2025) None; donations encouraged for some services.
Asset Limits Not assessed.
SD

6 AAAs; rural focus due to sparse population.

Benefits
Meals (home-delivered or congregate, ~$5-$7/meal value) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Frequently Asked Questions about Estelline Nursing and Care Center

What neighborhood is Estelline Nursing and Care Center in?

Estelline Nursing and Care Center is in the Estelline Township neighborhood of Estelline.

Is Estelline Nursing and Care Center in a walkable area?

Estelline Nursing and Care Center has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Estelline Nursing and Care Center?

According to SD state health department records, Estelline Nursing and Care Center's license number is 10617.

What is the occupancy rate at Estelline Nursing and Care Center?

Estelline Nursing and Care Center's occupancy is 87%.

Who is the administrator of Estelline Nursing and Care Center?

Jason Hanssen is the administrator of Estelline Nursing and Care Center.

How many beds does Estelline Nursing and Care Center have?

Estelline Nursing and Care Center has 60 beds.

Are there photos of Estelline Nursing and Care Center?

Yes — there is 1 photo of Estelline Nursing and Care Center in the photo gallery on this page.

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