Facility type
Nursing Home
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Estelline Nursing and Care Center
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
Smaller home
May offer a more intimate, personalized care environment.
Total beds
60
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
87.1%
Residents per day (avg)
55
Occupancy rate
87.1%
Residents per day (avg)
55
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
$5,024,716.00
Surplus of revenue
$492,467.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$2.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
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
License details
Issuance
July 1, 2025
County:
Hamlin
Additional licensing details
License number:
10617
CMS Certification Number:
435099
Ownership & operating entity
Estelline Nursing and Care Center is administrated by Hanssen, Jason.
Programs & Activities
Specific Programs
Medical services, Physical Therapy, Sanford Clinic
Health Inspection History
Inspections
Total health inspections
1
South Dakota average 4.5
Last Health inspection on Dec 2023
Total health citations
1
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
1
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.
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
39
94.9%
+19%
3.72
-14%
2
11
1
37
-
Stroschein Properties Iii Llc
$2,9M
$1,5M
51.8%
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
38
79.4%
-1%
3.15
-27%
1
5
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
44
61.7%
-23%
3.45
-20%
2
16
1
40
-
Aurora-Brule Nursing Home
$2,8M
$1,5M
52.4%
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
60
87.1%
+9%
-
-
1
1
1
55
-
City Of Estelline
$4,9M
$2,8M
56.8%
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.
-
74
75.2%
-6%
2.80
-36%
5
34
9
61
12
Preston, Philip
$10,7M
$2,9M
27.3%
435051
Places of interest near Estelline Nursing and Care Center
0.0 miles from city center
Estelline, SD 57234
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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 census
54 residents
Residents by payment source
Medicare
2 residents (3.7%)
Medicaid
18 residents (33.3%)
Private pay or other
34 residents (63%)
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
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
$492,467
↑ ~$147K vs 2022
Total Payroll
$3,617,724
↑ ~$148K vs 2022
Profit Margin
10.1%
↑ 2.3pp vs 2022
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