Estelline Nursing and Care Center: Staffing, Turnover, and Inspection Record
Estelline Nursing and Care Center is a 60-bed government-run nursing home in Estelline, South Dakota. In the CMS August 2026 release it reported 1.38 nurse aide hours per resident per day, 45% below the South Dakota average of 2.52, and 28.8% nursing staff turnover (South Dakota average 48.2%).
Estelline Nursing and Care Center
205 Fjerestad Avenue EastEstelline, SD 57234
Hamlin County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Estelline Nursing and Care Center, nurse aides logged 1.38 hours per resident per day, 45% below the South Dakota average. With about 56 residents a day, that works out to roughly 77 aide hours a day, or about 10 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 21% below the all-days figure.
CMS note: The facility reported a high number of days without a registered nurse on site.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 1.38 | 2.52 | 2.32 |
| Licensed practical nurses | 0.21 | 0.47 | 0.86 |
| Registered nurses | 0.45 | 0.80 | 0.69 |
| All nursing staff | 2.04 | 3.79 | 3.86 |
| All nursing staff, weekends | 1.62 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
28.8% of nursing staff at Estelline Nursing and Care Center left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 27.3%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jun 25, 2026. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 1 health deficiency (South Dakota average 6.9). CMS lists 1 fine totaling $16,826 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Dec 14, 2023 | Fine | $16,826 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Estelline Nursing and Care Center holds 4 of 5 overall; the South Dakota average is 2.9.
About Estelline Nursing and Care Center
- Ownership: Government - City
- Legal name: City of Estelline
- Medicare and Medicaid certified since: May 1, 1996
- Councils: resident council
- Area: rural
Nursing homes near Estelline Nursing and Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Avantara Lake Norden Lake Norden | 12.7 | 50 | 2.14 | 3.23 | 32.6% | 5 | None |
| Jenkin's Living Center Watertown | 20.5 | 110 | 2.11 | 3.67 | 54.1% | 3 | $53,086 |
| Avantara Watertown Watertown · SFF candidate · abuse citation | 20.9 | 51 | 2.09 | 3.57 | 44.2% | 1 | $6,368 |
| United Living Community Brookings | 22.9 | 67 | 3.62 | 4.78 | 50.0% | 2 | $33,027 |
| The Neighborhoods at Brookview Brookings | 23.9 | 79 | 3.49 | 4.60 | 53.6% | 5 | None |
| Hendricks Community Hospital Hendricks · many days without an RN | 27.8 | 48 | 2.38 | 3.53 | 56.9% | 1 | None |
| Good Samaritan Society de Smet De Smet | 33.5 | 46 | 2.10 | 3.40 | 64.4% | 1 | $27,989 |
| Sanford Health Sylvan Court Canby | 34.0 | 53 | 2.80 | 4.06 | 41.8% | 5 | None |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.