Estelline Nursing and Care Center
205 FJERESTAD AVENUE EAST, Estelline, SD 57234
Based on 2026 CMS Data
Official Government Ratings
Health Inspections
Frequency & severity of deficiencies
Staffing Levels
Nurse hours per resident per day
Quality Measures
Clinical outcomes & care quality
Resident Council Active
Active councils indicate resident empowerment and facility transparency.
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Care Quality Indicators
Lower is better
Lower is better
Lower is better
Lower is better
How Estelline Nursing and Care Center Compares
Estelline Nursing and Care Center is a 60-bed government-owned nursing facility in Estelline, South Dakota. It holds an overall CMS rating of 3 out of 5 stars, roughly in line with the South Dakota average of 2.8 stars. Its strongest area is quality measures, rated 4 stars. Its rate of high-risk residents with pressure ulcers (1.4%) is below the South Dakota average of 4.7%, a favorable sign for resident care. With 60 certified beds, it operates near capacity at roughly 90% occupied.
By the numbers vs. South Dakota average
- Long-stay antipsychotic medication use: 18.2% — better than the South Dakota average of 24.5% (26% lower).
- Falls with major injury: 2.9% — better than the South Dakota average of 5.3% (46% lower).
- High-risk pressure ulcers: 1.4% — better than the South Dakota average of 4.7% (70% lower).
- Short-stay rehospitalization: 6.8% — better than the South Dakota average of 20.2% (66% lower).
Comparisons use CMS Care Compare data (updated June 5, 2026) measured against South Dakota averages across 96 facilities tracked by ElderVoice.
Questions to Ask Estelline Nursing and Care Center
Use these facility-specific questions when calling admissions, touring the building, or comparing Estelline Nursing and Care Center with other nursing homes in Estelline.
What keeps Estelline Nursing and Care Center's quality measures rating strong?
This category is rated 4 out of 5 stars. Ask for concrete staffing, training, or care-process examples behind the score.
What practices help Estelline Nursing and Care Center keep long-stay antipsychotic medication use below the state average?
Long-stay antipsychotic medication use is 18.2% here versus 24.5% across South Dakota. Lower is generally better for this CMS measure.
What practices help Estelline Nursing and Care Center keep falls with major injury below the state average?
Falls with major injury is 2.9% here versus 5.3% across South Dakota. Lower is generally better for this CMS measure.
How does Estelline Nursing and Care Center maintain staffing when occupancy is high?
The facility reports roughly 90% occupancy across 60 certified beds, so ask how staffing is adjusted during full census periods.
How can a new family connect with existing councils at Estelline Nursing and Care Center?
Active resident or family councils can provide useful context about daily life, responsiveness, and recurring concerns.
What would the first 30 days look like for a new resident at Estelline Nursing and Care Center?
Ask who builds the care plan, how medication changes are communicated, how often families receive updates, and who to call after hours.
The Senior Community Around Estelline
Estelline sits in Hamlin County, where adults 65 and older make up about 15.8% of the population — a share of seniors in line with South Dakota as a whole (16.7% statewide). The area's median household income is higher than the state average, reflecting a higher cost of living.
- Residents 65+
- 963 (15.8%)
- Median age
- 34.6 years
- Median household income
- $67,626
- Median home value
- $161,400
Demographics for Hamlin County from the U.S. Census Bureau, American Community Survey (ACS) 5-year estimates. Provided as local context for families comparing care options near Estelline.
Facility Details
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