Nursing homeActive
Estelline Nursing and Care Center
205 Fjerestad Avenue East, Estelline, SD 57234605873227860 certified beds · 56 residentsGovernment - CityMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
2
● 0● 1● 1
Penalties · 3 yrs
$16,826
1 fine
Last survey
2026-06-25
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 5
Staffing 1
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-06-25 | Standard | 010 | CMS-2567 (Care Compare) | — |
| 2025-04-03 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-12-14 | Standard | 001 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-08-03Record 435099-20260625-F812
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity LHarm
Food & nutrition
Widespread; immediate jeopardy to resident health or safety.Corrected 2024-01-12Record 435099-20231214-F812
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2023-12-14 | Civil money penalty | $16,826 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.45
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day2.04
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours1.62
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover29%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover27%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.4% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.4% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 16.5% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 1.5% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 11.7% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 2.5% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 14.1% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| City Of Estelline Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hanssen, Jason Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Cecil, Daniel Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hanssen, Jason Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hanssen, Jason Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Hamlin.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Avantara Lake Norden Lake Norden | 12.7 mi | 2026-02-19 | 131 |
| Jenkin's Living Center Watertown | 20.5 mi | 2026-05-21 | 0243 |
| Avantara Watertown Watertown | 20.9 mi | 2026-06-17 | 0284 |
| United Living Community Brookings | 22.9 mi | 2025-12-04 | 0182 |
| The Neighborhoods At Brookview Brookings | 23.9 mi | 2025-11-21 | 050 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |