Estelline Nursing and Care Center
205 Fjerestad Avenue East, Estelline, SD 57234
Estelline Nursing and Care Center is a nursing home in Estelline, South Dakota. This page lists the citations, fines and star ratings that CMS publishes for it. Each one has a date and a link to CMS.
At a glance
- CMS overall star rating5 of 5
- Last standard health inspectionJune 25, 2026 (4 months ago)
- Health citations since December 14, 20232 (South Dakota average 18)
- Fines in the past three years1, $16,826 in total
- CMS flagsNone listed by CMS
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One email per CMS update, only when something changed: a new citation, a fine, a star rating change, a new owner. Early access follows one home per address.
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CMS flags
CMS does not list this home as a Special Focus Facility or a candidate. CMS does not show an abuse icon for it. CMS lists no change of ownership in the past 12 months.
Inspections, fines and changes
This list shows every citation and fine in CMS's current data, which covers about the last three years. It also shows changes CMS made to this home's ratings and records.
CMS update of October 28, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 5 of 5.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of October 8, 2026
Star rating
The CMS overall star rating changed from 2 of 5 to 4 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 5 of 5.
CMS update of July 29, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 1 of 5.
Staffing
Total nurse staffing reported to CMS went from 3.1 to 2.0 hours per resident per day.
Health inspection on June 25, 2026
1 citationCMS lists this as a standard inspection.
Show the 1 citation
Citation F0812. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on August 3, 2026.
CMS has cited this home for F0812 2 times since 2023.
Fire safety inspection on June 25, 2026
2 citationsCMS lists this as a standard inspection.
Show the 2 citations
Citation K0222. Severity F: potential for more than minimal harm, widespread.
The rule CMS cited:
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
CMS lists it as corrected on August 13, 2026.
Citation K0712. Severity D: potential for more than minimal harm, isolated.
The rule CMS cited:
Have simulated fire drills held at unexpected times.
CMS lists it as corrected on August 13, 2026.
CMS update of April 29, 2026
Star rating
The CMS overall star rating changed from 4 of 5 to 3 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of February 25, 2026
Star rating
The CMS overall star rating changed from 3 of 5 to 4 of 5.
Star rating
The CMS staffing star rating changed from 1 of 5 to 3 of 5.
CMS update of November 20, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5.
CMS update of September 24, 2025
Star rating
The CMS overall star rating changed from 3 of 5 to 2 of 5.
Star rating
The CMS staffing star rating changed from 4 of 5 to 1 of 5.
CMS update of July 30, 2025
Star rating
The CMS health inspection star rating changed from 2 of 5 to 3 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of May 28, 2025
Star rating
The CMS overall star rating changed from 2 of 5 to 3 of 5.
Star rating
The CMS health inspection star rating changed from 1 of 5 to 2 of 5.
CMS update of February 26, 2025
Star rating
The CMS overall star rating changed from 1 of 5 to 2 of 5. CMS changed how it scores this rating for many homes at once.
Star rating
The CMS quality measures star rating changed from 4 of 5 to 5 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of October 30, 2024
Star rating
The CMS overall star rating changed from 2 of 5 to 1 of 5.
Star rating
The CMS quality measures star rating changed from 5 of 5 to 4 of 5.
CMS update of July 31, 2024
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5. CMS changed how it scores this rating for many homes at once.
CMS update of April 25, 2024
Star rating
The CMS staffing star rating changed from 4 of 5 to 3 of 5.
CMS update of February 29, 2024
Star rating
The CMS overall star rating changed from 5 of 5 to 2 of 5.
Star rating
The CMS health inspection star rating changed from 5 of 5 to 1 of 5.
CMS update of January 31, 2024
Star rating
The CMS overall star rating changed from 4 of 5 to 5 of 5.
Star rating
The CMS health inspection star rating changed from 3 of 5 to 5 of 5.
Star rating
The CMS staffing star rating changed from 3 of 5 to 4 of 5.
Health inspection on December 14, 2023
1 citationCMS lists this as a standard inspection.
Severity L is the highest of CMS's four levels. CMS uses it when residents' health or safety is at serious risk right away.
6 of 96 South Dakota homes (6%) got a citation at the immediate jeopardy level in 2023.
CMS fine of $16,826 on December 14, 2023.
Show the 1 citation
Citation F0812. Severity L: immediate jeopardy, widespread.
The rule CMS cited:
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
CMS lists it as corrected on January 12, 2024.
CMS star ratings
- 5 of 5CMS overall star rating
- 5 of 5CMS health inspection star rating
- 5 of 5CMS staffing star rating
- 5 of 5CMS quality measures star rating
Facts from CMS
- Phone
- (605) 873-2278
- Last standard health inspection
- June 25, 2026 (4 months ago)
- Certified beds
- 60
- Residents per day, on average
- 56.9
- Ownership type
- Government - City
- Legal business name
- City of Estelline
- Chain
- Not listed by CMS
- Takes part in
- Medicare and Medicaid
Fewer health citations than the South Dakota average (2 vs 18).
Owners and managers
CMS lists these owners and managers for this home. Names are as CMS writes them.
- CITY OF ESTELLINEOperational/managerial control · not applicable · since 12/03/2024
- HANSSEN, JASONOperational/managerial control · not applicable · since 11/04/2024
Questions
When was Estelline Nursing and Care Center last inspected?
CMS lists June 25, 2026 as the date of its most recent standard health inspection.
How many citations (violations) does Estelline Nursing and Care Center have?
CMS lists 2 health citations since December 14, 2023. CMS also calls these deficiencies.
Has Estelline Nursing and Care Center been fined?
CMS lists 1 fine in the past three years, $16,826 in total.
What is the CMS star rating of Estelline Nursing and Care Center?
Its CMS overall star rating is 5 of 5.
Is Estelline Nursing and Care Center a Special Focus Facility?
No. CMS does not list it as a Special Focus Facility or a candidate.