Estelline Nursing and Care Center
205 Fjerestad Avenue East, Estelline, SD 57234 · Hamlin County · 60 certified beds · avg 56 residents/day · certified since May 1, 1996
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, facility-wide · Dec 14, 2023 · F-0812
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Why it matters: Unsafe food handling is one of the most common causes of food poisoning, which can be dangerous for frail residents.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: Jan 12, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (2)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 25, 2026 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 14, 2023 | ▲ L · Immediate jeopardy, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
Inspection trend by year
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 1 | L ▲ |
| 2026 | 1 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $16,826.
| Date | Type | Amount / length |
|---|---|---|
| Dec 14, 2023 | Fine | $16,826 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | South Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 2.58 | 4.32 | 3.95 | bottom 1% in South Dakota; bottom 5% in the U.S. |
| Registered Nurse hours | 0.57 | 0.91 | 0.69 | bottom 9% in South Dakota; bottom 47% in the U.S. |
| Weekend total nurse staffing | 2.05 | 3.71 | 3.50 | bottom 1% in South Dakota; bottom 2% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.23 | 0.51 | 0.48 | bottom 2% in South Dakota; bottom 18% in the U.S. |
| Total nursing staff turnover (%) | 28.8 | 48.2 | 45.8 | top 3% in South Dakota; top 12% in the U.S. |
| RN turnover (%) | 27.3 | 34.7 | 42.9 | top 38% in South Dakota; top 24% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.04, RN 0.45, weekend 1.62. Staffing rating: 1/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
Government - City
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Cecil, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2021 |
| City of Estelline | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/03/2024 |
| Hanssen, Jason | Individual | Corporate Officer | NOT APPLICABLE | 11/04/2024 |
| Hanssen, Jason | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/04/2024 |
| Hanssen, Jason | Individual | ADP of the SNF | NOT APPLICABLE | 11/04/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Avantara Lake Norden | 12.7 mi | Lake Norden, SD | ★★★★★ | 4/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435099.