Home›South Dakota›Hamlin County›Estelline Nursing and Care Center
C
Below Standard

Estelline Nursing and Care Center

205 FJERESTAD AVENUE EAST · ESTELLINE, SD 57234

6058732278 · Government - City

60 beds54.5 residents73 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Estelline Nursing and Care Center receives an overall staffing grade of C (Below Standard). With 3.2181 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.7337 HPRD, below the recommended 0.75. It is 0.68 HPRD below the national average.

Weekend staffing drops significantly — dropping 25.92% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2181 HPRD — needs 0.26 more hours per resident per day.
⚠️RN staffing (0.7337 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️Weekend staffing drops 25.92% — significantly higher than average. Residents receive substantially less care on Saturdays and Sundays.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
3.2181hrs/resident/day▼ 0.68
CMS benchmark: 3.48
RN HPRD
0.7337hrs/resident/day▲ 0.05
Recommended: 0.75
Weekend Drop-off
25.92%
3.4725 weekday → 2.5723 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.1731hrs/resident/day
Direct care aides
LPN HPRD
0.3113hrs/resident/day
Licensed practical nurses
Consistency
0.5049std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Hamlin County Average+0.00 HPRD
3.22
03.22 HPRD
vs. South Dakota State Average-0.61 HPRD
3.83
03.22 HPRD
vs. National Average-0.68 HPRD
3.90
03.22 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Estelline Nursing and Care Center ★
ESTELLINE · This facility
—
C
3.21810.7337★★★★☆
AVANTARA LAKE NORDEN
LAKE NORDEN
12.7 mi
C
3.21520.7784★★★★★
JENKIN'S LIVING CENTER
WATERTOWN
20.5 mi
B
3.5490.695★☆☆☆☆
AVANTARA WATERTOWN
WATERTOWN
20.9 mi
B
3.61551.158★★★☆☆
UNITED LIVING COMMUNITY
BROOKINGS
22.9 mi
C
4.67430.454★★☆☆☆
THE NEIGHBORHOODS AT BROOKVIEW
BROOKINGS
23.8 mi
A
4.73480.8626★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

1
Inspections
1
Total Deficiencies
$16,826
Fines Assessed
Dec 14, 2023Health
1 deficiency cited· Includes actual harm
▼

Penalty History

Dec 14, 2023Fine
$16,826
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.