Estelline Nursing and Care Center
205 FJERESTAD AVENUE EAST, Estelline, SD 57234
Estelline, South Dakota · CMS verdict
CMS rates Estelline Nursing and Care Center at 4 of 5 stars overall - above-average on the federal scale, and above the South Dakota average of 2.9.
The rating and the PlainElderCare Index below summarize federal inspection, staffing, and outcome data, they measure specific, documented dimensions of this facility, not a holistic verdict on the care your family member would receive. Visit in person, talk with staff and current residents' families, and weigh your family member's specific needs before choosing.
Estelline Nursing and Care Center in Estelline, South Dakota holds a CMS overall rating of 4 of 5 stars and a PlainElderCare Quality & Compliance Index of 72 of 100 (grade C). The 60-bed facility operates where a semi-private nursing-home room in South Dakota runs a median of $9,444 per month. Figures are from CMS Nursing Home Compare.
PlainElderCare Quality & Compliance Index
A transparent composite of this facility's CMS Care Compare sub-ratings and its federal inspection record. It complements, and does not replace, the official CMS overall rating of 4 of 5 stars. How this is calculated.
How the 72 is built
Each segment is a dimension's weighted points toward the score, summing to 72.
Weights: health inspections 30%, staffing 25%, quality measures 25%, inspection record 20%; any dimension CMS has not published drops out and its weight redistributes (no silent deflation). Inspection record is benchmarked against all rated US nursing homes. Source: CMS Nursing Home Compare.
Data insights
Quality ratings
On Care Compare (data as of April 2026), Estelline Nursing and Care Center carries an overall CMS quality rating of 4 out of 5 stars. That figure rolls up three sub-ratings tracked separately: health inspection (3/5), staffing (3/5), and quality measures (5/5).
What each sub-rating measures
The health inspection rating reflects on-site surveyor findings from the last three cycles. The staffing rating compares case-mix-adjusted nurse hours per resident day to national benchmarks, and quality measures aggregate 15 clinical indicators including pressure ulcers, falls with injury, and long-stay antipsychotic use.
Size and setting
Located in Estelline, South Dakota, this facility operates 60 certified beds with an average daily census of roughly 55 residents - an occupancy rate of about 92%. The facility is classified under government - city ownership, a designation that can influence staffing patterns, reinvestment decisions, and admissions policy. At roughly 92% occupancy, this facility runs close to its typical range for a stabilized operation.
Inspection record
On the regulatory side, federal and state surveyors have documented a limited number of deficiencies at this facility (1 total). CMS has levied 1 enforcement penalty - civil money penalties or denials of payment, during the same window. A handful of documented findings is common even among well-run facilities; the F-tag scope and severity codes on the full report distinguish isolated paperwork issues from resident-harm findings.
Where these figures come from
The figures above come directly from the U.S. Centers for Medicare \& Medicaid Services Nursing Home Compare dataset for federal quality ratings, combined with the CareScout 2025 Cost of Care Survey of more than 15,000 elder-care providers nationwide and U.S. Census American Community Survey income data. Cost figures are monthly medians, refreshed annually with each new CareScout release; quality ratings are refreshed quarterly from the CMS Provider Information File. Read these state and county medians as benchmarks, then verify current rates with individual providers and consult care managers before making placement decisions. See our methodology for source vintage.
How Estelline Nursing and Care Center compares to South Dakota
CMS five-star sub-ratings (0–5) for this facility against the South Dakota facility-weighted average. Source: CMS Care Compare.
Bar = this facility's rating · vertical marker = South Dakota state average. Higher is better on all four CMS measures.
Where Estelline Nursing and Care Center ranks in South Dakota
Among the 95 CMS-rated nursing homes in South Dakota, Estelline Nursing and Care Center’s 4-star overall rating is higher than 65% of them. The bars show how all South Dakota homes spread across the CMS 1-to-5 scale; this facility’s band is highlighted.
14 South Dakota homes share this 4-star rating. Source: CMS Nursing Home Compare.
Facility details
| Attribute | Value |
|---|---|
| Beds | 60 |
| Residents | 55 |
| Ownership | Government - City |
| County | Hamlin |
| Penalties | 1 |
| Deficiencies | 1 |
Source: CMS Care Compare Nursing Homes (data as of April 2026)
What do families ask most?
What is the quality rating for Estelline Nursing and Care Center? ▾
CMS rates Estelline Nursing and Care Center at 4 out of 5 stars overall. The three sub-ratings behind that number: health inspection 3/5, staffing 3/5, quality measures 5/5.
How much does a nursing home cost per month in South Dakota? ▾
The median cost for a semi-private nursing home room in South Dakota is $9,444 per month ($113,333 annually). A private room averages $10,190 per month. Costs are from the CareScout 2025 survey.
What services does Estelline Nursing and Care Center offer? ▾
Estelline Nursing and Care Center is a skilled nursing facility with 60 beds with approximately 55 current residents. It operates under government - city ownership. The facility has recorded 1 deficiencies and 1 penalties in CMS inspections.
Does Estelline Nursing and Care Center have any deficiencies or penalties? ▾
Estelline Nursing and Care Center has few deficiencies (1 total) and 1 penalties recorded by CMS. Small counts like this show up even at strong facilities; ask the facility directly what each finding involved and how it was resolved.
What are the alternatives to a nursing home in South Dakota? ▾
In South Dakota, alternatives include assisted living ($4,900/mo), home health aides ($8,437/mo), and adult day care (N/A/mo).
Elder Care Guides
Explore PlainElderCare
Related Resources
Compare cost and CMS quality across the state on the South Dakota elder-care overview, or see how facilities rank nationwide in our highest-rated states ranking.
Weigh nursing care against assisted living, home health, and adult day care, with national median costs, on our care types comparison, and learn how to fund it in our paying for elder care guide.
Source: CMS Nursing Home Compare. Provider ID: 435099.
Read our methodology - how this data is sourced, computed, and verified.