Estelline Nursing and Care Center
Estelline, South Dakota · CCN 435099
8 surveys since 2011. The first finding at harm level was recorded in 2020.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 16
- Surveys
- 8
- Harm or worse
- 2
- Immediate jeopardy
- 2
Findings at the most serious level CMS records.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 60
- Ownership
- Government - City
- Chain
- Independent
- County
- Hamlin · rural
- Medicare-certified since
- 1996
CMS ratings
- Overall
- 4
- Health inspection
- 5
- Staffing
- 1
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=2, floor 20).
Last survey on record
Jun 25, 2026
137 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 2.04 | 2.92 |
| Registered-nurse hours per resident day | 0.45 | — |
| Annual nurse turnover | 28.8% | 31.8% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $16,826 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L150.0% |
| Actual harm | G— | H— | I— |
| No harm, potential for more than minimal | D150.0% | E— | F— |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8122×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
In the surveyor’s words
From the most serious findings on record at Estelline Nursing and Care Center, in the surveyor’s own words.
- Immediate jeopardy, widespreadF812Dec 14, 2023
Based on observation, interview, record review, and policy review, the provider failed to ensure that staff were able to verify the dishwasher rinse cycle temperature to confirm that the dishes were sanitized at the proper temperature. Failure to ensure that increased the potential risk of foodborne illnesses for the entire resident population who received meals prepared in the kitchen. Findings include: 1. Observation on [DATE] at 8:30 a.m. in the kitchen revealed: *The dishwasher rinse cycle temperature gauge was not working. *The [DATE] Dishwasher Temp Log documented a breakfast rinse temperature on [DATE] of 192 degrees Fahrenheit. Observation on [DATE] at 12:15 p.m. […]
- No harm, potential for more than minimal, isolatedF812Jun 25, 2026
Based on observation, interview, and policy review, the provider failed to follow standard food safety practices for one of one cook (D) who did not submerge a cutting board into the hot water sanitation sink for the required amount of time to achieve proper sanitation, for one of one cook (C) who wiped food off her hand with an anti-slip mat and did not perform hand hygiene before continuing to serve food, and for one of one cook (D) who did not perform hand hygiene after putting soiled trash into the trash can.Findings include:1. Observation on 6/25/26 at 11:06 a.m. in the kitchen revealed cook D was handwashing a cutting board in the three-compartment sink. […]
Every survey on record
FindingsAt actual harm or above
- Jun 25, 2026Standard1 finding
- Dec 14, 2023Standard1 finding · 1 harm
- Dec 11, 2020Infection control1 finding · 1 harm
- Jan 25, 2017Standard2 findings
- Nov 25, 2015Standard2 findings
- Oct 8, 2014Standard4 findings
- Aug 28, 2013—4 findings
- Aug 17, 2011—1 finding
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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