Estelline Nursing and Care Center
205 Fjerestad Avenue East Post Office Box 130, Estelline SD 57234 · (605) 873-2278 · 93.83% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Estelline Nursing and Care Center is in Estelline, South Dakota. This city has a population of 1,274 people. This nursing home was given an A- overall, which is one of our best scores. In fact, we ranked this nursing home in the top quarter of all facilities in the country. This nursing home's strong report card was highlighted by its inspection reports, which we will address in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 60 Beds
CCRC :
Government - City
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Facility Inspections
To pair with a favorable overall grade, we awarded this nursing home a grade of A+ for our inspections rating. We take several aspects of a facility's inspection report into consideration in calculating our inspection ratings. One critical factor is health deficiencies. You should keep in mind that the severity of these deficiencies is usually more meaningful than the quantity of deficiencies, as some end up being quite insignificant. It does not look like we were able to find deficiency counts for this nursing home. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Nurse Quality
One of the other reasons we graded this nursing home so highly is that it earned a very impressive nursing rating. Nursing turned out to be its second best category grade. In that area, we awarded this nursing home an A-. The nursing category analyzes a handful of subcategories, most of which are associated with quantities of nurse staffing. This particular nursing home provided 3.1 hours of nursing care per resident per day. Lastly, we also assessed certain nursing quality-based metrics in computing our nursing grades. These include minimizing residents' pressure ulcers and major falls. We look at these metrics as good indicators of the quality of nursing care provided, since better care tends to reduce these problems.
Long-term Care Quality
This nursing home also was strong in the area of long-term care, where it received a grade of A-. Only a select group of facilities fared better in this area. Facilities that do well in this category tend to provide residents with closer supervision and stay on top of routine medical care. On top of assessing the quantity of care provided by nurses aids and other staff, we analyzed the percentage of residents vaccinated for pneumonia. This facility administered the vaccine to 100 percent of its patients, which is much higher than the vast majority of nursing homes. Clearly, this facility is doing something right in this area as it was able to keep its residents out of the hospital. It had less than one hospitalization per one thousand long-term resident days, which is an impressively low figure.
Short-term Care Quality
The next category we assessed ended up being this nursing home's poorest area. Nevertheless, even in its weakest link we still gave it a decent grade of B- in short-term care. In computing these short-term care ratings, we look at the facility's skilled nursing services, including those performed by registered nurses, speech therapists, physical therapists and other types of therapists. Our goal is to devise a barometer for comparing the rehabilitation services of various facilities. This nursing home elevated its grade in this category by offering more care from registered nurses to its residents than the average facility. The last statistic we assessed in this category is the percentage of residents who eventually returned home from the nursing home. We found that just 38.2 percent of this nursing home's residents returned home.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Estelline Nursing and Care Center Quality Metrics
Minimizes Pressure Ulcers
This tells you the percent of patients who have had a pressure ulcer. Pressure ulcers are skin damage due to staying in one position for too long.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This indicates the percentage of patients who sustained a major fall. Falls leading to severe injury are considered by many experts to be an indicator of nursing care . Falls which result in injury are often the result of lower quality nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of residents that have had a urinary tract infection. Urinary tract infections are considered by many experts to be an indicator of nursing care at a nursing home. UTI's are routinely linked to lower quality nursing care. However, this metric could be misleading for certain nursing homes due to different reporting standards for these infections.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is an indication of the percent of long-term stay patients who were given antipsychotic medication. Increased usage of these drugs may mean that a facility is using these medications to subdue residents in scenarios where such medications aren't medically indicated. Nevertheless, some facilities may need to rely on these drugs due to having more patients with Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This datapoint indicates the percent of long-term residents receiving antianxiety medications.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percentage of patients who are demonstrating signs of depression.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This is the percent of patients that were given the pneumonia and flu vaccines. Higher vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is the percent of patients that required more assistance with activities of daily living over time. High levels of needing for assistance with ADL's may indicate decline of a resident's health.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This is the percentage of residents who retained mobility levels over time. Retaining mobility is usually a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
Measures the number of hospitalizations per 1,000 days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This tells you the number of rehospitalizations per thousand days of short-term care. There is a correlation between avoiding hospitalizations and the quality of rehabilitation services.
Percentage of Residents Rehospitalized
Lower is Better
Short-term Care: ER Visits
This datapoint is a measure of the number of times residents are sent to the emergency room per thousand days of short-term patient care. Staying out of the emergency room is one way to assess short-term care.
Percentage of Patients
Lower is Better
Short-term Care: Facilitates Functional Improvement
This is the percent of short-term stay patients that experienced functional improvements, such as enhanced ability to perform activities of daily living. Higher levels of independence with ADL's usually correlates with superior rehabilitation services.
Percentage of Resident
Higher is Better