Home / South Dakota / Selby
Walworth County Care Center, Inc
4861 Lincoln Avenue, Selby, SD 57472 · Walworth County · (605) 649-7663
50 certified beds, about 49 residents a day · Non profit - Corporation · Medicare and Medicaid since 2007
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435123 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 30, 2026, inspectors cited 5 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
None of its 5 health citations since August 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.03 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 0.49 of those hours.
27.3% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
CMS links it to Rural Health Development, an affiliated group of 9 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 5 health citations on file.
April 30, 2026Standard inspection · 5 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure the staff followed infection prevention and control practices by:One of one certified nurse aide (CNA)/registered medication aide (RMA) (N) and one of one RMA (O) who did not wear gowns, gloves, or perform hand hygiene (handwashing or sanitizing hands) while providing care for one of one sampled resident (1) on enhanced barrier precautions (EBP) (glove and gown use when providing contact care). One of one observed CNA/RMA (N) who did not clean an EZ stand lift (a mechanical lift used to assist from a seated to a standing position) after it was used to provide care for one of one sampled resident (1) on EBP. [...]
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure there was documentation to support if one of one sampled resident (3) was a candidate for a restraint (a device, material, or medication used to restrict a resident's movement or access to their body to ensure safety or prevent harmful behavior) reduction, a less restrictive restraint method, or for a restraint elimination.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, record review, interview, and job description review, the provider failed to adhere to nursing professional standards of practice for following a physician's order for one of one sampled resident (1) with physician's orders for a urology consultation for evaluation and care.
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to assess, document, and notify the resident's physician of two facility-acquired pressure ulcers (skin and/or underlying tissue injury from prolonged pressure) for one of one sampled resident (12) who developed a pressure ulcer on her right heel and left buttock, and to complete wound assessment documentation weekly for her right inner buttock pressure ulcer by one of one director of nursing (DON)/wound nurse B and for nursing staff to monitor her right and left inner buttocks daily.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure the safety of one of one sampled resident (11) who was observed not being transferred according to the resident's identified transfer assistance needs by one of one certified nurse aide (CNA) F and one of one CNA/registered medication aide (RMA) E which put the resident at risk for falling and sustaining an injury.
December 12, 2024Standard inspection · 0 citations
August 16, 2023Standard inspection · 0 citations
Fire safety inspections
1 fire safety citation on file: 1 on April 30, 2026.
Every fire safety citation1 citation
- B Provide properly protected cooking facilities.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.03 | 3.79 | 3.86 |
| Registered nurses | 0.49 | 0.80 | 0.69 |
| All nursing staff on weekends | 2.61 | 3.26 | 3.42 |
| Nurse aides | 2.14 | ||
| Licensed practical nurses | 0.40 | ||
| Nursing staff turnover (share who left in a year) | 27.3% | 48.2% | 45.8% |
| Registered nurse turnover | 28.6% | 34.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.17 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.20 on weekdays and 2.61 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 4.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.67 in April to June 2025 to 3.03 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.03 | 0.49 | 3.20 | 2.61 | 4.1% | 0 of 90 | 49 |
| Oct to Dec 2025 | 3.14 | 0.51 | 3.28 | 2.76 | 4.8% | 0 of 92 | 48 |
| Jul to Sep 2025 | 3.16 | 0.59 | 3.33 | 2.75 | 1.5% | 0 of 92 | 48 |
| Apr to Jun 2025 | 2.67 | 0.53 | 2.82 | 2.31 | 5.4% | 1 of 91 | 47 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Dakota, Jan to Mar 2026 | 3.76 | 0.79 | 3.97 | 3.25 | 9.1% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 26.5 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.6 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.8 | 5.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.4 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.4 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 3.9 | 24.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.0 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.8 | 1.8 |
Owners and operators
Legal business name: WALWORTH COUNTY CARE CENTER INC. CMS links this home to Rural Health Development, a group of 9 nursing homes averaging 3.8 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Walworth County Care Center Inc | 5% or greater direct ownership interest | Organization | 100% | 12/18/2018 |
| Biel, Daniel | Corporate director | Individual | 12/01/2018 | |
| Karst, Renae | Corporate director | Individual | 12/01/2018 | |
| Rueb, Crystal | Corporate director | Individual | 12/01/2018 | |
| Bates, Trista | Corporate officer | Individual | 05/01/2019 | |
| Marciano, Robert | Corporate officer | Individual | 05/01/2019 | |
| Rueb, Crystal | Corporate officer | Individual | 12/01/2018 | |
| Rural Health Development Inc. | Operational/managerial control | Organization | 12/01/2018 | |
| Bates, Trista | Operational/managerial control | Individual | 05/01/2019 | |
| Marciano, Robert | Operational/managerial control | Individual | 12/01/2018 | |
| Bates, Trista | Adp of the SNF | Individual | 05/01/2019 | |
| Marciano, Robert | Adp of the SNF | Individual | 12/01/2018 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on April 30, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on April 30, 2026: "Provide and implement an infection prevention and control program."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on April 30, 2026: "Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment."
- When is the care plan meeting, and can family attend it?Inspectors cited 1 problem in this area, most recently on April 30, 2026: "Ensure services provided by the nursing facility meet professional standards of quality."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.61 hours per resident per day, below the South Dakota average of 3.26.
Other nursing homes nearby
- Bowdle Nursing Home Bowdle, 18.4 mi · 4 of 5 stars · 5 citations
South Dakota contacts for a concern about a nursing home
These are the official offices in South Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: South Dakota Department of Health, Office of Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Dakota Long-Term Care Ombudsman Program, Department of Human Services. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: South Dakota Department of Health Nursing Facility Reports, where South Dakota publishes its own records on licensed homes.
Common questions
- What is Walworth County Care Center, Inc's Medicare star rating?
- CMS rates Walworth County Care Center, Inc 5 out of 5 stars overall, with 5 for health inspections, 4 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Walworth County Care Center, Inc get at its last inspection?
- 5 health deficiencies at the standard inspection on April 30, 2026. The South Dakota average is 6.7.
- Has Walworth County Care Center, Inc been fined?
- CMS lists no fines in the last three years.
- Does Walworth County Care Center, Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Walworth County Care Center, Inc?
- CMS lists 12 owners and managers, and links the home to Rural Health Development. Legal business name: WALWORTH COUNTY CARE CENTER INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.