nursing home in Selby, SD
Walworth County Care Center, INC
4861 Lincoln Avenue, Selby, SD 57472 · (605) 649-7663
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★4
- Quality measures★★★★★4
- CMS high performer
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Walworth County Care Center, INC at a glance
Walworth County Care Center, INC is a 50-bed non-profit nursing home in Selby, South Dakota (Walworth County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the South Dakota average of 2.9.
Residents receive about 3 hours of nursing care per day (0.5 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (April 30, 2026) found 5 health citations. The South Dakota average is 6.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 27.3% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 50
- Certified for
- Medicare and Medicaid
- Chain / affiliated entity
- Rural Health Development
- Medicare-certified since
- January 1, 2007
- Resident/family council
- Resident
- County
- Walworth County
- CMS Certification Number
- 435123
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.6 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.03 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.49 hrs | 0.80 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.14 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.61 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 27.3% | 48.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 28.6% | 34.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 5 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 18 | 72.2 | 80.6 | Better |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $40,815 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 50 | 61 | 107 | |
| Average residents per day | 49 | 52 | 86 | |
| Occupancy | 98.2% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 9.8% | 5.5% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.4% | 4.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 3.9% | 24.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 0% | 2.9% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0.6% | 2.1% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 26.5% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.4% | 19.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 6% | 5.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 1.1% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 7.4% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 25.8% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 5 health deficiencies and 1 fire safety deficiency in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| April 30, 2026 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | B No harm, pattern | Corrected May 7, 2026 |
| April 30, 2026 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected May 14, 2026 |
| April 30, 2026 Standard | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0604 | D Potential harm, isolated | Corrected May 13, 2026 |
| April 30, 2026 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected May 12, 2026 |
| April 30, 2026 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | D Potential harm, isolated | Corrected May 18, 2026 |
| April 30, 2026 Standard | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected May 13, 2026 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| WALWORTH COUNTY CARE CENTER INC Organization | 5% or greater direct ownership interest | 100% | 12/18/2018 |
| BATES, TRISTA Individual | adp of the snf | NOT APPLICABLE | 05/01/2019 |
| MARCIANO, ROBERT Individual | adp of the snf | NOT APPLICABLE | 12/01/2018 |
| BIEL, DANIEL Individual | corporate director | NOT APPLICABLE | 12/01/2018 |
| KARST, RENAE Individual | corporate director | NOT APPLICABLE | 12/01/2018 |
| RUEB, CRYSTAL Individual | corporate director | NOT APPLICABLE | 12/01/2018 |
| BATES, TRISTA Individual | corporate officer | NOT APPLICABLE | 05/01/2019 |
| MARCIANO, ROBERT Individual | corporate officer | NOT APPLICABLE | 05/01/2019 |
| RUEB, CRYSTAL Individual | corporate officer | NOT APPLICABLE | 12/01/2018 |
| BATES, TRISTA Individual | operational/managerial control | NOT APPLICABLE | 05/01/2019 |
| MARCIANO, ROBERT Individual | operational/managerial control | NOT APPLICABLE | 12/01/2018 |
| RURAL HEALTH DEVELOPMENT INC. Organization | operational/managerial control | NOT APPLICABLE | 12/01/2018 |
Other nursing homes near Walworth County Care Center, INC
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★★★★★4Above average- ★★★★★2Below average
Frequently asked questions
What is Walworth County Care Center, INC's rating?
Walworth County Care Center, INC has 5 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Walworth County Care Center, INC receive?
Its most recent standard health inspection found 5 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Walworth County Care Center, INC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Walworth County Care Center, INC?
It is non profit - corporation and part of Rural Health Development. The ownership section on this page lists the owners and managers reported to CMS.
Where is Walworth County Care Center, INC and how do I contact it?
Walworth County Care Center, INC is at 4861 Lincoln Avenue, Selby, SD 57472. Phone: (605) 649-7663.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.