Walworth County Care Center, INC

Name: Walworth County Care Center, INC
Address: 4861 LINCOLN AVENUE, Selby, SD, 57472, US
Telephone: 6056497663

4861 Lincoln Avenue, Selby, SD 57472 · Walworth County · 50 certified beds · avg 49 residents/day · certified since Jan 1, 2007

Part of chain: RURAL HEALTH DEVELOPMENT (9 facilities, chain avg rating 3.8★)

5/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.67

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (5)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 30, 2026	E · Potential for harm, repeated	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 30, 2026	D · Potential for harm, one-off	The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment.
Apr 30, 2026	D · Potential for harm, one-off	The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 30, 2026	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Inspection trend by year

Year	Citations	Serious (G–L)	Worst severity that year
2026	5	0	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	South Dakota avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	3.67	4.32	3.95	bottom 33% in South Dakota; bottom 45% in the U.S.
Registered Nurse hours	0.59	0.91	0.69	bottom 14% in South Dakota; top 49% in the U.S.
Weekend total nurse staffing	3.16	3.71	3.50	bottom 34% in South Dakota; bottom 40% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.23	0.51	0.48	bottom 3% in South Dakota; bottom 18% in the U.S.
Total nursing staff turnover (%)	27.3	48.2	45.8	top 2% in South Dakota; top 10% in the U.S.
RN turnover (%)	28.6	34.7	42.9	top 43% in South Dakota; top 26% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.03, RN 0.49, weekend 2.61. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Walworth County Care Center INC	Organization	5% or Greater Direct Ownership Interest	100%	12/18/2018
Bates, Trista	Individual	Corporate Officer	NOT APPLICABLE	05/01/2019
Bates, Trista	Individual	Operational/Managerial Control	NOT APPLICABLE	05/01/2019
Bates, Trista	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2019
Biel, Daniel	Individual	Corporate Director	NOT APPLICABLE	12/01/2018
Karst, Renae	Individual	Corporate Director	NOT APPLICABLE	12/01/2018
Marciano, Robert	Individual	Corporate Officer	NOT APPLICABLE	05/01/2019
Marciano, Robert	Individual	Operational/Managerial Control	NOT APPLICABLE	12/01/2018
Marciano, Robert	Individual	ADP of the SNF	NOT APPLICABLE	12/01/2018
Rueb, Crystal	Individual	Corporate Director	NOT APPLICABLE	12/01/2018
Rueb, Crystal	Individual	Corporate Officer	NOT APPLICABLE	12/01/2018
Rural Health Development INC.	Organization	Operational/Managerial Control	NOT APPLICABLE	12/01/2018

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
"What is your policy on physical restraints, and what alternatives do you try first?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Bowdle Nursing Home	18.4 mi	Bowdle, SD	★★★★☆	4/5

Compare this facility with the 1 closest →

All facilities in Selby →

Facility data as of CMS processing date 2026-08-01. CCN 435123.

The Care File

Visit checklist — Walworth County Care Center, INC

4861 Lincoln Avenue, Selby, SD 57472 · 6056497663

Health inspection rating 5/5 · CMS overall 5/5· Fines (3y): $0

Questions for the administrator:

☐ "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
☐ "What is your policy on physical restraints, and what alternatives do you try first?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 435123 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)