Nursing homeActive
Walworth County Care Center, Inc
4861 Lincoln Avenue, Selby, SD 57472605649766350 certified beds · 49 residentsNon profit - CorporationMedicare and Medicaid
Surveys on file
3
since 2023
Deficiencies
5
● 0● 5● 0
Penalties · 3 yrs
—
none on file
Last survey
2026-04-30
Standard
CMS overall
5 / 5
stars as published by CMS
CMS overall 5/5
Health 5
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2026-04-30 | Standard | 050 | CMS-2567 (Care Compare) | — |
| 2024-12-12 | Standard | 000 | CMS-2567 (Care Compare) | — |
| 2023-08-16 | Standard | 000 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 435123-20260430-F604
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-12Record 435123-20260430-F658
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-18Record 435123-20260430-F686
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-05-13Record 435123-20260430-F689
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2026-05-14Record 435123-20260430-F880
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day0.49
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day3.03
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours2.61
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover27%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover29%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.4% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 9.8% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 3.9% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 26.5% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.0% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 7.4% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Walworth County Care Center Inc Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | — | — |
| Bates, Trista Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Marciano, Robert Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Rural Health Development Inc. Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bates, Trista Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Bates, Trista Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Biel, Daniel Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Karst, Renae Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
| Marciano, Robert Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Marciano, Robert Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Rueb, Crystal Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Rueb, Crystal Individual | CORPORATE DIRECTOR | NOT APPLICABLE | — | — |
Part of a chain
Rural Health Development — 9 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Walworth.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Bowdle Nursing Home Bowdle | 18.4 mi | 2025-07-25 | 050 |
| Avera Eureka Health Care Center Eureka | 27.0 mi | 2026-06-11 | 091 |
| Avera Oahe Manor Gettysburg | 34.4 mi | 2025-09-04 | 090 |
| Strasburg Nursing Home Strasburg | 43.9 mi | 2026-04-01 | 0150 |
| Ashley Medical Center Nursing Home Ashley | 48.6 mi | 2025-07-02 | 060 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |