Nursing Home

Walworth County Care Center, Inc

4861 Lincoln Avenue, Selby, SD 57472

Part of Rural Health Developmentsee all 10 affiliated facilities

50 certified beds 49 residents per day on average

CMS Five-Star Quality Rating

5 out of 5 Stars

Overall rating

Health inspections

From the three most recent annual inspection cycles and recent complaint investigations.

Staffing

Based on nurse staffing hours relative to the care needs of this facility’s residents.

Quality measures

Based on clinical quality measures reported for residents, from assessments and Medicare claims.

Source: CMS Five-Star Quality Rating System. These are CMS's own ratings, shown exactly as published — CareRanks does not adjust or re-weight them. How CMS calculates these ratings ↗

Medicare Outcome Measures

Source: CMS Skilled Nursing Facility Quality Reporting Program. Rates are risk-standardized by CMS; the comparison category is CMS's own, shown exactly as published.

Clinical Quality Measures

Source: CMS MDS quality measures (four-quarter average).

Nurse Staffing

Nurse staffing per resident per day
3.0 hours

SD average: 3.8 hours · National: 3.9 hours

All nursing staff combined: RNs, LPNs/LVNs, and nurse aides.

Registered nurse (RN) time per resident per day
0.5 hours

SD average: 0.8 hours · National: 0.7 hours

RN hours only — the most highly trained nursing staff.

Weekend nurse staffing per resident per day
2.6 hours

SD average: 3.3 hours · National: 3.4 hours

Total nurse staffing on Saturdays and Sundays, when staffing typically dips.

Nursing staff turnover in the past year
27.3%

SD average: 48.2% · National: 45.8%

Share of this facility’s nursing staff who stopped working there over 12 months.

Reported by facilities through CMS's Payroll-Based Journal system. Facility values and the state/national averages are shown exactly as CMS publishes them. More staffing hours are generally better; lower turnover is generally better.

Ownership

Ownership type
Non profit - Corporation
Chain
Rural Health Development
Who owns this facility — 12 entries in CMS's ownership records expand ↓
  • Walworth County Care Center Inc Organization
    Direct owner (≥5%) 100% ownership since 12/18/2018
  • Biel, Daniel Individual
    Corporate director since 12/01/2018
  • Karst, Renae Individual
    Corporate director since 12/01/2018
  • Rueb, Crystal Individual
    Corporate director since 12/01/2018
  • Bates, Trista Individual
    Corporate officer since 05/01/2019
  • Marciano, Robert Individual
    Corporate officer since 05/01/2019
  • Rueb, Crystal Individual
    Corporate officer since 12/01/2018
  • Rural Health Development Inc. Organization
    Operational/managerial control since 12/01/2018
  • Bates, Trista Individual
    Operational/managerial control since 05/01/2019
  • Marciano, Robert Individual
    Operational/managerial control since 12/01/2018

…and 2 more entries in CMS's ownership records for this facility.

From CMS's nursing-home ownership file. Roles and percentages are as reported to CMS by the facility; one person or entity can hold several roles.

Inspections & Fire Safety — 5 health (SD avg 6.9) · 1 fire (SD avg 1.4) Details

5 deficiencies cited across recent inspection cycles. Most recent survey: April 30, 2026.

Most recent inspection cycle: 5 health deficiencies · SD average: 6.9 · National: 9.3

1 fire-safety deficiency cited — most often smoke (1).

Most recent fire-safety inspection (2026-04-30): 1 deficiency · SD average: 1.4 · National: 4.5

Sources: CMS health inspection reports (standard surveys and complaint investigations) and CMS Life Safety Code inspections (smoke barriers, sprinklers, exits, emergency preparedness). Averages are CMS-published state and national figures for the most recent inspection cycle.

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How Walworth County Care Center, Inc compares nearby

Compared with the 8 other nursing homes within 100 miles — 9 facilities in all, CMS data only.

Among the 9 nursing homes within 100 miles, Walworth County Care Center, Inc's overall star rating is 5★; the median among the 8 peers reporting it is 4★.

Measure This facility Nearby median Best nearby
Overall star rating reported by 8 of 8 nearby peers 5★ 4★ 5★
Health inspections reported by 8 of 8 nearby peers 5★ 4★ 5★
Staffing reported by 8 of 8 nearby peers 4★ 4.5★ 5★
Quality measures reported by 8 of 8 nearby peers 4★ 4★ 5★

The comparison group

Cohort: within 100 miles · CMS data period 2026-08 · method cohort-v1 · comparisons are never affected by claiming or payment. How nearby comparisons work

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