Walworth County, South Dakota · Nursing home
Walworth County Care Center, Inc
5 of 5 overall from CMS
4861 Lincoln Avenue, Selby, SD 57472
At a glance
- Overall rating 5 of 5 Above the state average of 2.9
- Nurse time per resident, per day 3.03 hours Below the state average of 3.79
- Nursing staff who left in a year 27.3% Below the state average of 48.2%
- Health citations, last 3 inspection cycles 5 None at the harm level or above
- Fines in 3 years None None listed by CMS
- Certified beds in use 98.2% of 50 beds, on an average day
Arrows only show whether a figure is above or below the state average. They are not a judgment of the home.
Walworth County Care Center, Inc is a 50-bed nursing home in Selby, South Dakota (Walworth County). CMS rates it 5 of 5 stars overall as of Sep 2026. It reports 3.03 nurse staffing hours per resident per day, below the South Dakota average of 3.79. CMS lists no fines in the past three years.
- Certified beds
- 50
- Residents per day (average)
- 49.1
- Certified since
- 2007 (19 yrs)
Non profit - Corporation Participates in Medicare and MedicaidPart of Rural Health Development (9 homes)
Bed use is this site's calculation: average residents per day divided by certified beds. It is an average, so it does not show today's openings.
Terms used on this page
- CMS
- The Centers for Medicare & Medicaid Services, the federal agency that publishes the ratings, staffing figures, inspection results and penalties shown here.
- Certified beds
- The number of federally certified beds CMS lists for the home.
- Deficiency or citation
- A federal requirement that inspectors found the home did not meet. Each one gets a letter from A to L for how serious it was and how many residents were affected. What the letters mean
- Actual harm
- Letters G, H and I: actual harm to a resident that is not immediate jeopardy.
- Immediate jeopardy
- Letters J, K and L: the problem caused, or was likely to cause, serious injury, harm, impairment or death to a resident.
- Inspection cycle
- A standard inspection plus the complaint and infection-control citations CMS assigns to it. This page shows the three most recent cycles.
- Special Focus Facility (SFF)
- A home CMS has placed under closer oversight because of its inspection record. More about the program
Questions to ask Walworth County Care Center, Inc
Chosen from this home's public data.
- Reported nurse staffing is 2.61 hours per resident on weekends against 3.03 overall. Who covers Saturdays and Sundays?Weekend staffing in CMS data
- About 98.2% of certified beds are in use on an average day. Is there a waiting list, and how long is it?Certified beds and average residents in CMS data
- Registered nurse time is 0.49 hours per resident per day; the South Dakota average is 0.80. Is an RN on site overnight?RN staffing in CMS data
More in what to ask on a nursing home tour.
CMS star ratings
- Overall 5 of 5 South Dakota average 2.9
- Health inspections 5 of 5 South Dakota average 2.9
- Staffing 4 of 5 South Dakota average 3.5
- Quality measures 4 of 5 South Dakota average 2.7
The vertical line marks the South Dakota average. Ratings run from 1 to 5. How to read CMS star ratings
Nurse staffing
Hours of care per resident per day, as the home reported to CMS.
What these roles do
Nurse aides give most hands-on daily care, such as help with bathing, dressing and meals. Licensed practical nurses give medications and routine nursing care. Registered nurses assess residents and direct their care.
- All nursing staff 3.03 h South Dakota average 3.79
- Nurse aides 2.14 h South Dakota average 2.52
- Licensed practical nurses 0.40 h South Dakota average 0.47
- Registered nurses 0.49 h South Dakota average 0.80
- All staff, weekends 2.61 h South Dakota average 3.26
How much nurse staffing is enough? All bars share one scale, 0 to 9 hours. The vertical line marks the South Dakota average; the national average for all nursing staff is 3.86 hours.
- Nursing staff turnover27.3%
- South Dakota average48.2%
- Registered nurse turnover28.6%
- South Dakota average34.7%
- Administrators who left0
Quality measures
CMS calculates these from residents' assessments and Medicare claims. They are shown as published, next to the South Dakota and national averages. marks the measures CMS uses in its quality star rating; for those, the rating gives more points for a lower rate.
Long-stay residents
| Measure | This home | South Dakota | U.S. |
|---|---|---|---|
| ★ Percentage of long-stay residents whose need for help with daily activities has increased | 26.5% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight | 6.0% | 5.6% | 5.2% |
| ★ Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.6% | 2.1% | 0.8% |
| ★ Percentage of long-stay residents with a urinary tract infection | 0.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who have depressive symptoms | 1.1% | 5.7% | 12.8% |
| Percentage of long-stay residents who were physically restrained | 0.0% | 0.0% | 0.1% |
| ★ Percentage of long-stay residents experiencing one or more falls with major injury | 9.8% | 5.5% | 3.2% |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 94.9% | 93.6% |
| ★ Percentage of long-stay residents whose ability to walk independently worsened | 18.4% | 19.4% | 14.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.4% | 17.4% | 19.5% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% | 96.9% | 95.5% |
| ★ Percentage of long-stay residents with pressure ulcers | 1.4% | 4.6% | 4.6% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 25.8% | 25.4% | 19.0% |
| ★ Percentage of long-stay residents who received an antipsychotic medication | 3.9% | 24.6% | 15.4% |
| ★ Number of hospitalizations per 1000 long-stay resident days | 0.97 | 1.52 | 1.90 |
| ★ Number of outpatient emergency department visits per 1000 long-stay resident days | 1.93 | 1.75 | 1.78 |
Short-stay residents
| Measure | This home | South Dakota | U.S. |
|---|---|---|---|
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% | 83.5% | 82.0% |
| ★ Percentage of short-stay residents who newly received an antipsychotic medication | Too few residents or stays to report | 2.0% | 1.6% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Too few residents or stays to report | 78.2% | 79.8% |
| ★ Percentage of short-stay residents who were rehospitalized after a nursing home admission | Too few residents or stays to report | 19.9% | 23.8% |
| ★ Percentage of short-stay residents who had an outpatient emergency department visit | Too few residents or stays to report | 12.0% | 12.0% |
Measure periods: April 2025 to March 2026 for most measures; July 2024 to June 2025 for the flu vaccine measures; January to December 2025 for the hospital and emergency department measures, which CMS risk-adjusts. See the measures on Medicare.gov
Inspection history
Inspectors cited 5 health deficiencies in the three most recent inspection cycles. None was graded as actual harm or immediate jeopardy.
| Standard inspection | Health | Fire safety |
|---|---|---|
| Apr 30, 2026 | 5 | 1 |
| Dec 12, 2024 | 0 | 0 |
| Aug 16, 2023 | 0 | 0 |
South Dakota homes averaged 6.7 health deficiencies in the latest cycle; the national average is 9.2. Each cycle's health count covers the standard inspection on that date plus the complaint and infection-control citations CMS assigns to that cycle.
Health citations, three most recent inspection cycles (5)
-
EPotential for more than minimal harm, pattern
Provide and implement an infection prevention and control program.
Infection Control · Deficient, Provider has date of correction (May 14, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Freedom from Abuse, Neglect, and Exploitation · Deficient, Provider has date of correction (May 13, 2026)
-
DPotential for more than minimal harm, isolated
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning · Deficient, Provider has date of correction (May 12, 2026)
-
DPotential for more than minimal harm, isolated
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care · Deficient, Provider has date of correction (May 18, 2026)
-
DPotential for more than minimal harm, isolated
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · Deficient, Provider has date of correction (May 13, 2026)
What severity letters A to L mean
Each sentence above is the requirement that was not met, in CMS's wording. For the inspection results as Medicare publishes them, open this home's page on Medicare.gov and look under "Health inspections".
Penalties, past three years
CMS lists no fines or payment denials for this home in the past three years.
South Dakota homes averaged 1.9 fines and $40,815 in fine amounts; the national averages are 0.9 and $30,972.
Cost
Not in the public data. CMS does not publish what a nursing home charges.
Ask the home for its daily private-pay rate and whether a bed is open for your coverage. See what Medicare covers and how Medicaid pays for a nursing home.
Compared within South Dakota
- Size52 of 96 by certified beds
- South Dakota average residents per day52.1
- ChainRural Health Development
- Chain average overall rating3.8 of 5
- Resident or family councilResident
- Homes in Walworth County1
Common questions
What is the CMS star rating for Walworth County Care Center, Inc?
Walworth County Care Center, Inc has an overall rating of 5 of 5 stars from CMS as of Sep 2026. Its health inspection rating is 5, staffing is 4 and quality measures is 4.
How many beds does Walworth County Care Center, Inc have?
Walworth County Care Center, Inc has 50 certified beds. It averages 49.1 residents per day, about 98.2% of its certified beds.
How much nursing care do residents get at Walworth County Care Center, Inc?
The home reports 3.03 hours of nurse staffing per resident per day, including 0.49 hours from registered nurses. The South Dakota average is 3.79 hours and 0.80 hours from registered nurses.
Has Walworth County Care Center, Inc been fined?
CMS lists no fines for this home in the past three years.
Does Walworth County Care Center, Inc accept Medicare or Medicaid?
CMS lists its participation as "Medicare and Medicaid". Ask the home whether a bed is open for your coverage.
Guides for families looking at this home
- Understanding the recordWhat to ask on a nursing home tourQuestions that turn a home's public record into a useful conversation when you tour, plus what to look for yourself.
- Understanding the recordInspection severity letters A to LHow inspectors grade each deficiency by harm and by how many residents were affected.
- Understanding the recordHow to read CMS star ratingsWhat the overall, health inspection, staffing and quality measure ratings cover, and what they leave out.
Nearest nursing homes
- 4 of 5 Bowdle Nursing Home 27beds 86.3%in use 3.80nurse hours a day
- 4 of 5 Avera Eureka Health Care Center 56beds 92.1%in use 3.10nurse hours a day
- 2 of 5 Avera Oahe Manor 53beds 66.8%in use 3.50nurse hours a day
Sorted by straight-line distance. This is not a ranking or a recommendation. Compare all homes in Walworth County
Source: CMS Provider Data Catalog, nursing home datasets processed Sep 1, 2026. CMS Certification Number 435123. See this home's official record on Medicare.gov
See something shown incorrectly? Tell us. This site shows each record as CMS publishes it and cannot change the underlying record.