South Dakota › Walworth County › Selby
Walworth County Care Center, Inc
4861 Lincoln Avenue, Selby, SD 57472
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Walworth County Care Center, Inc, in Selby, South Dakota, is certified for 50 beds under non-profit, corporation ownership and belongs to the Rural Health Development chain.
CMS gives it 5 of 5 stars overall, above the South Dakota median of 3; the health inspection rating is 5, staffing 4 and quality measures 4.
Inspectors recorded 5 health deficiencies across the three most recent survey cycles (5, 0, 0 by cycle, most recent first), none at the actual-harm level. That is 10.0 per 100 beds, fewer than the state median of 23.9.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.0 hours per resident per day (0.5 RN), close to the South Dakota median of 3.6; nursing staff turnover is 27.3%.
Compared with county, state and nation
| Measure | This facility | Walworth Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 5 | 5 | 16 | 28.7 |
| Citations per 100 beds | 10.0 | 10.0 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.0 | 3.0 | 3.6 | 3.9 |
| RN hours per resident day | 0.5 | 0.5 | 0.8 | 0.7 |
| Nursing staff turnover | 27.3% | 27.3% | 46.6% | 45.8% |
| Fines listed | $0 | $0 | $20,183 | — |
County and state figures are medians across facilities (1 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 30 Apr 2026, 12 Dec 2024.
Severity mix: D ×4 E ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 30 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 14 May 2026 |
| 30 Apr 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 13 May 2026 |
| 30 Apr 2026 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 12 May 2026 |
| 30 Apr 2026 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Standard survey | 18 May 2026 |
| 30 Apr 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 13 May 2026 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 27.3%, RNs 28.6%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 26.5% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.6% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 0.0% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.8% | 4.8% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.4% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.4% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 3.9% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Walworth County Care Center Inc. Chain: Rural Health Development (9 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Walworth County Care Center Inc | 5% or greater direct ownership interest | 100% | 12/18/2018 |
| Rural Health Development Inc. | Operational/managerial control | NOT APPLICABLE | 12/01/2018 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Walworth County Care Center, Inc been cited for?
5 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Walworth County Care Center, Inc been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Walworth County Care Center, Inc compare?
Reported total nurse staffing is 3.0 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Walworth County Care Center, Inc?
It is part of the Rural Health Development chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Walworth County Care Center Inc and Rural Health Development Inc.. Individual owners and managers are not listed on this site.
When was Walworth County Care Center, Inc last inspected?
The most recent survey or investigation in the CMS record is dated 30 Apr 2026; the most recent standard health survey was 30 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.