80/100
Above average
4861 Lincoln Avenue, Selby, SD 57472
Every point is shown. Nothing is weighted behind the scenes — the full formula is on How we grade.
Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
Hours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Last standard health inspection: April 30, 2026 (3 months ago).
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
No actual harm, potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
No actual harm, potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
No actual harm, potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
No actual harm, potential for more than minimal harm
Part of RURAL HEALTH DEVELOPMENT, which operates 9 homes. Staffing budgets are usually set at chain level, not in the building.
| Owner | Type | Role | Since |
|---|---|---|---|
| BIEL, DANIEL | Individual | CORPORATE DIRECTOR | — |
| KARST, RENAE | Individual | CORPORATE DIRECTOR | — |
| RUEB, CRYSTAL | Individual | CORPORATE DIRECTOR | — |
| BATES, TRISTA | Individual | CORPORATE OFFICER | — |
| MARCIANO, ROBERT | Individual | CORPORATE OFFICER | — |
| RUEB, CRYSTAL | Individual | CORPORATE OFFICER | — |
| RURAL HEALTH DEVELOPMENT INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | — |
| BATES, TRISTA | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| MARCIANO, ROBERT | Individual | OPERATIONAL/MANAGERIAL CONTROL | — |
| BATES, TRISTA | Individual | ADP OF THE SNF | — |
| MARCIANO, ROBERT | Individual | ADP OF THE SNF | — |
| WALWORTH COUNTY CARE CENTER INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | — |
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Walworth County Care Center, Inc holds an ElderGrade of B (80 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
Residents receive an average of 3.03 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
No. None of the 5 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Yes, Walworth County Care Center, Inc is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.