Walworth County Care Center, Inc.
Selby, Walworth County, South Dakota · CCN 435123 · Non-profit (Corporation) · part of Rural Health Development (9 facilities, chain average 3.8 stars)
CMS rates Walworth County Care Center, Inc. 5 of 5 overall as of August 2026. 50 certified beds, 49 residents a day on average. 5 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★★ 5 of 5 |
|---|---|
| Health inspections | ★★★★★ 5 of 5 |
| Staffing | ★★★★☆ 4 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / — of 5 |
Staffing
| Total nurse staffing | 3.03437 hours per resident per day |
|---|---|
| Registered nurses | 0.49089 hours per resident per day |
| Weekend total | 2.6142 hours per resident per day |
| Nursing staff turnover | 27.3% (registered nurses 28.6%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-04-30 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · tag F0880 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-05-14 |
| 2026-04-30 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0604 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-13 |
| 2026-04-30 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · tag F0658 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-12 |
| 2026-04-30 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · tag F0686 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-18 |
| 2026-04-30 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · tag F0689 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-05-13 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Walworth County Care Center Inc. Organization | 5% or greater direct ownership interest | 100% | 2018-12-18 |
| Rural Health Development Inc. Organization | operational/managerial control | — | 2018-12-01 |
| Bates, Trista Individual | adp of the snf | — | 2019-05-01 |
| Marciano, Robert Individual | adp of the snf | — | 2018-12-01 |
| Biel, Daniel Individual | corporate director | — | 2018-12-01 |
| Karst, Renae Individual | corporate director | — | 2018-12-01 |
| Rueb, Crystal Individual | corporate director | — | 2018-12-01 |
| Bates, Trista Individual | corporate officer | — | 2019-05-01 |
| Marciano, Robert Individual | corporate officer | — | 2019-05-01 |
| Rueb, Crystal Individual | corporate officer | — | 2018-12-01 |
| Bates, Trista Individual | operational/managerial control | — | 2019-05-01 |
| Marciano, Robert Individual | operational/managerial control | — | 2018-12-01 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Walworth County Care Center, Inc..
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Walworth County.