Nursing home · Top rated by CMS
Walworth County Care Center
4861 Lincoln Avenue, Selby, SD 57472 · Map
Non profit - Corporation · 50 certified beds
Walworth County Care Center is a Medicare-certified nursing home in Selby, South Dakota. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 3.16 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Dec 12, 2024 cited 0 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Walworth County Care Center compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.16 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.59 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.24 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 47.7% | 49.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 0.0 | 6.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
What inspectors found at Walworth County Care Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 24, 2022 - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Mar 24, 2022 - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Mar 24, 2022
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 4861 Lincoln Avenue
Selby, SD 57472 - CMS certification #
- 435123
- Ownership
- Non profit - Corporation
- Certified beds
- 50
- Avg residents/day
- 47.6
- Provider type
- Medicare and Medicaid
- First certified
- 2007-01-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Walworth County Care Center using Google Maps.
Other public records
- Workplace safety 1 OSHA workplace safety inspection since 2024, no violations cited
Full public records, with dates and sources
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Mar 7, 2024: programmed (planned) inspection, records only (safety). Case closed Aug 12, 2024. No violations cited. OSHA record. OSHA recorded the employer as Walworth County Care Center.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Bowdle Hospital - Cah, Bowdle. 18.4 miles away, straight line.
- Nearest Medicare nursing home
- Bowdle Nursing Home, Bowdle. 18.4 miles away, straight line.
- Nearest home health agency office
- Avera @ Home, Aberdeen. 74.8 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Pharmacy. 27.0 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57472 as rural (rural area).
- Nearest geriatric medicine practice
- Chess Medicine PLLC, Fargo. 176.6 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- FEMA has a flood map for this community (effective November 7, 1978), but it is not in FEMA's digital flood map data, so the zone at this address could not be read. FEMA's Map Service Center has the map. (FEMA flood map)
- Wildfire risk to homes
- In Selby, SD, risk to homes is greater than 28% of communities in South Dakota and 49% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively high, tornado relatively moderate, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
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Frequently asked questions
Is Walworth County Care Center a good nursing home?
CMS gives Walworth County Care Center an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Walworth County Care Center staffed?
Walworth County Care Center reports 3.16 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Walworth County Care Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Walworth County Care Center have?
Walworth County Care Center is certified for 50 beds.