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C
Below Standard

Walworth County Care Center, Inc

4861 LINCOLN AVENUE · SELBY, SD 57472

6056497663 · Non profit - Corporation

50 beds47.6 residents50 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Walworth County Care Center, Inc receives an overall staffing grade of C (Below Standard). With 3.1644 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5953 HPRD, below the recommended 0.75. It is 0.73 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 17.43% compared to weekdays. The facility has low agency staff usage (1.49% of hours), suggesting a mostly permanent workforce.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1644 HPRD — needs 0.32 more hours per resident per day.
⚠️RN staffing (0.5953 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (2)

✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (1.49%) — mostly permanent, familiar staff
Total Nurse HPRD
3.1644hrs/resident/day▼ 0.73
CMS benchmark: 3.48
RN HPRD
0.5953hrs/resident/day▼ 0.09
Recommended: 0.75
Weekend Drop-off
17.43%
3.3283 weekday → 2.7482 weekend
Agency Staff
1.49%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.5451hrs/resident/day
Direct care aides
LPN HPRD
0.3256hrs/resident/day
Licensed practical nurses
Consistency
0.3237std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Walworth County Average+0.00 HPRD
3.16
03.16 HPRD
vs. South Dakota State Average-0.67 HPRD
3.83
03.16 HPRD
vs. National Average-0.73 HPRD
3.90
03.16 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Walworth County Care Center, Inc ★
SELBY · This facility
—
C
3.16440.5953★★★★★
BOWDLE NURSING HOME
BOWDLE
18.4 mi
C
4.28450.4186★★★★☆
Avera Eureka Health Care Center
EUREKA
27 mi
C
3.01370.7286★★★☆☆
AVERA OAHE MANOR
GETTYSBURG
34.3 mi
B
4.02040.7343★★★☆☆
FAULKTON SENIOR LIVING
FAULKTON
54.4 mi
C
3.09980.4785★★★★★
Medicine Wheel Village
EAGLE BUTTE
68.4 mi
B
4.56160.7289★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

1
Inspections
3
Total Deficiencies
$0
Fines Assessed
Mar 24, 2022Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.