Walworth County Care Center, Inc ratings, inspections, staffing, and fines

1

How this home got 5 stars

The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in South Dakota.
Staffing

no change

Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
Quality measures

no change (already 5)

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among South Dakota homes

Walworth County Care Center, Inc carries 18 inspection points. That is fewer than 82% of South Dakota's 94 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in South Dakota: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.

5★ 0–14 pts
4★ 14–31.5 pts
3★ 31.5–55 pts
2★ 55–95.25 pts
1★ over 95.25 pts

Bars show every rated home in South Dakota by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.

3

What inspectors found

5 health citations on record since 2026. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 4 4 pts

E 1 8 pts

F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 0 0 pts

C 0 0 pts

Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.

Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.

No citation on record at the harm or immediate-jeopardy level.

Everything else, by area of care

Quality of Life and Care2D

D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
April 30, 2026 · Standard · F686 · Corrected May 18, 2026
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
April 30, 2026 · Standard · F689 · Corrected May 13, 2026

Infection Control1E

E
Provide and implement an infection prevention and control program.
April 30, 2026 · Standard · F880 · Corrected May 14, 2026

Freedom from Abuse, Neglect, and Exploitation1D

D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
April 30, 2026 · Standard · F604 · Corrected May 13, 2026

Resident Assessment and Care Planning1D

D
Ensure services provided by the nursing facility meet professional standards of quality.
April 30, 2026 · Standard · F658 · Corrected May 12, 2026

Inspection history

2026-04-30
5 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-12-12
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.
2023-08-16
0 health deficiencies · 0 fire-safety deficiencies
No concentrated health issue counts in this cycle.

4

Nursing time per resident, per day

Each resident here gets about 3 h 4 min of nursing staff time a day, 29 min of it from a registered nurse.

This home

3 h 4 min

South Dakota average

3 h 51 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 31% of nursing staff and 17% of registered nurses left in the past year.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

Measure	This home	State	U.S.
Number of hospitalizations per 1000 long-stay resident days0.7 pts better	0.8	1.5	1.8
Number of outpatient emergency department visits per 1000 long-stay resident daysAbout the same	1.7	1.7	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine5.1 pts better	100.0%	94.9%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.8 pts better	100.0%	97.2%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury4.7 pts worse	10.2%	5.5%	3.2%
Percentage of long-stay residents who have depressive symptoms4.8 pts better	1.1%	5.9%	13.5%
Percentage of long-stay residents who lose too much weight1.6 pts better	4.1%	5.7%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication12.1 pts better	5.6%	17.7%	19.5%
Percentage of long-stay residents who received an antipsychotic medication21.7 pts better	3.1%	24.8%	15.4%
Percentage of long-stay residents who were physically restrainedAbout the same	0.0%	0.0%	0.1%
Percentage of long-stay residents whose ability to walk independently worsened3.4 pts better	14.9%	18.3%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased2.6 pts worse	24.1%	21.5%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder1.9 pts better	0.0%	1.9%	0.7%
Percentage of long-stay residents with a urinary tract infection2.9 pts better	0.0%	2.9%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.6 pts better	20.9%	24.5%	18.3%
Percentage of long-stay residents with pressure ulcers3.1 pts better	1.4%	4.5%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine16.1 pts better	100.0%	83.9%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit3.3 pts better	10.0%	13.3%	11.8%
Percentage of short-stay residents who were rehospitalized after a nursing home admission20 pts better	0.0%	20.0%	23.4%

·

Who owns and runs it

12 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list

Name	Role	Share	Homes
Walworth County Care Center Inc	5% Or Greater Direct Ownership Interest · Organization	100%	1 facilities
Bates, Trista	Corporate Officer · Individual	0%	1 facilities
Bates, Trista	Operational/Managerial Control · Individual	0%	1 facilities
Bates, Trista	Adp Of The SNF · Individual	0%	1 facilities
Biel, Daniel	Corporate Director · Individual	0%	1 facilities
Karst, Renae	Corporate Director · Individual	0%	1 facilities
Marciano, Robert	Corporate Officer · Individual	0%	1 facilities
Marciano, Robert	Operational/Managerial Control · Individual	0%	1 facilities
Marciano, Robert	Adp Of The SNF · Individual	0%	1 facilities
Rueb, Crystal	Corporate Director · Individual	0%	1 facilities
Rueb, Crystal	Corporate Officer · Individual	0%	1 facilities
Rural Health Development Inc.	Operational/Managerial Control · Organization	0%	10 facilities

·

Fire safety

1 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke1B

B
Provide properly protected cooking facilities.
April 30, 2026 · K324 · Corrected May 7, 2026

·

Other homes nearby

Bowdle Nursing Home
Bowdle, SD

Worst citation, 3 yrs
F

Nursing / resident / day
4 h 10 min

Fines
$0
Avera Eureka Health Care Center
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Worst citation, 3 yrs
G

Nursing / resident / day
3 h 18 min

Fines
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Avera Oahe Manor
Gettysburg, SD

Worst citation, 3 yrs
F

Nursing / resident / day
4 h 18 min

Fines
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