North Dakota › Nelson County › Mcville
Nelson County Health System Care Center
108 E Nyhus Ave, Mcville, ND 58254
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Nelson County Health System Care Center, in Mcville, North Dakota, is certified for 35 beds under government, city ownership.
CMS gives it 2 of 5 stars overall, below the North Dakota median of 3; the health inspection rating is 2, staffing 5 and quality measures 1.
Inspectors recorded 15 health deficiencies across the three most recent survey cycles (3, 10, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 42.9 per 100 beds, more than the state median of 27.1.
CMS lists 1 penalty in the period covered: fines totalling $37K.
Reported nurse staffing is 4.1 hours per resident per day (0.7 RN), close to the North Dakota median of 4.4; nursing staff turnover is 51.2%.
CMS flags that the facility carries the CMS abuse icon.
Compared with county, state and nation
| Measure | This facility | Nelson Co. median | North Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 2 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 15 | 15 | 13 | 28.7 |
| Citations per 100 beds | 42.9 | 42.9 | 27.1 | 26.8 |
| Total nurse hours per resident day | 4.1 | 3.8 | 4.4 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.9 | 0.7 |
| Nursing staff turnover | 51.2% | 51.2% | 50.0% | 45.8% |
| Fines listed | $36,855 | $36,855 | $9,030 | — |
County and state figures are medians across facilities (3 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 1 Apr 2025, 21 Mar 2024.
Severity mix: G ×1 D ×13 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2026 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 1 May 2026 |
| 29 Apr 2026 | F0610 | Respond appropriately to all alleged violations. | D | Complaint investigation | 1 May 2026 |
| 23 Jun 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 23 Jun 2025 |
| 1 Apr 2025 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 6 May 2025 |
| 26 Nov 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Complaint investigation | 6 Jan 2025 |
| 26 Nov 2024 | F0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | Complaint investigation | 24 Feb 2025 |
| 21 Mar 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 29 Apr 2024 |
| 21 Mar 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Standard survey | 18 Apr 2024 |
| 21 Mar 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 29 Apr 2024 |
| 21 Mar 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 29 Apr 2024 |
| 21 Mar 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 29 Apr 2024 |
| 21 Mar 2024 | F0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard survey | 29 Apr 2024 |
| 21 Mar 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 29 Apr 2024 |
| 15 Mar 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Standard survey | 4 Apr 2023 |
| 15 Mar 2023 | F0888 | Ensure staff are vaccinated for COVID-19 | D | Standard survey | 20 Mar 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 26 Nov 2024 | Fine | $36,855 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff 51.2%, RNs 16.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 28.2% | 19.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.1% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.6% | 2.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 10.0% | 4.7% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 12.4% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.9% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.0% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: government, city. Legal business name: Nelson County Health System.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Nelson County Health System | 5% or greater direct ownership interest | 100% | 01/01/2010 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Nelson County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Aneta Parkview Health Ctr | Aneta | 35 | 5 | 5 | 4 | 4 | 11.4 | — | 28 Jan 2026 |
| Good Samaritan Society - Lakota | Lakota | 38 | 1 | 2 | 3 | 30 | 78.9 | $74K | 16 Jun 2026 |
All 3 facilities in Nelson County
Questions and answers
How many deficiencies has Nelson County Health System Care Center been cited for?
15 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.
Has Nelson County Health System Care Center been fined?
Yes. CMS lists fines totalling $37K in the period covered.
How does staffing at Nelson County Health System Care Center compare?
Reported total nurse staffing is 4.1 hours per resident per day against a North Dakota median of 4.4 and a national average of 3.9.
Who operates Nelson County Health System Care Center?
Ownership type is government, city. Organisations in the CMS ownership record include Nelson County Health System. Individual owners and managers are not listed on this site.
When was Nelson County Health System Care Center last inspected?
The most recent survey or investigation in the CMS record is dated 29 Apr 2026; the most recent standard health survey was 1 Apr 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.