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Data from CMS, Census Bureau & CareScout. Not affiliated with the U.S. government.

© 2026 NursingHomes.us. All data from CMS.gov.
HomeNorth DakotaNelson County Health System Care Center

Nelson County Health System Care Center

108 E Nyhus Ave, Mcville, ND 582547013224314
3/5Average
Accepts Medicare Accepts Medicaid Sprinkler System
Health
2/5
Staffing
5/5
Quality
2/5
Beds
35
certified
This facility has been flagged for abuse.
1 fine(s) totaling $36,855

Key Findings

• CMS rates this facility 3/5 stars (average)

• Has 35 certified beds with an average of 29.1 residents per day (83% occupancy)

• Last health inspection found 2 deficiencies (inspected Apr 1, 2025)

• Has been fined a total of $36,855 across 1 fine(s)

• Total nursing staff: 4.35 hours per resident per day

• Staff turnover rate: 47.5%

Nelson County Health System Care Center is a 3-star Medicare and Medicaid certified nursing home in Mcville, North Dakota with 35 certified beds. It has been operating since 1980. The facility scored at average compared to North Dakota facilities.

Beds
35
Avg Residents/Day
29.1
Ownership
Government - City
Provider Type
Medicare and Medicaid
In Hospital
No
First Approved
Apr 1, 1980
Sprinklers
Yes
Council
Resident
County
Nelson
Last Inspection
Apr 1, 2025
Deficiencies (Cycle 1)
2
Weighted Score
24.0
Infection Citations
0

Deficiency Citations (13)

F0600Potential for Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Jun 23, 2025Corrected: NoCycle: 1
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Apr 1, 2025Corrected: NoCycle: 1
F0600Actual Harm

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Survey: Nov 26, 2024Corrected: NoCycle: 2
F0605Potential for Harm

Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

Survey: Nov 26, 2024Corrected: NoCycle: 2
F0657Potential for Harm

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0684Potential for Harm

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0689Potential for Harm

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0690Potential for Harm

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0761Potential for Harm

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.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0851Potential for Harm

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0880Potential for Harm

Provide and implement an infection prevention and control program.

Survey: Mar 21, 2024Corrected: NoCycle: 2
F0609Potential for Harm

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Survey: Mar 15, 2023Corrected: NoCycle: 3
F0888Potential for Harm

Ensure staff are vaccinated for COVID-19

Survey: Mar 15, 2023Corrected: NoCycle: 3
Total Fines
$36,855
Number of Fines
1
Payment Denials
0
Total Penalties
1

Penalty History

FineNov 26, 2024
$36,855

Staffing hours per resident per day. The black line shows the national average.

Nurse Aide2.90 hrs
National avg: 2.35 hrs
LPN0.64 hrs
National avg: 0.86 hrs
RN0.81 hrs
National avg: 0.68 hrs
Total Nursing4.35 hrs
National avg: 3.89 hrs
Weekend Total3.53 hrs
National avg: 0.00 hrs
Physical Therapist0.00 hrs
National avg: 0.07 hrs
Total Turnover
47.5%
RN Turnover
0.0%
Administrators Left
0

Quality measures as percentages of residents. Lower is better for all measures.

Ownership Type
Government - City
Recent Change
No

Owners & Managers (10)

NameRoleTypeOwnership %Since
NELSON COUNTY HEALTH SYSTEM5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%Jan 1, 2010
FORDE, STEVENOPERATIONAL/MANAGERIAL CONTROLIndividualN/ASep 19, 2016
BERG, IVANCORPORATE DIRECTORIndividualN/ANov 6, 2011
JENSEN, BRANDONCORPORATE DIRECTORIndividualN/ANov 7, 2013
LUNDEBY, BRANDONCORPORATE DIRECTORIndividualN/ANov 6, 2011
OXTON, RANAECORPORATE DIRECTORIndividualN/ANov 6, 2011
STEIN, HEATHERCORPORATE DIRECTORIndividualN/ANov 24, 2014
TWETE, ANGELACORPORATE DIRECTORIndividualN/ANov 24, 2014
TWETE, JUDITHCORPORATE DIRECTORIndividualN/ANov 6, 2011
SWENSON, CATHERINEW-2 MANAGING EMPLOYEEIndividualN/AOct 14, 2015

Frequently Asked Questions

What is the CMS rating for Nelson County Health System Care Center?▾
Nelson County Health System Care Center has an overall CMS rating of 3 out of 5 stars, with a health inspection rating of 2/5, staffing rating of 5/5, and quality measures rating of 2/5. This facility is rated average.
Has Nelson County Health System Care Center had any health inspection violations?▾
Nelson County Health System Care Center had 2 deficiency citations in its most recent health inspection (Apr 1, 2025). The facility has been fined a total of $36,855 across 1 fine(s).
What are the staffing levels at Nelson County Health System Care Center?▾
Nelson County Health System Care Center provides 4.35 total nursing staff hours per resident per day, including 0.81 RN hours, 0.64 LPN hours, and 2.90 nurse aide hours. The total staff turnover rate is 47.5%.
How many beds does Nelson County Health System Care Center have?▾
Nelson County Health System Care Center has 35 certified beds with an average of 29.1 residents per day, resulting in approximately 83% occupancy. The facility is Government - City owned.