All states › North Dakota › McVille › Nelson County Health System Care Center
108 E Nyhus Ave McVille, ND 58254 · Nelson County
CMS certification number 355052 · See this home on Medicare Care Compare
Is Nelson County Health System Care Center a good nursing home? Reviews, ratings and inspection record
There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Nelson County Health System Care Center as of October 2026.
CMS rates it 1 out of 5 stars overall, below the North Dakota average of 3.3.
Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.
Staffing
Nursing staff spend about 4.33 hours per resident per day at Nelson County Health System Care Center, about the same as the North Dakota median of 4.42 (US median: 3.72). About 0.78 of those hours are from registered nurses. On weekends it falls to 3.39 hours, 22% below its all-week average. Ask how weekends are staffed. 56.4% of nursing staff left within a year (North Dakota median 47.6%).
About this nursing home
Paying for care at Nelson County Health System Care Center: Medicare and Medicaid
Nelson County Health System Care Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet North Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.
In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.
Health inspections
The most recent standard inspection was on June 10, 2026 and found 2 deficiencies, plus 2 from complaint inspections in the same period. In total, inspectors issued 15 citations in the last three years.
Each citation has a scope and severity letter from A to L. A–C: potential for minimal harm. D–F: potential for more than minimal harm. G–I: actual harm. J–L: immediate jeopardy to resident health or safety.
What the inspections found
Over the last three years, inspectors issued 15 citations at Nelson County Health System Care Center across 6 inspection dates, 5 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on November 26, 2024. The most common areas cited were freedom from abuse, neglect, and exploitation (5) and quality of life and care (4). The most serious was cited under the CMS rule to "protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody" (tag F0600, level G, November 26, 2024). 5 citations were under CMS's abuse, neglect and exploitation rules.
June 10, 2026 · 2 citations
EProvide and implement an infection prevention and control program.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
April 29, 2026 · 2 citations · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DRespond appropriately to all alleged violations.
June 23, 2025 · 1 citation · includes complaint inspection
DProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
April 1, 2025 · 1 citation
DProvide and implement an infection prevention and control program.
November 26, 2024 · 2 citations, includes actual harm · includes complaint inspection
GProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
DPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
March 21, 2024 · 7 citations
FElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
DDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
DProvide appropriate treatment and care according to orders, resident’s preferences and goals.
DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
DProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
DEnsure 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.
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Nelson County Health System Care Center
- Inspectors cited the home at the actual-harm level on November 26, 2024 under the rule on freedom from abuse, neglect, and exploitation. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on April 29, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- When is the first care-plan meeting, and can family attend?
Questions come from this home's CMS data: its inspections, staffing and ownership record.
Fines and payment denials
1 penalty in the last three years, including $36,855 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Nov 26, 2024 | Fine | $36,855 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 1/5 | 2/5 | 4/5 | 1/5 |
| August 2026 | 2/5 | 2/5 | 5/5 | 1/5 |
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Location
Hospitals near Nelson County Health System Care Center
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
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0.2 mi
Nelson County Health System McVilleEmergency roomMedian ER visit 1h 31m for patients treated and sent home
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22.4 mi
Cooperstown Medical Center CooperstownEmergency roomMedian ER visit 2h 1m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.