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Nelson County Health System Care Center

All states › North Dakota › McVille › Nelson County Health System Care Center

108 E Nyhus Ave McVille, ND 58254 · Nelson County

(701) 322-4314

Cited for abuse Accepts Medicare Accepts Medicaid 35 certified beds Non profit

CMS certification number 355052 · See this home on Medicare Care Compare

CMS abuse icon CMS marks this nursing home with its abuse icon. CMS shows the icon for homes with abuse citations in recent inspections: an abuse citation where residents were harmed (scope and severity G or higher) within the past year, or abuse citations at D or higher (potential for harm) in each of the last two years. Shown as of October 2026. Details on Care Compare.

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

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. Inspectors issued 15 citations in the last three years. CMS imposed 1 penalty, including $36,855 in fines, in that time. CMS currently shows its abuse icon for this home (see above).

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%).

Nursing care per resident per day 4.33 hours
Below the North Dakota median of 4.42 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.78 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.39 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 56.4% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 50% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds35
Residents per day 32 About 91% of beds filled, on average
OwnershipNon profit - Other
Payment acceptedMedicare and Medicaid
Certified sinceApril 1980
Legal business nameNELSON COUNTY HEALTH SYSTEM

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.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Jul 15, 2026)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Jul 15, 2026)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (May 1, 2026)

DRespond appropriately to all alleged violations.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0610 · Complaint inspection · Deficient, Provider has date of correction (May 1, 2026)

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.

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Past Non-Compliance (Jun 23, 2025)

April 1, 2025 · 1 citation

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (May 6, 2025)

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.

Actual harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0600 · Complaint inspection · Deficient, Provider has date of correction (Jan 6, 2025)

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

Potential for more than minimal harm · Freedom from Abuse, Neglect, and Exploitation Deficiencies · Tag F0605 · Complaint inspection · Deficient, Provider has date of correction (Feb 24, 2025)

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.

Potential for more than minimal harm · Administration Deficiencies · Tag F0851 · Deficient, Provider has date of correction (Apr 29, 2024)

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

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0657 · Deficient, Provider has date of correction (Apr 18, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0684 · Deficient, Provider has date of correction (Apr 29, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Deficient, Provider has date of correction (Apr 29, 2024)

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

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0690 · Deficient, Provider has date of correction (Apr 29, 2024)

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.

Potential for more than minimal harm · Pharmacy Service Deficiencies · Tag F0761 · Deficient, Provider has date of correction (Apr 29, 2024)

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 29, 2024)

Questions to ask on a tour of Nelson County Health System Care Center

  1. 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?
  2. CMS cited the home under its abuse and neglect rules on April 29, 2026. How are staff trained, and how are concerns reported?
  3. Weekend staffing is 22% below the all-week average. Who is on duty on Saturday nights?
  4. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  5. 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.

DateTypeAmount or length
Nov 26, 2024 Fine $36,855

Rating history

CMS monthOverallInspectionStaffingQuality
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.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Aneta Parkview Health Center Aneta · 10.6 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 35 beds · Medicaid
Good Samaritan Society - Lakota Lakota · 20.7 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 4/5 38 beds · Medicaid
Griggs County Care Center Cooperstown · 22.9 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 40 beds · Medicaid
Good Samaritan Society - Larimore Larimore · 27.6 mi away Not rated Inspection — · Staffing — 40 beds · Medicaid
Hatton Prairie Village Hatton · 34.9 mi away ★★★★★ Inspection 4/5 · Staffing 5/5 38 beds · Medicaid

More nursing homes near Nelson County Health System Care Center ›   All nursing homes in McVille ›

Compare Nelson County Health System Care Center with the 3 closest homes side by side ›

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.

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https://www.nursinghomesineachstate.com/north-dakota/mcville/nelson-county-health-system-care-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.