Nelson County Health System Care Center
108 E Nyhus Ave, Mcville, ND 58254
Nelson County Health System Care Center, a 35-bed government - city nursing facility in Mcville, ND, holds a 3-star CMS overall rating - right around the 3.0-star national average, with nurse staffing above the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 7013224314
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- 3 / 5
- Average · CMS overall · nat'l 3.0
- 4.35
- Above average · nurse hrs/day · nat'l 3.89
- 13
- Inspection findings · 1 serious
- $37K
- Federal penalties (1)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 355052
- Ownership
- Government - City
- Provider Type
- Medicare and Medicaid
- Beds
- 35
- Residents
- 29
- In Hospital
- No
- County
- Nelson
- Last Inspection
- Apr 1, 2025
Staffing Data
How the 4.35 total nursing hours per resident-day are staffed:
- RN Hours
- 0.81 (nat'l avg: 0.68)
- LPN Hours
- 0.64
- CNA Hours
- 2.90
- Total Nursing Hours
- 4.35 (nat'l avg: 3.89)
- PT Hours
- 0.00
- Nursing Turnover
- 47.5%
- RN Turnover
- 0.0%
What the CMS Record Reveals About Nelson County Health System Care Center
Nelson County Health System Care Center operates 35 certified beds in Mcville, ND with approximately 29 residents currently in care, and carries a CMS overall rating of 3 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (2★), staffing levels (5★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 13 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $37K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 4.35 total nursing hours per resident day (national average 3.89), with RN coverage at 0.81 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Government - City" ownership and operating as a "Medicare and Medicaid" provider, Nelson County Health System Care Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 47.5%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (13 most recent)
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jun 23, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: May 6, 2025
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Feb 24, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Jan 6, 2025
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Apr 29, 2024
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Category: Administration Deficiencies
Corrected: Apr 29, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: Apr 29, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 29, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 29, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Category: Quality of Life and Care Deficiencies
Corrected: Apr 29, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Apr 18, 2024
Ensure staff are vaccinated for COVID-19
Category: Infection Control Deficiencies
Corrected: Mar 20, 2023
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies
Corrected: Apr 4, 2023
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 23.4% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 4.4% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 8.0% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.7% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 16.3% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.8% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 21.4% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | N/A | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 4.6% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 0.0% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 99.2% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 6.1% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 96.9% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 37.7% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 90.9% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | N/A | No |
Penalty History 1 penalties totaling $37K
| Date | Type | Amount |
|---|---|---|
| Nov 26, 2024 | Fine | $37K |
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Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Nelson County Health System Care Center?
What are the staffing levels at Nelson County Health System Care Center?
How many beds does Nelson County Health System Care Center have?
Does Nelson County Health System Care Center have any deficiencies on record?
Has Nelson County Health System Care Center received any fines or penalties?
Who owns Nelson County Health System Care Center?
When was Nelson County Health System Care Center last inspected?
What quality measures are tracked for Nelson County Health System Care Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
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