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Nursing HomeMedicaid

Nelson County Health System Care Center

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

108 E Nyhus Ave, Mcville, ND 5825435 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Nelson County Health System Care Center Nursing Home in Mcville, ND — Street View
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What this means for your family

Nelson County Health System Care Center falls in the middle range of Medicare quality ratings. This means baseline standards are met, but there is room for improvement. A personal tour and conversation with current residents' families will give you the best picture of daily life here.

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.81hrs
OK
Registered nurses for medical care
Total Nursing
4.35hrs
OK
All nurses + aides combined
Staff Turnover
48%
Lower is better (< 30% = good)
RN Turnover
0%
Lower is better (< 30% = good)

This facility meets the national staffing benchmarks. Higher staffing is linked to fewer falls and better day-to-day care.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
2/ 5
Better Than Avg

3

measures

Worse Than Avg

5

measures

Mixed Results

7

measures

Long-Stay Residents
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility8.6%
Better than Avg
Here
8.6%
US
19.5%
ND
17.5%
Nelson
24.2%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility32.5%
Worse than Avg
Here
32.5%
US
19.4%
ND
25.3%
Nelson
21.6%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility26.6%
Worse than Avg
Here
26.6%
US
14.4%
ND
20.2%
Nelson
21.6%
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
ND
4.5%
Nelson
9.9%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility22.4%
Mixed vs Avgs
Here
22.4%
US
15.4%
ND
22.6%
Nelson
21.2%
🦠

Residents who got a urinary tract infection

↓ Lower is better
This Facility6.3%
Worse than Avg
Here
6.3%
US
1.6%
ND
2.8%
Nelson
0.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.3%
Mixed vs Avgs
Here
91.3%
US
81.8%
ND
93.2%
Nelson
90.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

2deficiencies
1penalties
Well below state avg (5.4)
3 complaint-triggered
$36,855 in fines

This facility has faced recurring serious issues including a recent complaint about abuse and neglect protection that remains uncorrected, with families filing five formal complaints over the review period. The main problem areas are fire safety systems, abuse protection, and infection control, with many deficiencies repeating across multiple surveys. While most violations have correction dates, the pattern of recurring safety issues and ongoing abuse protection concerns warrant careful consideration before choosing this facility.

Jun 23, 2025Complaint
1
0600Minor

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Apr 1, 2025Routine
5
0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0347ModerateCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Nov 26, 2024Complaint
2
0600ModerateCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0605MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Mar 21, 2024Routine
14
0851ModerateCorrected

Administration Deficiencies

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

0211ModerateCorrected

Egress Deficiencies

Keep aisles, corridors, and exits free of obstruction in case of emergency.

0291ModerateCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0347ModerateCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

0353ModerateCorrected

Smoke Deficiencies

Inspect, test, and maintain automatic sprinkler systems.

0918ModerateCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have generator or other power source capable of supplying service within 10 seconds.

0345ModerateCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0657MinorCorrected

Resident Assessment and Care Planning Deficiencies

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

0684MinorCorrected

Quality of Life and Care Deficiencies

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

0689MinorCorrected

Quality of Life and Care Deficiencies

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

0690MinorCorrected

Quality of Life and Care Deficiencies

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

0761MinorCorrected

Pharmacy Service Deficiencies

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.

0880MinorCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Mar 15, 2023Routine
5
0291ModerateCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0712ModerateCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

0609MinorCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

0888MinorCorrected

Infection Control Deficiencies

Ensure staff are vaccinated for COVID-19

0347MinorCorrected

Smoke Deficiencies

Properly provide smoke detection systems in areas open to corridors.

Federal Penalties

Fine

Nov 26, 2024

$36,855

Ownership & Operations

Who Operates This Facility

Owner / Operator

Nelson County Health System Care Center

Organization Type

government

Ownership & Management

Owners

Nelson County Health System

Owner · Organization

100%

Key personnel

Swenson, CatherineW-2 Managing EmployeeBerg, IvanOfficer / DirectorJensen, BrandonOfficer / DirectorLundeby, BrandonOfficer / DirectorOxton, RanaeOfficer / Director
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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