Nelson County Health System Care Center

108 E Nyhus Ave · McVille, ND · 58254 · 7013224314

35 certified beds Government - City

Why this verdict

  • Carries CMS’s abuse warning icon.
  • Inspection results have improved across recent cycles.

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Red flags

CMS abuse warning

CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.

1 abuse-related citation at the actual-harm level

Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.

Score breakdown

Inspection record 30% of score 68
Serious harm & abuse 20% 64
Staffing 20% 78
Federal penalties 15% 68
Trend 10% 87
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 2 of 5 Inspections: 2 of 5 Staffing: 5 of 5 Quality measures: 1 of 5

Total nurse hours / resident-day4.283.48 min · 4.1 strong
RN hours / resident-day0.810.55–0.75
Weekend hours / resident-day3.55≈ weekday level
Nursing turnover / year52%median 45%
Fines (3-yr window)1 · $36,855

Inspection citations (15 in the current record)

  • Potential for harm · D April 29, 2026 · found via complaint

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

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 29, 2026 · found via complaint

    Respond appropriately to all alleged violations.

    Deficient, Provider has no plan of correction · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D June 23, 2025 · found via complaint

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

    Corrected June 23, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D April 1, 2025

    Provide and implement an infection prevention and control program.

    Corrected May 6, 2025 · Infection Control

  • Actual harm · G November 26, 2024 · found via complaint

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

    Corrected January 6, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D November 26, 2024 · found via complaint

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

    Corrected February 24, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 21, 2024

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

    Corrected April 18, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 21, 2024

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

    Corrected April 29, 2024 · Quality of Life and Care

  • Potential for harm · D March 21, 2024

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

    Corrected April 29, 2024 · Quality of Life and Care

  • Potential for harm · D March 21, 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.

    Corrected April 29, 2024 · Quality of Life and Care

  • Potential for harm · D March 21, 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.

    Corrected April 29, 2024 · Pharmacy Service

  • Potential for harm · F March 21, 2024

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

    Corrected April 29, 2024 · Administration

  • Potential for harm · D March 21, 2024

    Provide and implement an infection prevention and control program.

    Corrected April 29, 2024 · Infection Control

  • Potential for harm · D March 15, 2023

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

    Corrected April 4, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D March 15, 2023

    Ensure staff are vaccinated for COVID-19

    Corrected March 20, 2023 · Infection Control

Federal penalties

DateTypeAmount / length
November 26, 2024Fine$36,855

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 355052 · certified since April 1, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.