Nelson County Health System Care Center
Nursing Home · McVille, ND
CMS certification number355052
This facility was cited for abuse, neglect or exploitation in a recent inspection (CMS abuse icon).
Contact & location
108 E Nyhus AveMcVille, ND 58254
Nelson County
- Phone
- (701) 322-4314
- ZIP code
- 58254 – all care providers
Facility details
- Certified beds
- 35
- Residents per day
- 32.0 (91% occupied)
- Ownership
- Government - City
- Legal name
- Nelson County Health System
- Medicare certified since
- April 1, 1980
- Participates in
- Medicare and Medicaid
- Council
- Resident council
CMS star ratings
Staffing
Hours of nursing care per resident per day, from payroll data. More hours generally mean more time for each resident.
- Total nurse staffing
- 4.07 (state 4.42 · U.S. 3.86)
- Registered nurses (RN)
- 0.70 (state 0.93 · U.S. 0.69)
- Licensed practical nurses
- 0.64 (state 0.52 · U.S. 0.86)
- Nurse aides
- 2.73 (state 2.97 · U.S. 2.32)
- Weekend total
- 3.45 (state 3.80 · U.S. 3.42)
- Nursing staff turnover
- 51.2 (state 48.8 · U.S. 45.8)%
- RN turnover
- 16.7 (state 40.3 · U.S. 42.9)%
- Administrators who left
- 0 in the last year
Inspections
- Last standard inspection
- April 1, 2025
- Health deficiencies (last cycle)
- 3.0 (state 5.7 · U.S. 9.3)
- From complaints
- 2
- Citations on record (3 years)
- 15 health · 14 fire safety · includes actual harm
| Date | Citation | Severity | Status |
|---|---|---|---|
| 2026-04-29 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2026-04-29 | Respond appropriately to all alleged violations. F0610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2026-05-01 |
| 2025-06-23 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-06-23 |
| 2025-04-01 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2025-05-06 |
| 2024-11-26 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
G Actual harm |
Corrected 2025-01-06 |
| 2024-11-26 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies · complaint inspection |
D No actual harm, potential for more than minimal harm |
Corrected 2025-02-24 |
| 2024-03-21 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851 · Administration Deficiencies |
F No actual harm, potential for more than minimal harm |
Corrected 2024-04-29 |
| 2024-03-21 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657 · Resident Assessment and Care Planning Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-18 |
| 2024-03-21 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-29 |
| 2024-03-21 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-29 |
| 2024-03-21 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690 · Quality of Life and Care Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-29 |
| 2024-03-21 | 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. F0761 · Pharmacy Service Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-29 |
| 2024-03-21 | Provide and implement an infection prevention and control program. F0880 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2024-04-29 |
| 2023-03-15 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-04-04 |
| 2023-03-15 | Ensure staff are vaccinated for COVID-19 F0888 · Infection Control Deficiencies |
D No actual harm, potential for more than minimal harm |
Corrected 2023-03-20 |
Severity letters A–L combine how widespread a problem was (isolated, pattern, widespread) with how serious (from potential for minimal harm to immediate jeopardy). How to read inspection results
Fines & penalties
1 penalty in the last three years, including $36,855 in fines.
| Date | Type | Amount |
|---|---|---|
| 2024-11-26 | Fine | $36,855 |
Ownership & management
| Name | Role | Since |
|---|---|---|
| Nelson County Health System (organization) | 5%+ Direct Ownership Interest · 100% | |
| Berg, Ivan (individual) | Corporate Director · NOT APPLICABLE | |
| Jensen, Brandon (individual) | Corporate Director · NOT APPLICABLE | |
| Lundeby, Brandon (individual) | Corporate Director · NOT APPLICABLE | |
| Oxton, Ranae (individual) | Corporate Director · NOT APPLICABLE | |
| Stein, Heather (individual) | Corporate Director · NOT APPLICABLE | |
| Twete, Angela (individual) | Corporate Director · NOT APPLICABLE | |
| Twete, Judith (individual) | Corporate Director · NOT APPLICABLE | |
| Forde, Steven (individual) | Operational/managerial Control · NOT APPLICABLE | |
| Swenson, Catherine (individual) | W-2 Managing Employee · NOT APPLICABLE |
Frequently asked questions
What is the rating of Nelson County Health System Care Center?
Nelson County Health System Care Center has a 2-star overall rating from the Centers for Medicare & Medicaid Services on a scale of 1 to 5, compared with a 3.2-star average in North Dakota.
How many beds does Nelson County Health System Care Center have?
It has 35 certified beds and cares for about 32 residents per day.
Has Nelson County Health System Care Center been fined?
Yes. CMS lists 1 penalty totaling $36,855 in the last three years.
What is the phone number of Nelson County Health System Care Center?
(701) 322-4314. The facility is located at 108 E Nyhus Ave, McVille, ND 58254.
Source: CMS Care Compare, August 2026. Information is provided as published by CMS; verify details directly with the facility.