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Nelson County Health System Care Center

⌖ Mcville, ND · Nelson County
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Medicare overall rating 2 of 5 stars
Certified beds35
Medicare / MedicaidMedicare & Medicaid
OwnershipGovernment (city)

About Nelson County Health System Care Center

Nelson County Health System Care Center is a 35-bed nonprofit nursing home in Mcville, ND. Medicare rates it 2 out of 5 stars overall (below average); the average in North Dakota is 3.2. At its last full inspection (Jun 2026), inspectors found 4 problems, fewer than the North Dakota average of 5.6. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 04 min a day with each resident, about the same as the North Dakota average of 4 hr 25 min. About 51% of its nursing staff left in the past year. Medicare fined it $36,855 in the last three years.

Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology

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Key details

Facility nameNelson County Health System Care Center
LocationNelson County, North Dakota
Address108 E Nyhus Ave, Mcville, ND 58254 · Nelson County
CMS provider number355052
Ownership typeGovernment (city)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceApril 1, 1980 (46 years)
✓ Medicare✓ Medicaid

Certified for Medicaid; ask whether a Medicaid bed is available.

Quality & inspections

Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.

Overall rating2 of 5Below average
Health inspections2 of 5Below average
Quality measures1 of 5Much below average
Staffing5 of 5Much above average

Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.

What Medicare found

2 strengths and 3 things to ask about in Medicare's inspection, fine and staffing records for this home. 3 care-quality measures are worse than the state average in the rehab and long-term care section below.

Strengths

  • Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Apr 2026.
    Strength
  • Health citations at last inspection4 (Jun 2026)North Dakota average: 5.6. Most citations are minor and corrected within weeks.
    Strength

About average

  • Nurse staffing per resident4 hr 04 min a dayNorth Dakota average: 4 hr 25 min
    About average
  • Nursing staff turnover51% a yearNorth Dakota average: 49%
    About average

Things to ask about

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  • Abuse citationOn recordMedicare shows this icon when a home was cited for abuse, neglect or exploitation in recent inspections. Ask what happened and what changed.
    Ask about this
  • Fines and penalties1 fine totaling $36,855Federal penalties from the last three years, most recently in Nov 2024 (about 1 year ago). The national average is $30,972 per home.
    Ask about this
  • Registered nurse time per resident42 min a dayNorth Dakota average: 56 min
    Worse than state average

Source: Medicare (CMS) inspection, penalty and staffing records, compared with the North Dakota average. Problems may have been corrected since; ask the home about anything listed here. How we choose these

Short-term rehab or long-term care?

Medicare rates these separately, and many homes are better at one than the other.

Long-term care

For residents who live at the home for months or years.

Medicare quality rating: 1 of 5 (much below average)

  • Falls with a major injury10.0%State average: 5.1%
    Worse than average
  • Pressure sores (bedsores)8.9%State average: 4.9%
    Worse than average
  • Given antipsychotic drugs21.0%State average: 22.7%
    About average
  • Hospital stays per 1,000 resident days1.8State average: 1.5
    Worse than average

Source: Medicare (CMS) quality measures, compared with the North Dakota average. Lower is better for every rate shown.

Ratings over time

Its overall Medicare rating is 2 stars now, down from 3 stars in January 2019. It has ranged from 2 to 5 stars and changed 8 times.

Overall rating2★
Health inspections2★
Staffing5★
Quality of care1★
Nurse hours per resident per day4.1
20192020202120222023202420252026
Show the values by year
MonthOverallInspectionsStaffingQualityNurse hours
Jan 20193315–
Jan 202043544.0
Jan 202143533.9
Jan 202243434.2
Jan 202333434.5
Jan 20244415–
Feb 202533444.4
Feb 202632524.3
Sep 202622514.1

Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology

See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home

From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.

Inspection summary

How this facility compares to state and national averages on CMS-reported problems.

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Three-survey history

Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.

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Explore the area

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Family reviews

No family reviews of this home yet. Reviews are separate from Medicare’s ratings and are checked before they’re published.