C71

NELSON COUNTY HEALTH SYSTEM CARE CENTER

Grade C 71/100 composite score

Government - CityAbuse Citation

CMS Star Ratings

Overall
3/5
Health Insp.
2/5
Quality
2/5
Staffing
5/5
RN Staffing
Not rated

Certified Beds

35

Ownership

Government - City

Total Fines

$36,855

Last Survey

N/A

108 E NYHUS AVE, MCVILLE, ND 58254
7013224314

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Staffing Hours & Turnover

Hours per Resident per Day (PBJ)

RN
0.94h
LPN
0.74h
CNA
3.34h
Total
5.01h
Facility
State Average

Turnover Rates

RN Turnover
N/A
Total Nurse Turnover
N/A
Admin Turnover
N/A

Ownership

NELSON COUNTY HEALTH SYSTEM

Organization5% OR GREATER DIRECT OWNERSHIP INTERESTSince Jan 2010

100%

FORDE, STEVEN

IndividualOPERATIONAL/MANAGERIAL CONTROLSince Sep 2016

BERG, IVAN

IndividualCORPORATE DIRECTORSince Nov 2011

JENSEN, BRANDON

IndividualCORPORATE DIRECTORSince Nov 2013

LUNDEBY, BRANDON

IndividualCORPORATE DIRECTORSince Nov 2011

OXTON, RANAE

IndividualCORPORATE DIRECTORSince Nov 2011

STEIN, HEATHER

IndividualCORPORATE DIRECTORSince Nov 2014

TWETE, ANGELA

IndividualCORPORATE DIRECTORSince Nov 2014

TWETE, JUDITH

IndividualCORPORATE DIRECTORSince Nov 2011

SWENSON, CATHERINE

IndividualW-2 MANAGING EMPLOYEESince Oct 2015

Penalties & Fines (1)

$36,855total fines
DateTypeDescriptionAmount
Nov 26, 2024Fine$36,855

Health Inspection Deficiencies (13)

June 23, 2025Health1 deficiency
0600DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jun 23, 2025
April 1, 2025Health1 deficiency
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected May 6, 2025
November 26, 2024Health2 deficiencies1 severe
0600GActual harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Jan 6, 2025
0605DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Feb 24, 2025
March 21, 2024Health7 deficiencies
0657DMinimal harm, Isolated

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

Resident Assessment and Care Planning Deficiencies

Corrected Apr 18, 2024
0684DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 29, 2024
0689DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 29, 2024
0690DMinimal harm, Isolated

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

Quality of Life and Care Deficiencies

Corrected Apr 29, 2024
0761DMinimal harm, Isolated

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.

Pharmacy Service Deficiencies

Corrected Apr 29, 2024
0851FMinimal harm, Widespread

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

Administration Deficiencies

Corrected Apr 29, 2024
0880DMinimal harm, Isolated

Provide and implement an infection prevention and control program.

Infection Control Deficiencies

Corrected Apr 29, 2024
March 15, 2023Health2 deficiencies
0609DMinimal harm, Isolated

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

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected Apr 4, 2023
0888DMinimal harm, Isolated

Ensure staff are vaccinated for COVID-19

Infection Control Deficiencies

Corrected Mar 20, 2023

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Frequently Asked Questions

What is the CareGrader rating for NELSON COUNTY HEALTH SYSTEM CARE CENTER?

NELSON COUNTY HEALTH SYSTEM CARE CENTER in MCVILLE, North Dakota has a CareGrader grade of C (Average), with a composite score of 70.5 out of 100. This grade is based on health inspections, staffing levels, quality measures, and penalty history from official CMS government data.

What is the CMS star rating for NELSON COUNTY HEALTH SYSTEM CARE CENTER?

NELSON COUNTY HEALTH SYSTEM CARE CENTER has an overall CMS star rating of 3 out of 5, a health inspection rating of 2/5, and a staffing rating of 5/5. CareGrader combines this with additional data to calculate an A-F grade.

How many health deficiencies does NELSON COUNTY HEALTH SYSTEM CARE CENTER have?

NELSON COUNTY HEALTH SYSTEM CARE CENTER has 13 health deficiencies on record from CMS health inspection surveys. Deficiencies are rated from A (minimal harm potential) to L (immediate jeopardy, widespread). This facility has abuse citations on record. View the full inspection timeline above for details on each deficiency.

Has NELSON COUNTY HEALTH SYSTEM CARE CENTER been fined?

Yes. NELSON COUNTY HEALTH SYSTEM CARE CENTER has $36,855 in total fines from CMS enforcement actions across 1 penalty.

How many beds does NELSON COUNTY HEALTH SYSTEM CARE CENTER have?

NELSON COUNTY HEALTH SYSTEM CARE CENTER has 35 certified beds with approximately 29 current residents (83% occupancy). The facility is located at 108 E NYHUS AVE, MCVILLE, North Dakota 58254. It is a government - city facility.

Data Disclaimer

Inspection data, staffing levels, and star ratings are sourced from CMS Medicare Nursing Home Compare and are largely self-reported by facilities. A 2019 GAO study found that 43% of facilities under-reported falls. CareGrader provides this data for informational purposes only and is not affiliated with CMS or Medicare. Always visit facilities in person before making a decision.