64/100
Average
Nelson County Health System Care Center
108 E Nyhus Ave, Mcville, ND 58254
- Certified beds
- 35
- Occupancy
- 91%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
Abuse icon on record
CMS flags this facility for citations of abuse that caused harm, or potential for harm, to residents.
$36,855 in federal fines
CMS has fined this facility across 1 penalty action(s).
Our read on Nelson County Health System Care Center
The county-owned home in Mcville runs 35 beds and staffs above the national average, 4.07 nurse hours per resident day versus 3.86, which is the strongest thing in its file. But that staffing thins out on weekends, dropping roughly 15% below its own weekday level, and turnover sits at 51.2% against a national 45.8%, so the people providing that care keep changing. The inspection record is the real concern: 15 deficiencies, six tied to abuse and one serious enough to put a resident in harm's way, plus a $36,855 fine. The most recent inspection was April 2025. Good daily coverage, a troubling paper trail.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
22.5/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →5.15 total nurse hours per resident per day (national median 3.77)
- →0.7 RN hours per resident per day
- →Weekend staffing drops 15% against weekdays
Staff stability
9/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →51% of nursing staff left in the last year
Resident outcomes
2/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →1 of 5 stars on the CMS quality-measure rating
Enforcement history
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$36,855 in federal fines across 1 action(s)
Grade ceiling applied
- Capped at 64 (grade C), CMS abuse icon on record
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: June 10, 2026 (4 months ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Nelson County Health System Care Center
What is the ElderGrade for Nelson County Health System Care Center? +
Nelson County Health System Care Center holds an ElderGrade of C (64 out of 100), which we describe as "average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Nelson County Health System Care Center? +
Residents receive an average of 4.07 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Nelson County Health System Care Center been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Nelson County Health System Care Center accept Medicaid? +
Yes, Nelson County Health System Care Center is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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