The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
Nursing home report
NELSON COUNTY HEALTH SYSTEM CARE CENTER
MCVILLE, ND · Medicare-certified · 35 beds
Needs attention
Abuse citationGovernment-run
Data as of July 1, 2026
2 of 5 overall
NELSON COUNTY HEALTH SYSTEM CARE CENTER (MCVILLE, ND) has a 2-star overall rating, with 2 stars for health inspections, 5 stars for staffing, and 1 star for quality measures. It has $36,855 in fines in the last 24 months, a recent abuse citation, and reported nurse staffing of 4.07 hours per resident per day versus the federal benchmark of 4.1.
Facility ratings
Health inspections
Staffing
4.0664 hrs/resident/day
Quality measures
Last inspection: April 29, 2026Penalties, last 24 months: $36,855recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.0664.
Staffing detail
- Registered nurses
- 0.70
- Licensed practical nurses
- 0.64
- Nurse aides
- 2.73
- Weekend nursing
- 3.45
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 17%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
21.7%14.8%Improving
Residents with a fall causing major injury
6.5%12.9%Worsening
Residents with pressure ulcers (bedsores)
7.7%4.7%Improving
Residents with a urinary tract infection
6.9%3.6%Improving
Residents who lost too much weight
3.6%3.6%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
21.4%27.6%Worsening
Residents whose ability to walk got worse
11.9%3.7%Improving
Long-stay residents on antianxiety or sleep medication
6.7%10%Worsening
Residents with a long-term catheter
6.1%0%Improving
Residents with new or worsening incontinence
6.8%33.3%Worsening
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—96.9%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—95.2%—
What the inspectors found
The home failed to submit complete and accurate staffing information based on verifiable records. Cited March 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to respond appropriately to all reported abuse or neglect concerns. Cited April 2026 — isolated incident, potential for harm.
View the original federal record
F-Tag 610 — 42 CFR §483.12 — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited April 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
The home failed to prevent unnecessary mind-altering medications or ensure medicines did not limit a resident’s ability to function. Cited November 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 605 — 42 CFR §483.12 — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $36,855 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $36,855 in total fines.
- $36,855
Federal fine
Nov 26, 2024
Operator & ownership
- Ownership
- Government - City
- Occupancy
- 32 residents on an average day (91% of 35 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 46 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.