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
2 of 5 overall
NELSON COUNTY HEALTH SYSTEM CARE CENTER has a 2-star overall rating, with a 2-star health inspection rating, 1-star quality measures, and 5-star staffing; reported nurse staffing is 4.28 hours per resident per day, slightly above the federal benchmark of 4.1. It also has $36,855 in fines in the last 24 months and a recent abuse citation.
Facility ratings
Health inspections
Staffing
4.2842 hrs/resident/day
Quality measures
Last inspection: June 23, 2025Penalties, last 24 months: $36,855recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.2842.
Staffing detail
- Registered nurses
- 0.81
- Licensed practical nurses
- 0.67
- Nurse aides
- 2.81
- Weekend nursing
- 3.55
Hours per resident per day.
Total staff turnover: 52%
Registered nurse turnover: 0%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
22.4%Improving
Residents with a fall causing major injury
8.3%Worsening
Residents with pressure ulcers (bedsores)
8.4%Worsening
Residents with a urinary tract infection
6.3%Improving
Residents who lost too much weight
5.6%Worsening
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
26.6%Worsening
Residents whose ability to walk got worse
17.3%Improving
Show all measures
Long-stay residents on antianxiety or sleep medication
8.6%Worsening
Residents with a long-term catheter
3.9%Improving
Residents with new or worsening incontinence
32.5%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
96.9%Steady
Long-stay residents given the pneumonia vaccine
97.5%Worsening
Short-stay residents given the pneumonia vaccine
91.3%Steady
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 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
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited March 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: D
Recent history
- 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
- 30.6 residents on an average day (87% 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.