The nursing home failed to protect residents from abuse and neglect by others. Cited November 2024 — isolated incident, actual harm.
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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 citationNon-profit
Data as of September 1, 2026
2 of 5 overall
NELSON COUNTY HEALTH SYSTEM CARE CENTER (MCVILLE, ND) has a 2 out of 5 star overall rating, with 2-star health inspections, 5-star staffing, and 1-star quality measures. It was cited for a recent abuse issue, had $36,855 in fines over the last 24 months, and reported nurse staffing of 4.07 hours per resident per day, just below the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.0664 hrs/resident/day
Quality measures
Last inspection: June 10, 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 nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited June 2026 — limited pattern, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: E
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited June 2026 — isolated incident, potential for harm.
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F-Tag 684 — 42 CFR §483.25 — S/S: D
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
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- 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.
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- INSPECTION
Health inspection found 1 health deficiency.
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- 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
- Non profit - Other
- 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.