D

NELSON COUNTY HEALTH SYSTEM CARE CENTER

108 E NYHUS AVE, MCVILLE, ND 58254
Score: 52 / 100

CMS data shows Nelson County Health System Care Center earning a D grade with a score of 52/100, placing it below most facilities in North Dakota. Prospective residents and families should carefully review the specific areas of concern detailed below.

Nelson County Health System Care Center provides above-average staffing with 4.35 total nurse hours per resident per day. Higher staffing levels are generally associated with better care outcomes and more attentive staff.

Recent inspections identified 13 deficiencies at Nelson County Health System Care Center. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 24 / 40 pts
3 ★ CMS rating
Health Inspections 10 / 25 pts
2 ★ inspection rating
Staffing 20 / 20 pts
5 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.35 3.8 Above Average
Registered Nurses (RN) 0.81 0.7 Above Average
Licensed Practical Nurses (LPN) 0.64 0.7 Average
Certified Nursing Assistants (CNA) 2.90 2.4 Above Average
Weekend Total Nursing 3.53 3.8 Average
Weekend RN Hours 0.38 0.7 Below Average

🔍 Inspection & Deficiency History

13
Total Deficiencies
Jun 22, 2025
Most Recent Inspection
🟠 13 Moderate
View recent deficiencies (5 shown)
  • Tag 0600 Severity D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Jun 22, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0880 Severity D
    Provide and implement an infection prevention and control program.
    Mar 31, 2025 · Infection Control Deficiencies
  • Tag 0600 Severity G
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    Nov 25, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0605 Severity D
    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
    Nov 25, 2024 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0851 Severity F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    Mar 20, 2024 · Administration Deficiencies

📊 Resident Outcome Measures

Based on CMS quality measure data. Lower percentages are better for most metrics.

Measure This Facility Nat'l Avg
Residents with pressure ulcers 5.8% 4.5% Worse
Falls with major injury 6.7% 3.0% Worse
On antipsychotic medication 21.4% 14.5% Worse
Urinary tract infections 8.0% 2.5% Worse
ADL decline (daily activities) 23.4% 14.0% Worse
Excessive weight loss 4.6% 7.5% Better
New/worsened incontinence 37.7% 45.0% Better

⚠️ Penalties & Fines

1 penalty recorded by CMS

Total fines: $36,855

How This Grade Was Calculated

This facility's grade of D is based on a score of 52 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 3★ → 24 pts (max 40)
  • Health Inspection Rating: 2★ → 10 pts (max 25)
  • Staffing Rating: 5★ → 20 pts (max 20)
  • Quality Measures Rating: 2★ → 6 pts (max 15)
  • Penalty deductions: -5 pts
  • Fine deductions: -3 pts

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
Government - City
Certified Beds
35
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Mar 31, 2025
Deficiencies (Cycle 1)
2