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Nursing homesNorth Dakota › Nelson County Health System Care Center

Nelson County Health System Care Center

108 E Nyhus Ave, Mcville, ND 58254 · 7013224314 · 35 certified beds

Overall★★☆☆☆ 2/5
Health inspections★★☆☆☆ 2/5
Staffing★★★★★ 5/5
Quality measures★☆☆☆☆ 1/5
Abuse icon: CMS flags this facility for an abuse citation in recent inspections.

Ownership

CMS lists no chain affiliation for this facility. Ownership type on record: Government - City.

Staffing (hours per resident per day)

Total nurse staffing: 4.07 (North Dakota median: 4.39). RN hours: 0.70. Weekend total: 3.45. Nursing staff turnover: 51%.

Inspection deficiencies

All-time on record: 15 deficiency citations. Below: citations from 2023 onward (severity letters explained in methodology).

Survey dateDeficiencySev.TypeStatus
2026-04-29Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2026-05-01
2026-04-29Respond appropriately to all alleged violations. Dcomplaintcorrected 2026-05-01
2025-06-23Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Dcomplaintcorrected 2025-06-23
2025-04-01Provide and implement an infection prevention and control program. DHealthcorrected 2025-05-06
2024-11-26Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Gcomplaintcorrected 2025-01-06
2024-11-26Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Dcomplaintcorrected 2025-02-24
2024-03-21Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. FHealthcorrected 2024-04-29
2024-03-21Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. DHealthcorrected 2024-04-18
2024-03-21Provide appropriate treatment and care according to orders, resident’s preferences and goals. DHealthcorrected 2024-04-29
2024-03-21Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. DHealthcorrected 2024-04-29
2024-03-21Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. DHealthcorrected 2024-04-29
2024-03-21Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. DHealthcorrected 2024-04-29
2024-03-21Provide and implement an infection prevention and control program. DHealthcorrected 2024-04-29
2023-03-15Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. DHealthcorrected 2023-04-04
2023-03-15Ensure staff are vaccinated for COVID-19 DHealthcorrected 2023-03-20

Federal penalties

DateTypeAmount
2024-11-26Fine$36,855

Ownership & control records (CMS filings)

NameRoleType%Since
NELSON COUNTY HEALTH SYSTEM5% Or Greater Direct Ownership InterestOrganization100%since 01/01/2010
BERG, IVANCorporate DirectorIndividualNOT APPLICABLEsince 11/06/2011
JENSEN, BRANDONCorporate DirectorIndividualNOT APPLICABLEsince 11/07/2013
LUNDEBY, BRANDONCorporate DirectorIndividualNOT APPLICABLEsince 11/06/2011
OXTON, RANAECorporate DirectorIndividualNOT APPLICABLEsince 11/06/2011
STEIN, HEATHERCorporate DirectorIndividualNOT APPLICABLEsince 11/24/2014
TWETE, ANGELACorporate DirectorIndividualNOT APPLICABLEsince 11/24/2014
TWETE, JUDITHCorporate DirectorIndividualNOT APPLICABLEsince 11/06/2011
FORDE, STEVENOperational/Managerial ControlIndividualNOT APPLICABLEsince 09/19/2016

Compare nearby (Nelson County)

Source: CMS Provider Data Catalog (July 2026 release) — provider file, deficiency file, ownership file, penalty file. CCN 355052. Corrections: data@carerecords.org.