Nelson County Health System Care Center: Staffing, Turnover, and Inspection Record
Nelson County Health System Care Center is a 35-bed government-run nursing home in McVille, North Dakota. In the CMS August 2026 release it reported 2.73 nurse aide hours per resident per day, 8% below the North Dakota average of 2.97, and 51.2% nursing staff turnover (North Dakota average 48.8%).
Nelson County Health System Care Center
108 E Nyhus AveMcVille, ND 58254
Nelson County
CMS Care Compare, August 2026 release
Cited for abuse or neglect. CMS marks this home with its abuse icon: it was cited for abuse or neglect that caused harm on its most recent inspection cycle, or for abuse or neglect with potential for harm on each of its last two cycles.
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Nelson County Health System Care Center, nurse aides logged 2.73 hours per resident per day, 8% below the North Dakota average. With about 32 residents a day, that works out to roughly 87 aide hours a day, or about 11 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 15% below the all-days figure.
| Hours per resident per day | This home | North Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.73 | 2.97 | 2.32 |
| Licensed practical nurses | 0.64 | 0.52 | 0.86 |
| Registered nurses | 0.70 | 0.93 | 0.69 |
| All nursing staff | 4.07 | 4.42 | 3.86 |
| All nursing staff, weekends | 3.45 | 3.80 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
51.2% of nursing staff at Nelson County Health System Care Center left over the year CMS measured, against a North Dakota average of 48.8% and a US average of 45.8%. Registered nurse turnover was 16.7%. No administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Apr 1, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 3 health deficiencies (North Dakota average 5.7). CMS lists 1 fine totaling $36,855 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Nov 26, 2024 | Fine | $36,855 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Nelson County Health System Care Center holds 2 of 5 overall; the North Dakota average is 3.2.
About Nelson County Health System Care Center
- Ownership: Government - City
- Legal name: Nelson County Health System
- Medicare and Medicaid certified since: Apr 1, 1980
- Councils: resident council
- Area: rural
Nursing homes near Nelson County Health System Care Center
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Aneta Parkview Health Ctr Aneta | 10.6 | 35 | 2.70 | 3.84 | 57.5% | 5 | None |
| Good Samaritan Society - Lakota Lakota | 20.7 | 38 | 2.59 | 3.83 | 44.7% | 1 | $74,283 |
| Griggs County Care Center Cooperstown | 22.9 | 40 | 2.93 | 4.39 | 48.7% | 5 | None |
| Good Samaritan Society - Larimore Larimore · Special Focus Facility | 27.6 | 40 | 1.99 | 3.44 | 78.9% | — | $119,935 |
| Hatton Prairie Village Hatton | 34.9 | 38 | 2.81 | 3.97 | 26.0% | 5 | None |
| Eventide Heartland Devils Lake | 39.0 | 78 | 3.02 | 4.28 | 52.9% | 4 | None |
| Luther Memorial Home Mayville | 44.2 | 62 | 3.70 | 5.25 | 51.4% | 4 | $5,814 |
| Good Samaritan Society - Park River Park River | 44.5 | 44 | 1.87 | 3.02 | 47.4% | 2 | $42,181 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.