Nelson County Health System Care Center
108 E NYHUS AVE, McVille, ND, 58254
Yes. Federal inspectors cited 3 deficiencies against Nelson County Health System Care Center in McVille, North Dakota at its most recent standard inspection on 2025-04-01, 2 of them arising from complaints. 1 finding has been recorded at the actual-harm level. Medicare has fined it 1 time, totalling $36,855. CMS currently flags this home for abuse. Medicare rates it 2 out of 5 overall.
Every deficiency on record, by how serious CMS judged it
CMS grades each finding from A to L on two axes: how badly residents were affected, and how many. These are its bands, not ours. The figures cover every standard and complaint survey on record, which is a longer window than the rating cycle above.
The last 15 findings, newest first
Each is the federal requirement the home was found not to meet, in CMS’s own wording, with the tag number so it can be looked up against the inspection report.
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2026-04-29 · from a complaint · No actual harm, potential for more than minimal harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0610 · 2026-04-29 · from a complaint · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2025-06-23 · from a complaint · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2025-04-01 · standard survey · No actual harm, potential for more than minimal harm
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0600 · 2024-11-26 · from a complaint · Actual harm to a resident
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0605 · 2024-11-26 · from a complaint · No actual harm, potential for more than minimal harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · F0851 · 2024-03-21 · standard survey · No actual harm, potential for more than minimal harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · F0657 · 2024-03-21 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · F0684 · 2024-03-21 · standard survey · No actual harm, potential for more than minimal harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · F0689 · 2024-03-21 · standard survey · No actual harm, potential for more than minimal harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Quality of Life and Care Deficiencies · F0690 · 2024-03-21 · standard survey · No actual harm, potential for more than minimal harm
Ensure 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.
Pharmacy Service Deficiencies · F0761 · 2024-03-21 · standard survey · No actual harm, potential for more than minimal harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · F0880 · 2024-03-21 · standard survey · No actual harm, potential for more than minimal harm
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · F0609 · 2023-03-15 · standard survey · No actual harm, potential for more than minimal harm
Ensure staff are vaccinated for COVID-19
Infection Control Deficiencies · F0888 · 2023-03-15 · standard survey · No actual harm, potential for more than minimal harm
How CMS scores this home
These stars are Medicare’s, not ours — we publish no rating of our own. They are reproduced here because they are part of the public record.
What Medicare has fined this home
Who owns Nelson County Health System Care Center
Nursing homes are frequently owned through layers of companies, and the name over the door is rarely the one that holds the licence. This is the ownership CMS has on file.
| Owner | Role | Share | Since |
|---|---|---|---|
| NELSON COUNTY HEALTH SYSTEM | Organization | 100% | since 01/01/2010 |
| SWENSON, CATHERINE | Individual | NOT APPLICABLE | since 10/14/2015 |
| BERG, IVAN | Individual | NOT APPLICABLE | since 11/06/2011 |
| JENSEN, BRANDON | Individual | NOT APPLICABLE | since 11/07/2013 |
| LUNDEBY, BRANDON | Individual | NOT APPLICABLE | since 11/06/2011 |
| OXTON, RANAE | Individual | NOT APPLICABLE | since 11/06/2011 |
| STEIN, HEATHER | Individual | NOT APPLICABLE | since 11/24/2014 |
| TWETE, ANGELA | Individual | NOT APPLICABLE | since 11/24/2014 |
| TWETE, JUDITH | Individual | NOT APPLICABLE | since 11/06/2011 |
| FORDE, STEVEN | Individual | NOT APPLICABLE | since 09/19/2016 |
Ask Nelson County Health System Care Center a question
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Source: Centers for Medicare & Medicaid Services, Nursing Home Care Compare. Retrieved 2026-07-29. Facility number 355052.
Figures reproduce the state’s own totals and are not re-aggregated. Methodology · Report a correction