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Medicare Ratings
2·/ 5
Cited by CMS for abuse, or potential for abuse, on its most recent survey cycle.
Overall
Health Inspection
Staffing
Quality Measures
Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov
Location
Nelson County Health System Care Center is located at 108 E Nyhus Ave, McVille, ND, 58254.
About Nelson County Health System Care Center
Nelson County Health System Care Center sits at 108 E Nyhus Avenue in McVille, North Dakota, and has room for 35 residents, though there's usually about 30 people living there most days, and folks will find that nurse coverage is a touch higher than state average, with each person getting around 4.43 hours of nursing care a day, and that might bring some comfort to families keeping an eye on care standards. The center's run directly by Nelson County Health System, a local group that's owned it fully, and Steven Forde's been in charge since September 2016, which means there's some stability in how it's managed. The place has gone through regular federal inspections and has had 12 documented deficiencies in reports, including three incidents related to infection prevention, and it's gotten citations for issues tied to infection control, with a fine of $36,855 following a complaint, so people should know they're taking responsibility for preventing problems. Folks won't find fancy things like pools, doormen, or patios listed anywhere, and there's really not much information about building features, what's included, or any unique interior spaces, but the Care Center does focus on a wide range of health services that matter for seniors and those needing continued care.
They offer short-term rehabilitation and long-term skilled nursing care, and there are services for memory support and dementia patients, so individuals with memory needs aren't left out; the center also provides palliative care, physical, occupational, and speech therapies, and there's wound care, IV therapy, respite care, and tube feeding as options for those who need extra support, and if someone needs cardiac rehabilitation or sleep studies, those things are available as well. Residents can also get help through the Swing Bed Program, plus respiratory therapy, home health, hospice care, telemedicine, radiology, and laboratory services, making it something of a hub for medical care in the area. Even if the building doesn't have a long list of amenities, the idea is to keep folks comfortable with a homelike setting and outdoor access, and they're aiming for a patient-centered, personal touch in daily care for each person, drawing on staff experience. Being locally owned for decades and keeping ties to nearby hospitals and clinics, Nelson County Health System Care Center shows commitment to community care, and its accreditation marks an effort to stick to recognized healthcare standards, even as inspection history means people should keep informed about ongoing improvements.
People often ask...
Nelson County Health System Care Center offers skilled nursing.
There are 1 photos of Nelson County Health System Care Center on Mirador.
The full address for this community is 108 E Nyhus Ave, McVille, ND 58254.
No, Nelson County Health System Care Center does not offer respite care.
Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.
Safety & Compliance
In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.
Investigated a resident-to-resident physical abuse incident and found inadequate protection to prevent abuse, with corrective actions implemented.
CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
14 Apr 2025Life Safety
14 Apr 2025Life Safety
Found multiple deficiencies related to fire safety systems and emergency power, including issues with fire alarm batteries, smoke detector sensitivity testing, sprinkler system testing, and the generator's monthly exercise.
NFPA 72; NFPA 70; 9.6.1.3, 9.6.1.5Fire Alarm System - Testing and Maintenance
NFPA 72; 19.3.4.5.2Smoke Detection
NFPA 25; 9.7.5, 9.7.7, 9.7.8Sprinkler System - Maintenance and Testing
NFPA 99; NFPA 110; NFPA 111; NFPA 70 700.10Electrical Systems - Essential Electric System
01 Apr 2025Inspection
01 Apr 2025Inspection
Found failures in infection prevention and control, including not using enhanced barrier precautions and poor hand hygiene during catheter care.
42 CFR 483.80Infection Prevention & Control
28 Jan 2025Inspection
28 Jan 2025Inspection
Identified that one resident received morphine for anxiety/pain without adequate pain assessment or non-pharmacological interventions, amounting to a chemical restraint.
CFR 483.10(e)(1); 483.12(a)(2)Right to be free from chemical restraints
26 Nov 2024Inspection
26 Nov 2024Inspection
Identified ongoing resident-to-resident abuse with inadequate protection and response, creating an unsafe environment.
CFR 483.12(a)(1)Freedom from Abuse, Neglect, and Exploitation
01 Apr 2024Life Safety
01 Apr 2024Life Safety
Identified multiple life-safety deficiencies across egress, lighting, detection, and power systems. The issues included missing inspections and testing.
NFPA 80; NFPA 101; 7.2.1.15.2Means of Egress - General
NFPA 101; 7.9.3.1.1Emergency Lighting
NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
NFPA 25; 19.7.6; 4.6.12Sprinkler System - Maintenance and Testing
NFPA 101; 19.7.1.4-19.7.1.7Fire Drills
NFPA 99; NFPA 110; NFPA 70; NFPA 111Electrical Systems - Essential Electric System
21 Mar 2024Inspection
21 Mar 2024Inspection
Identified multiple deficiencies in care planning, resident care, safety, medication storage, infection control, and reporting.
483.21(b)(2)Care Plan Timing and Revision
483.25Quality of care
483.25(d)Accidents
483.25(e)Incontinence
483.45(g)-(h)Label/Store Drugs and Biologicals
483.70(q)(5)Payroll Based Journal
483.80Infection Prevention & Control
08 Aug 2023Inspection
08 Aug 2023Inspection
Found no deficiencies related to COVID-19 infection control. The focused infection control survey confirmed compliance with CMS/CDC guidance.
15 Mar 2023Inspection
15 Mar 2023Inspection
Investigated allegations of abuse/neglect and found failures to report to the state survey agency; also found lapses in COVID-19 vaccination mitigation for unvaccinated staff.
42 CFR 483.12Reporting of Alleged Violations
42 CFR 483.80COVID-19 Vaccination of Facility Staff
14 Mar 2023Life Safety
14 Mar 2023Life Safety
Identified deficiencies in emergency preparedness, including emergency lighting not meeting duration/testing requirements, improper smoke detector placement near an air return, and fire drills not conducted as required.
Investigated deficiencies across transfer/discharge notification, MDS accuracy, psychotropic medication monitoring, insulin storage and medication security, dietary manager qualifications, and infection prevention practices.
CFR 483.15(c)(3)-(6)(8)Notice Requirements Before Transfer/Discharge
CFR 483.20(g)Accuracy of Assessments
CFR 483.45(c)(3)-(e)(1)-(5)Free from Unnecessary Psychotropic Meds/PRN Use
CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
CFR 483.60(a)Qualified Dietary Staff
CFR 483.80(a)(1)-(4); 483.80(e); 483.80(f)Infection Prevention & Control
19 Oct 2021Life Safety
19 Oct 2021Life Safety
Identified deficiencies in electrical safety, fire drills, and generator maintenance. The findings indicated safety gaps that required corrective action.
NFPA 99; NFPA 110; NFPA 111; NFPA 70 (700.10); 6.4.4, 6.5.4, 6.6.4Electrical systems - essential electric system maintenance and testing
12 Jul 2021Inspection
12 Jul 2021Inspection
Found incomplete reporting of COVID-19 data to NHSN during a seven-day period.
42 CFR 483.80(g)COVID-19 reporting
19 Oct 2020Inspection
19 Oct 2020Inspection
Confirmed failure to report complete COVID-19 information to NHSN for a seven-day period as required. The missing data could affect resident and staff safety.
42 CFR §483.80(g)COVID-19 reporting to NHSN
06 Oct 2020Inspection
06 Oct 2020Inspection
Found compliance with infection control and emergency preparedness requirements; noted 26 residents were positive for COVID-19.
03 Aug 2020Inspection
03 Aug 2020Inspection
Found no deficiencies. Noted two residents tested positive for COVID-19.
17 Mar 2020Inspection
17 Mar 2020Inspection
Found no deficiencies.
15 Jan 2020Inspection
15 Jan 2020Inspection
Found several deficiencies in resident dignity, medication privacy, insulin administration timing, drug labeling, and physician participation in quality assurance.
CFR 483.10(a)(1), (a)(2), (b)(1), (b)(2)Resident Rights/Exercise of Rights
CFR 483.21(b)(3)(i)Comprehensive Care Plans
CFR 483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
CFR 483.75(g)(2)QAPI/QAA Improvement Activities
19 Dec 2019Life Safety
19 Dec 2019Life Safety
Found deficiencies in emergency preparedness, kitchen fire suppression testing, and fire alarm testing/maintenance.
483.73(a)Emergency Preparedness
NFPA 96; NFPA 17ACooking Facilities
NFPA 70; NFPA 72Fire Alarm System - Testing and Maintenance
19 Dec 2018Inspection
19 Dec 2018Inspection
Identified multiple deficiencies affecting resident rights, care planning, safety, medication management, food handling, and infection control.
CFR 483.10(f)Self-Determination
CFR 483.10(g)(10)-(11)Right to Survey Results/Advocate Agency Info
CFR 483.21(b)(2)Care Plan Timing and Revision
CFR 483.25(d)Free of Accident Hazards/Supervision/Devices
CFR 483.45(e)Free from Unnecessary Psychotropic Meds/PRN Use
Found multiple life-safety deficiencies, including uninspected fire-rated doors, inadequate sprinkler coverage and maintenance, uninspected portable extinguishers, and generator testing not meeting NFPA requirements.
—Means of Egress - General
—Sprinkler System - Installation
—Sprinkler System - Maintenance and Testing
—Portable Fire Extinguishers
—Electrical Systems - Essential Electric System
18 Jan 2018Inspection
18 Jan 2018Inspection
Identified deficiencies across significant change notifications, care planning, feeding safety, pressure ulcer prevention, nurse aide training, and infection control. These issues created care gaps and safety risks for residents.
CFR 483.20(k)(4)Significant Change Notification
CFR 483.21(b)(2)Care Plan Timing and Revision
CFR 483.25Quality of Care
CFR 483.25(b)Treatment/Svcs to Prevent/Heal Pressure Ulcer
Found fire safety deficiencies: smoke detectors placed within 3 feet of air diffusers and a sprinkler head too close to a unit heater, requiring corrective actions.
NFPA 13 Sprinkler System Installation (2012 edition)Sprinkler System - Installation
09 Nov 2016Inspection
09 Nov 2016Inspection
Found multiple deficiencies across funds handling, care planning, nutrition, medications, staffing postings, and feeding assistance. These included failures to convey funds timely, inaccuracies in resident assessments, inadequate bowel and nutrition management, a medication error, inaccurate staffing postings, and improper use of feeding assistants.
483.10(c)(6)Conveyance of Personal Funds Upon Death
483.25(h)Free of accident hazards/supervision/devices
483.65Infection control, prevent spread, linens
13 Oct 2015Life Safety
13 Oct 2015Life Safety
Identified exit access deficiencies due to outward-swinging doors that project into the required exit width. Seven doors across East and West Wings were affected.
NFPA 101 Life Safety Code, 7.2.1.4.4; 7.1/19.2.1Exit access obstructed by doors
18 Dec 2014Inspection
18 Dec 2014Inspection
Found multiple deficiencies in resident care and safety, including failure to timely notify a resident’s physician, inadequate communication with residents’ representatives, and missing or incomplete nursing assessments and documentation.
42 CFR 483.10(b)(5)-(10)Notice of changes
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22 Sept 2014Life Safety
22 Sept 2014Life Safety
Identified several fire-safety and hazardous materials deficiencies, including unlatched corridor doors, missing self-closing devices, improper oxygen storage, and generator-related safety concerns.
NFPA 101 LIFE SAFETY CODE STANDARDCorridor doors not latched / self-closing
NFPA 101 LIFE SAFETY CODE STANDARD; NFPA 99Door lacking self-closing device; hazardous areas not properly separated
NFPA 101 LIFE SAFETY CODE STANDARDFire alarm system not tested/maintained as required
NFPA 101 LIFE SAFETY CODE / NFPA 99Load voltage tests frequency not consistently applied
NFPA 99 / NFPA 101 LIFE SAFETY CODERemote manual stop station planned for emergency generator
The facility was cited for deficiencies in medication handling, documentation, and safeguarding resident information, including improper preparation/dispensing of MiraLax, transcription errors with controlled substances, and unsecured protected health information.
—Medication administration deficiencies
—Documentation and order accuracy deficiencies
—Medication order transcription/authorization deficiencies
—Protection of resident records/PHI deficiencies
25 Sept 2013Life Safety
25 Sept 2013Life Safety
Found multiple life-safety deficiencies related to fire protection, door hardware and integrity, storage of combustibles, and emergency procedures.
NFPA 101 Life Safety CodeQuarterly fire drills not conducted
NFPA 101 Life Safety CodeBuilding Inspection Checklist not developed
NFPA 101 Life Safety CodeBoiler Room storage of combustibles
NFPA 25; NFPA 101 Life Safety CodeTesting/Maintenance of water-based fire protection systems
NFPA 101 Life Safety CodeEmergency power and protective systems documentation
NFPA 30; NFPA Life Safety CodeFlammable liquids management
NFPA/NEC (Electrical Safety)Use of power strips and extension cords
NFPA/National Electrical CodePermanent wiring vs temporary wiring practices
16 Jan 2013Inspection
16 Jan 2013Inspection
Identified a deficiency related to an inadequate toileting schedule and lack of an individualized toileting program with proper documentation for residents.
—Toileting schedule/plan of correction
30 Jul 2012Life Safety
30 Jul 2012Life Safety
Found deficiencies in life-safety code compliance, including missing interior finish documentation and generator weekly inspection records.
Type ANFPA 101 Life Safety Code – Interior Finish Requirements (Chapter 19)Interior finish
Type ANFPA 101 Life Safety Code – Existing Health Care Occupancies; NFPA 99Weekly inspection of emergency generator
01 Feb 2012Inspection
01 Feb 2012Inspection
Regulatory officials identified deficiencies in pain management and bowel elimination care, along with documentation gaps observed during the evaluation.
—Care and services must meet professional standards
—Resident pain management and observation/record keeping
24 Oct 2011Life Safety
24 Oct 2011Life Safety
Investigated and concluded no deficiencies related to Life Safety Code were found.
31 Mar 2011Inspection
31 Mar 2011Inspection
Investigated the complaint about resident care planning and transfers; found deficiencies in updating care plans and documenting resident status and transfer needs.
—Continued From page 3 - Care planning and transfer documentation
15 Nov 2010Life Safety
15 Nov 2010Life Safety
Identified multiple fire-safety deficiencies, including improper maintenance of life-safety systems, and inadequate fire separation in a newly added area.
NFPA 72; NFPA 25; NFPA 101Fire alarm and life safety system maintenance
NFPA 25Maintenance of sprinkler systems
NFPA 101 Life Safety Code; NFPA 241Fire separation between occupancies
NFPA 110; NFPA 241; NFPA 99Life safety and power systems during construction
10 Feb 2010Inspection
10 Feb 2010Inspection
Investigation identified deficiencies in infection control and urinary incontinence management, affecting several residents and requiring updated precautions and care plans.
Investigated deficiencies in automatic sprinkler coverage, including inadequate protection at the Entrance Lobby and a side-wall sprinkler obstructed by plywood transom.
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