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Nursing homeFAID #9307

Nelson County Health System Care Center

108 E NYHUS AVE, MCVILLE, ND, 58254
(701) 322-4314
35 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections5/5 staffing1/5 quality measuresSource: CMS Care Compare

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Public record summary

What we can show you for free.
Bed capacity
35
CMS facility ID
355052
Care type
Nursing home
County
Nelson
Facility name
Nelson County Health System Care Center
Street address
108 E NYHUS AVE
City / state / ZIP
Mcville, ND 58254
Phone
(701) 322-4314

About this facility — Nelson County Health System Care Center

Nelson County Health System Care Center is a Medicare/Medicaid-certified skilled nursing facility in Mcville, North Dakota. It is licensed for 35 beds — below the median for skilled nursing facilities in North Dakota (52 beds).

It is one of 2 senior care facilities in Mcville and 72 skilled nursing facilities across North Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Nelson County Health System Care Center 29 times across 10 inspections in the last three years, and CMS has imposed $36,855 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

Facility background

What the public record shows.

Ownership & operator

Ownership type
Government - City

Registered owners & officers

Nelson County Health System
Direct owner — 100% stake — since 2010
Berg, Ivan
Director — since 2011
Forde, Steven
Operational control — since 2016
Jensen, Brandon
Director — since 2013
Lundeby, Brandon
Director — since 2011
Oxton, Ranae
Director — since 2011
Stein, Heather
Director — since 2014
Swenson, Catherine
Managing employee — since 2015
Twete, Angela
Director — since 2014
Twete, Judith
Director — since 2011

Regulatory standing

Licensed / certified since
1980-04-01
CMS overall rating
2 of 5 stars
Health deficiencies
3 at the last standard inspection
Federal fines
$36,855 total
Last standard inspection
2025-04-01
Nurse staffing
4.1 hours per resident per day

Services & coverage

Licensed beds
35
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset · last verified 2026-08-31. Facilities can submit a correction.

Inspection record

Every citation, dated and graded.

Kitchen & food safety

CleanNo food-safety or dietary citations in the last three years of federal inspections.
2026-04-29Health inspectionComplaint-triggered2 citations
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2026-05-01
F-0610
D · No harm foundFrom a complaint
Respond appropriately to all alleged violations.
Corrected 2026-05-01
2025-06-23Health inspectionComplaint-triggered1 citation
F-0600
D · No harm foundFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-06-23
7 earlier / fire-safety inspections (26 citations)
2025-04-01Health inspection1 citation
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-05-06
2024-11-26Health inspectionComplaint-triggered2 citations
F-0600
G · Actual harmFrom a complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-01-06
F-0605
D · No harm foundFrom a complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected 2025-02-24
2024-03-21Health inspection7 citations
F-0657
D · No harm found
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-04-18
F-0684
D · No harm found
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-04-29
F-0689
D · No harm found
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-04-29
F-0690
D · No harm found
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected 2024-04-29
F-0761
D · No harm found
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.
Corrected 2024-04-29
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-04-29
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-04-29
2023-03-15Health inspection2 citations
F-0609
D · No harm found
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-04-04
F-0888
D · No harm found
Ensure staff are vaccinated for COVID-19
Corrected 2023-03-20
2025-04-01Fire-safety inspection4 citations
K-0345
F · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2025-05-01
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2025-05-07
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2025-05-01
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2025-05-01
2024-03-21Fire-safety inspection7 citations
K-0211
F · No harm found
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-05-20
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2024-05-20
K-0345
E · No harm found
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-05-20
K-0347
F · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2024-05-20
K-0353
F · No harm found
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-05-20
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2024-05-20
K-0918
F · No harm found
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-05-20
2023-03-15Fire-safety inspection3 citations
K-0291
F · No harm found
Install emergency lighting that can last at least 1 1/2 hours.
Corrected 2023-03-27
K-0347
D · No harm found
Properly provide smoke detection systems in areas open to corridors.
Corrected 2023-03-27
K-0712
F · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-03-27

Federal penalties

2024-11-26Fine$36,855
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 355052.

Inside your report

What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 29 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
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Original records

Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered