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A
Very Good

NELSON COUNTY HEALTH SYSTEM CARE CENTER

108 E NYHUS AVE · MCVILLE, ND 58254

7013224314 · Government - City

35 beds29.1 residents54 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
A
Very Good
RN Staff
A
Very Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✓RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

NELSON COUNTY HEALTH SYSTEM CARE CENTER receives an overall staffing grade of A (Very Good). With 4.3504 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has adequate registered nurse (RN) coverage. It is 0.45 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 24.46% compared to weekdays. The facility relies heavily on temporary agency staff (18.6% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (1)

⚠️18.6% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
4.3504hrs/resident/day▲ 0.45
CMS benchmark: 3.48
RN HPRD
0.8138hrs/resident/day▲ 0.13
Recommended: 0.75
Weekend Drop-off
24.46%
4.6734 weekday → 3.5305 weekend
⚠ Significant weekend reduction
Agency Staff
18.6%
7.29% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.8976hrs/resident/day
Direct care aides
LPN HPRD
0.6389hrs/resident/day
Licensed practical nurses
Consistency
0.7519std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Nelson County Average+0.37 HPRD
3.98
04.35 HPRD
vs. North Dakota State Average-0.08 HPRD
4.43
04.35 HPRD
vs. National Average+0.45 HPRD
3.90
04.35 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
NELSON COUNTY HEALTH SYSTEM CARE CENTER ★
MCVILLE · This facility
—
A
4.35040.8138★★★☆☆
ANETA PARKVIEW HEALTH CTR
ANETA
10.6 mi
B
4.00240.8549★★★★★
Good Samaritan Society - Lakota
LAKOTA
20.7 mi
B
3.59690.9984★☆☆☆☆
GRIGGS COUNTY CARE CENTER
COOPERSTOWN
22.9 mi
B
4.03130.7451★★★★☆
GOOD SAMARITAN SOCIETY - LARIMORE
LARIMORE
27.6 mi
C
3.1460.7201★☆☆☆☆
HATTON PRAIRIE VILLAGE
HATTON
34.8 mi
A
4.27350.9509★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
13
Total Deficiencies
$36,855
Fines Assessed
Jun 23, 2025Health
1 deficiency cited
▼
Apr 1, 2025Health
1 deficiency cited
▼
Nov 26, 2024Health
2 deficiencies cited· Includes actual harm
▼
Mar 21, 2024Health
7 deficiencies cited
▼
Mar 15, 2023Health
2 deficiencies cited
▼

Penalty History

Nov 26, 2024Fine
$36,855
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.