NELSON COUNTY HEALTH SYSTEM CARE CENTER
108 E NYHUS AVE
MCVILLE, ND, 58254
7013224314
CCN: 355052
3
Overall2
Health5
Staffing2
QualitySpecial FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
| Name | Role | % |
|---|---|---|
| NELSON COUNTY HEALTH SYSTEM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% |
| BERG, IVAN | CORPORATE DIRECTOR | NOT APPLICABLE |
| JENSEN, BRANDON | CORPORATE DIRECTOR | NOT APPLICABLE |
| LUNDEBY, BRANDON | CORPORATE DIRECTOR | NOT APPLICABLE |
| OXTON, RANAE | CORPORATE DIRECTOR | NOT APPLICABLE |
| TWETE, ANGELA | CORPORATE DIRECTOR | NOT APPLICABLE |
| TWETE, JUDITH | CORPORATE DIRECTOR | NOT APPLICABLE |
| STEIN, HEATHER | CORPORATE DIRECTOR | NOT APPLICABLE |
| FORDE, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE |
| SWENSON, CATHERINE | W-2 MANAGING EMPLOYEE | NOT APPLICABLE |
Penalties (1)
| Date | Type | Amount |
|---|---|---|
| 2024-11-26 | Fine | $37K |
Health Deficiencies (13)
2025-06-23 · Health
D
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2025-04-01 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
2024-11-26 · Health
D
F605 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
G
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
2024-03-21 · Health
D
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
F
F851 · Administration Deficiencies
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
D
F761 · Pharmacy Service Deficiencies
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.
D
F690 · Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
2023-03-15 · Health
D
F888 · Infection Control Deficiencies
Ensure staff are vaccinated for COVID-19
D
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day3.68
4.35
RN Hrs/Resident/Day0.54
0.81
LPN Hrs/Resident/Day0.81
0.64
CNA Hrs/Resident/Day2.33
2.90
PT Hrs/Resident/Day0.12
0.00
Data as of 2026-03-01