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CMS CCN 355052 · Government - City

NELSON COUNTY HEALTH SYSTEM CARE CENTER

108 E NYHUS AVE, MCVILLE, ND 58254

Overall CMS Rating

2/5

Staffing Rating

5/5
View on Medicare.gov

Near-average staffing

4.07 total HPRD vs. 3.89 national avg · 0.70 RN HPRD vs. 0.69 national avg

Staffing Hours Per Resident Per Day

4.07

Total HPRD

Nat avg 3.89

0.70

RN HPRD

Nat avg 0.69

N/A

LPN HPRD

Nat avg 0.94

2.73

CNA HPRD

Nat avg 2.27

Staffing Comparison

Bar = this facility. Markers = state avg (blue) and national avg (purple).

RN Hours/Day0.70 hr/day
State 0.88National 0.69
LPN Hours/DayN/A
State 0.82National 0.94
CNA Hours/Day2.73 hr/day
State 2.52National 2.27
Total Nursing Hours/Day4.07 hr/day
State 4.22National 3.89

Weekend Staffing

Weekend RN hours often drop 10–20% — a key quality indicator.

Weekend RN HPRD

N/A

National avg 0.48

Weekend Drop vs. Weekday

N/A

Staff Turnover

Annual staff turnover — below 30% is excellent; above 70% indicates instability.

Total Nursing Turnover

51%

National avg 52%

RN Turnover

17%

Total Turnover51%

Purple marker = national average (52%). Lower is better.

CMS Star Ratings

Overall Rating

Below average

2/5

Health Inspection

Below average

2/5

Staffing

Much above average

5/5

Quality Measures

Much below average

1/5

Facility Information

Ownership
Government - City
Certified Beds
35
State
North Dakota
ZIP
58254
Last Inspection
CMS CCN
355052

Penalty & Inspection History

1 CMS fine totaling $36,855

Review full inspection reports on Medicare.gov Care Compare.

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Frequently Asked Questions

What are the staffing levels at NELSON COUNTY HEALTH SYSTEM CARE CENTER?
NELSON COUNTY HEALTH SYSTEM CARE CENTER reports 4.07 total nursing hours per resident per day (HPRD), including 0.70 RN hours, N/A LPN hours, and 2.73 CNA hours. The U.S. national average is 3.89 total HPRD (0.69 RN, 0.94 LPN, 2.27 CNA).
What is the CMS rating for NELSON COUNTY HEALTH SYSTEM CARE CENTER?
NELSON COUNTY HEALTH SYSTEM CARE CENTER holds a CMS overall rating of 2 out of 5 stars. The staffing-specific rating is 5 stars, health inspection rating is 2 stars, and quality measure rating is 1 stars. CMS ratings are updated quarterly.
How does NELSON COUNTY HEALTH SYSTEM CARE CENTER compare to other North Dakota nursing homes?
The North Dakota average is 4.22 total HPRD and 0.88 RN HPRD. NELSON COUNTY HEALTH SYSTEM CARE CENTER's total HPRD of 4.07 is near the state average.
What is the staff turnover rate at NELSON COUNTY HEALTH SYSTEM CARE CENTER?
NELSON COUNTY HEALTH SYSTEM CARE CENTER reports 51% total nursing staff turnover annually (17% RN turnover). The national average is approximately 52%. This is near the national average.

Data: CMS Payroll-Based Journal (PBJ) via CMS Care Compare. Revalidated every 24 h. Not a substitute for professional medical advice.

NELSON COUNTY HEALTH SYSTEM CARE CENTER Staffing Ratios — MCVILLE, North Dakota Nursing Home (2026) | AllyKin