Nelson County Health System Care Center is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1980-04-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (701) 322-4314 or your local Medicaid office to verify current eligibility.

Nelson County Health System Care Center holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 3 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (5★), and Quality of Resident Care (2★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 64.4/100, placing it #10589 of 14703 facilities nationally and #54 of 72 in North Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Nelson County Health System Care Center receives a reported average of 4 hours 21 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 49 minutes; Licensed Practical Nurse (LPN) — 38 minutes; Nurse Aide — 2 hours 54 minutes. On weekends, total nurse staffing is 3 hours 32 minutes per resident per day. The CMS Staffing Rating for this facility is 5 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 47.5%. Families are encouraged to ask about current staffing schedules during their facility visit.

⚠️ CMS has flagged Nelson County Health System Care Center with an abuse icon, indicating a history of reported abuse or neglect incidents. Families should review the detailed inspection reports on Medicare.gov before considering this facility. In the current reporting period, the facility received 1 fine(s) totaling $36,855. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 1 fine(s) totaling $36,855, and 0 Medicare payment denial(s). Total penalties: 1. The Total Weighted Health Survey Score is 24.0 (lower scores are better). IMPORTANT: CMS has flagged this facility with an abuse icon — indicating a reported history of abuse or neglect. Families should review the full inspection report on medicare.gov/care-compare before deciding. Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Nelson County Health System Care Center ranks 10589th out of 14,703 facilities (composite score: 64.4/100), placing it in the below average nationwide. Within ND, it ranks 54th out of 72 nursing homes. For 2026 staffing: total nurse hours rank #2,974 nationally and RN hours rank #3,503 nationally (#44 in ND). Our composite quality score of 64.4/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Mcville, visit: https://nursinghomesnearme.org/north_dakota/mcville/