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Complaint Investigation

Nelson County Health System Care Center

April 29, 2026 · Mcville, ND · 108 E Nyhus Ave
Citations 2
CMS Rating 2/5
Beds 35
Provider ID 355052
Healthcare Facility
Nelson County Health System Care Center
Mcville, ND  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

NELSON COUNTY HEALTH SYSTEM CARE CENTER in MCVILLE, ND — inspection on April 29, 2026.

Found 2 citations. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies

During an interview with Resident #2 on 04/29/26 at 1:15 p.m., when asked if she

abuse.

355052 04/29/2026

Nelson County Health System Care Center 108 E Nyhus Ave McVille, ND 58254

During an interview with Resident #2 on 04/29/26 at 1:15 p.m., when asked if she felt safe at the facility she stated, I'm at my home right where am I.

Resident could not recall the altercation on 02/02/26.The facility reported the incidents that occurred on 01/25/26 and 02/02/26 to facility administration and the state agency but failed investigate the altercations, implement appropriate interventions, and evaluate the effectiveness of the interventions. An investigation into the first incident between Resident #1 and #4 may have prevented the physical abuse inflected upon Resident #2 by Resident #1 during the second incident.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in MCVILLE, ND, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from NELSON COUNTY HEALTH SYSTEM CARE CENTER or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.