Skilled nursing facility · CMS certification number 355052
NELSON COUNTY HEALTH SYSTEM CARE CENTER
MCVILLE, North Dakota · Medicare and Medicaid
Certified beds, as filed in Care Compare: 35
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 1 · Fines: 1 · Fines, total amount: $36,855.00 · Payment denials: 0. The most recent penalty on file: November 26, 2024, Fine, $36,855. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
No Medicare cost report on file for this facility.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| NELSON COUNTY HEALTH SYSTEM | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2010 |
| BERG, IVAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/06/2011 |
| JENSEN, BRANDON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/07/2013 |
| LUNDEBY, BRANDON | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/06/2011 |
| OXTON, RANAE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/06/2011 |
| STEIN, HEATHER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/24/2014 |
| TWETE, ANGELA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/24/2014 |
| TWETE, JUDITH | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 11/06/2011 |
| FORDE, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/19/2016 |
| SWENSON, CATHERINE | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 10/14/2015 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of NELSON COUNTY HEALTH SYSTEM (enrollment ID O20050427000680).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| NELSON COUNTY HEALTH SYSTEM | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2010 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANGELA TWETE | Individual | CORPORATE DIRECTOR | 0 | 11/24/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDON JENSEN | Individual | CORPORATE DIRECTOR | 0 | 11/7/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRANDON LUNDEBY | Individual | CORPORATE DIRECTOR | 0 | 11/6/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEATHER STEIN | Individual | CORPORATE DIRECTOR | 0 | 11/24/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| IVAN BERG | Individual | CORPORATE DIRECTOR | 0 | 11/6/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDITH TWETE | Individual | CORPORATE DIRECTOR | 0 | 11/6/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RANAE OXTON | Individual | CORPORATE DIRECTOR | 0 | 11/6/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN K FORDE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 9/19/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CATHERINE SWENSON | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 10/14/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
No change in ownership appears in the CMS files on record since September 20, 2022.
Recent changes on this record
- September 1, 2026: ownership_type: Government - City → Non profit - Other. NH_ProviderInfo_Sep2026_3.csv
- June 10, 2026: A deficiency was cited under tag F 0684, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- June 10, 2026: A deficiency was cited under tag F 0880, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- June 10, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 10, 2026 | June 10, 2026 | 4 | 3 |
| 2 | April 1, 2025 | April 1, 2025 | 4 | 4 |
| 3 | March 21, 2024 | March 21, 2024 | 7 | 7 |
| 3 | March 15, 2023 | March 15, 2023 | 2 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
17 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 10, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | July 15, 2026 |
| June 10, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | July 15, 2026 |
| April 29, 2026 | Health | F 0600 | 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. | D | Yes | Deficient, Provider has date of correction | May 1, 2026 |
| April 29, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | May 1, 2026 |
| June 23, 2025 | Health | F 0600 | 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. | D | Yes | Past Non-Compliance | June 23, 2025 |
| April 1, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 6, 2025 |
| November 26, 2024 | Health | F 0600 | 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. | G | Yes | Deficient, Provider has date of correction | January 6, 2025 |
| November 26, 2024 | Health | F 0605 | 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. | D | Yes | Deficient, Provider has date of correction | February 24, 2025 |
| March 21, 2024 | Health | F 0657 | 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. | D | No | Deficient, Provider has date of correction | April 18, 2024 |
| March 21, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | April 29, 2024 |
| March 21, 2024 | Health | F 0689 | 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 | No | Deficient, Provider has date of correction | April 29, 2024 |
| March 21, 2024 | Health | F 0690 | 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 | No | Deficient, Provider has date of correction | April 29, 2024 |
| March 21, 2024 | Health | F 0761 | 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 | No | Deficient, Provider has date of correction | April 29, 2024 |
| March 21, 2024 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | April 29, 2024 |
| March 21, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 29, 2024 |
| March 15, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | April 4, 2023 |
| March 15, 2023 | Health | F 0888 | Infection Control Deficiencies | Ensure staff are vaccinated for COVID-19 | D | No | Deficient, Provider has date of correction | March 20, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| November 26, 2024 | Fine | $36,855 | 99633 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Other |
| Legal Business Name | NELSON COUNTY HEALTH SYSTEM |
| Date First Approved to Provide Medicare and Medicaid Services | 1980-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Nelson |
| Telephone Number | 7013224314 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 35 |
| Average Number of Residents per Day | 32.0 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 1 |
| Long-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on NELSON COUNTY HEALTH SYSTEM CARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On September 1, 2026: ownership_type: Government - City → Non profit - Other. That is one line of the alert.
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The citable document for NELSON COUNTY HEALTH SYSTEM CARE CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in North Dakota at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 355052.