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Skilled nursing facility · CMS certified · CCN 355052

Nelson County Health System Care Center

108 E Nyhus Ave, Mcville, ND 58254 · Nelson County · one of 72 skilled nursing facilities in North Dakota
35
certified beds
1 / 5
overall CMS rating
Nonprofit
ownership type
91.4%
occupancy, Oct 2026: 32 residents a day · North Dakota 91.8%
1.07
case mix, 0.76x the national average
4.07
nurse hours per resident day · North Dakota 4.42
What if · run the numbers

There is no full-year Medicare cost report on file for this building, so there is nothing to start the calculator from.

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How Nelson County Health System Care Center compares

Nelson County has 2 other certified buildings, too few to compare, so this is against North Dakota. 72 buildings.

Better than most of North Dakota on 1 of 8 lines.

Occupancy, Oct 202691.4%Behind mostHigher than 19 of the 70 other buildings in North Dakota, level with 1

Residents on an average day as a share of certified beds, from CMS's monthly census. The middle of the set: 94.5%. Source: CMS monthly provider files, Oct 2026.

Nurse hours per resident day4.07Behind mostHigher than 21 of the 69 other buildings in North Dakota

Nurse and aide hours for each resident, each day, from CMS payroll records. The middle of the set: 4.39. Source: CMS monthly provider files, Oct 2026.

Overall CMS rating1 / 5Behind mostLevel with 10 of the 70 other buildings in North Dakota; the other 60 are ahead

CMS's overall star rating, set from inspections, staffing and quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Health inspection rating2 / 5Behind mostHigher than 12 of the 70 other buildings in North Dakota, level with 21

CMS's star rating for the building's recent health inspections. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

Staffing rating4 / 5Behind mostHigher than 13 of the 70 other buildings in North Dakota, level with 17

CMS's star rating for nurse staffing levels and turnover. The middle of the set: 5 / 5. Source: CMS Provider Information, Oct 2026 file.

Quality measures rating1 / 5Behind mostLevel with 9 of the 70 other buildings in North Dakota; the other 61 are ahead

CMS's star rating for resident-care quality measures. The middle of the set: 3 / 5. Source: CMS Provider Information, Oct 2026 file.

RN hours per resident day0.78Behind mostHigher than 21 of the 71 other buildings in North Dakota, level with 2

Registered nurse hours for each resident, each day. The middle of the set: 0.88. Source: CMS Provider Information, Oct 2026 file.

Deficiencies cited6Better than mostFewer than 46 of the 71 other buildings in North Dakota, the same as 7

Health deficiencies cited at the building's most recent standard survey. Fewer is better. The middle of the set: 8. Source: CMS Provider Information, Oct 2026 file.

From its cost report and Medicaid rate, against North Dakota
Net margin00.0%

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Medicaid share of days00.0%

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Medicaid rate$000

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Tap a line for what it measures and the middle of the set. Each count leaves this building out. Source: CMS monthly provider files, Oct 2026; CMS Provider Information, Oct 2026 file.

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Street view of Nelson County Health System Care Center
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Street View
108 E Nyhus Ave, Mcville, ND
Map around Nelson County Health System Care Center
Map · Nelson County
Nelson County, North Dakota
3 skilled nursing facilities; average overall rating 2.3, North Dakota 3.3.
See how Nelson County compares ›
Cost report, against North Dakota
Each line is what this building filed with Medicare for its latest full year, beside the middle building in North Dakota. The rank counts from the top: 1st is the highest figure among North Dakota's filing buildings on that line, out of the buildings that filed it. The arrow beside a figure compares it with the building's own full year before: green is better, red is worse, grey is neither. Shares and margins move in points. A line standing on fewer than 20 filings is not ranked. Operating expense is the cost report's own operating line. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus that line.
Medicare cost reports, as filed

No full-year Medicare cost report on file for this building for FY2024 to FY2026. What the buildings in North Dakota that did file reported is below.

Line
State median
Reports
OccupancyPatient days as a share of available bed days, both off Worksheet S-3 Part I.
94.3%
50
Medicare share of daysTraditional Medicare days as a share of all patient days, off Worksheet S-3 Part I.
5.3%
51
Medicaid share of daysMedicaid days as a share of all patient days, off Worksheet S-3 Part I.
54.7%
49
Patient revenue per patient dayNet patient revenue off Worksheet G-3, divided by patient days off Worksheet S-3 Part I. Blended across every payer.
$432
51
Operating expense per patient dayTotal operating expense off Worksheet G-3, divided by patient days. Net income also counts income and expense outside patient care, such as investment income, rentals and donations, which is why it is not patient revenue minus this line.
$440
51
Net income per patient dayNet income off Worksheet G-3, divided by patient days.
$13
51
Net marginNet income off Worksheet G-3 over net patient revenue off the same worksheet.
2.6%
51
Quality and staffing
CMS Care Compare · Oct 2026
Overall rating1 / 5 · state 3.3
Health inspection2 / 5 · state 2.8
Staffing4 / 5 · state 4.3
RN hours per resident per day0.78 · state 0.93
Overall rating, last 8 quarters
053Q3’243Q4’242Q1’252Q2’252Q3’253Q4’253Q1’262Q2’26latest
down 1 star over the 8 quarters shown

CMS sets the overall star rating from health inspections, staffing and quality measures. The occupancy percentage is not the star rating. Occupancy compares average residents with certified beds. Certified beds can include beds the home chooses not to fill; this figure does not tell us why beds are unused.

Resident care
CMS quality measures · 2025Q3 to 2026Q2 · Oct 2026
measurethis buildingNorth Dakotanationrecent quarters
Needed more help with daily activities27.7%worse than state19.9%13.5%2025Q2: 21.4%2025Q3: 42.3%2025Q4: 22.2%2026Q1: 27.6%2026Q2: 20.0%
21.4% → 20.0%
Q2’25 to Q2’26
Catheter inserted and left in1.4%level with state1.4%0.7%2025Q2: 6.1%2025Q3: 3.5%2025Q4: 2.6%2026Q1: 0.0%2026Q2: 0.0%
6.1% → 0.0%
Q2’25 to Q2’26
Urinary tract infection4.5%worse than state2.5%1.5%2025Q2: 6.9%2025Q3: 4.2%2025Q4: 3.7%2026Q1: 3.6%2026Q2: 6.2%
6.9% → 6.2%
Q2’25 to Q2’26
Fall with major injury10.7%worse than state5.1%3.2%2025Q2: 6.5%2025Q3: 7.1%2025Q4: 13.3%2026Q1: 12.9%2026Q2: 9.4%
6.5% → 9.4%
Q2’25 to Q2’26
Newly given an antipsychotic (short stay)too few residents to report1.7%1.5%too few quarters to chart
Ability to walk independently worsened13.0%better than state16.3%12.7%2025Q2: 11.9%2026Q1: 3.7%
11.9% → 3.7%
Q2’25 to Q1’26
Pressure ulcers8.8%worse than state4.7%4.5%2025Q2: 7.7%2025Q3: 4.6%2025Q4: 18.4%2026Q1: 4.7%2026Q2: 7.5%
7.7% → 7.5%
Q2’25 to Q2’26
Given an antipsychotic19.8%better than state22.8%15.4%2025Q2: 21.7%2025Q3: 29.2%2025Q4: 19.2%2026Q1: 14.8%2026Q2: 17.2%
21.7% → 17.2%
Q2’25 to Q2’26

Each figure is the share of residents, so lower is better. The building's figure, the state's and the nation's are CMS's four-quarter averages; the small bars are single quarters, which move more than the average does.

Surveys and enforcement
CMS health inspections
Jun 2026
last standard survey
6
deficiencies cited · North Dakota avg 9.3
$36,855
fines, last 3 years
Not reported
CMS affiliation

CMS groups homes with shared ownership or management. An affiliation does not establish that a chain owns this building.

Medicaid in North Dakota
state rate files
$401
median daily rate across the North Dakota buildings in our rate book, Jan 2026 file
North Dakota rates and what changed ›
Nelson County
buildingbedsoverallAneta Parkview Health Ctr355 / 5Good Samaritan Society - Lakota381 / 5Nelson County Health System Care Center351 / 5
All North Dakota buildings in Nelson County ›
North Dakota at a glance
72
buildings
4,909
licensed beds
93%
occupancy
6%
for-profit
North Dakota market intelligence report ›
The neighborhood
Street map © OpenStreetMap · satellite © Esri · pins: CMS Care Compare · loads as you reach it
Nearby skilled nursing
buildingbedsoveralloccupancyAneta Parkview Health CtrAneta · 10.6 mi355 / 5over 85%Good Samaritan Society - LakotaLakota · 20.7 mi381 / 5over 85%Griggs County Care CenterCooperstown · 22.9 mi405 / 5over 85%Good Samaritan Society - LarimoreLarimore · 27.6 mi40over 85%Hatton Prairie VillageHatton · 34.9 mi385 / 5over 85%Eventide HeartlandDevils Lake · 39.0 mi784 / 5over 85%
The map and the list carry the same facts, from SNFRadar's system.
About this data
What is the CMS overall rating of Nelson County Health System Care Center?
Nelson County Health System Care Center in Mcville, ND carries an overall CMS rating of 1 out of 5 stars in the Oct 2026 CMS file.
How many beds does Nelson County Health System Care Center have?
Nelson County Health System Care Center is certified for 35 beds in the Oct 2026 CMS file.
How full is Nelson County Health System Care Center?
CMS's reported average residents put Nelson County Health System Care Center's occupancy in the over 85% band in the Oct 2026 CMS file.
Source: CMS Provider Information, Care Compare and Payroll-Based Journal staffing · CMS files dated October 2026.
Published by 3G Healthcare Real Estate, skilled nursing advisors. Authors: Stan Klos III, Founder · Christian Patrick, President.
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Source: CMS Provider Information and Care Compare, Oct 2026 files. Tracked every month in SNFRadar's system.