Walhalla, ND

Pembilier Nursing Center

5-star overall rating with 5-star inspections with 1 fire-safety deficiencies in the latest cycle

500 Delano Ave, Walhalla, ND

(701) 549-3831

Compare this facility

Overall

5 / 5

CMS overall stars

Health inspections

5 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

31

Certified beds

Average residents

29

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1978-06-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.71

Registered nurse staffing · state 0.93 · national 0.68

LPN hours / resident day

0.38

Licensed practical nurse staffing · state 0.50 · national 0.87

Aide hours / resident day

2.60

Nurse aide staffing · state 2.99 · national 2.35

Total nurse hours

3.69

All reported nurse hours · state 4.41 · national 3.89

Licensed hours

1.09

RN + LPN hours · state 1.42 · national 1.54

Weekend hours

3.25

Weekend nurse staffing · state 3.75 · national 3.43

Weekend RN hours

0.55

Weekend registered nurse coverage · state 0.59 · national 0.47

Physical therapist

0.01

Reported PT staffing · state 0.04 · national 0.07

Adjusted RN hours

0.77

CMS adjusted RN staffing hours

Adjusted total hours

4.01

CMS adjusted total nurse staffing hours

Case-mix index

1.26

Higher values indicate more complex resident acuity

RN turnover

33%

Annual RN turnover · state 38% · national 45%

Total nurse turnover

57%

Annual nurse turnover · state 49% · national 46%

SNF VBP

Value-based purchasing

Program rank

6,516

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

32.62

Composite VBP score used to determine payment impact.

Payment multiplier

0.9872

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

2.06

Baseline 40.62% · Performance 55.26% · Measure score 2.06 · Achievement 2.06 · Improvement 0

Adjusted total nurse staffing

4.46

Baseline 3.77 hours · Performance 4.35 hours · Measure score 4.46 · Achievement 4.46 · Improvement 2.37

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	Not Available	10.72%	Not Available · Eligible stays 17 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Discharge to community	Not Available	50.57%	Not Available · Eligible stays 6 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary	Not Available	1.02	Too few residents or stays to report publicly.
Drug regimen review with follow-up	Not Available	95.27%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Falls with major injury	Not Available	0.77%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge self-care score	Not Available	53.69%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Discharge mobility score	Not Available	50.94%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened	Not Available	2.29%	Numerator Not Available · Denominator 10 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization	Not Available	7.12%	Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage	0%	8.2% 8.2 pts worse	Numerator 0 · Denominator 45
Staff flu vaccination coverage	33.33%	42% 8.7 pts worse	Numerator 17 · Denominator 51
Discharge function score	Not Available	56.45%	Numerator Not Available · Denominator 6 · Too few residents or stays to report publicly.
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 1 · Too few residents or stays to report publicly.
Transfer of health information to patient	Not Available	96.28%	Numerator Not Available · Denominator 3 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date	Not Available	25.2%	Numerator Not Available · Denominator 2 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.4 0.4 pts worse	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.4 · Expected 1.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	1.9 About the same	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 1.5 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	98.3% 1.7 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	100.0%	98.8% 1.2 pts better	95.5% 4.5 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	1.9%	5.1% 3.2 pts better	3.3% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 4.0% · Q4 3.8% · 4Q avg 1.9% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	15.2%	4.4% 10.8 pts worse	11.4% 3.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.1% · Q2 25.9% · Q3 12.0% · Q4 11.5% · 4Q avg 15.2%
Percentage of long-stay residents who lose too much weight	7.7%	5.5% 2.2 pts worse	5.4% 2.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 14.3% · Q3 8.0% · Q4 3.8% · 4Q avg 7.7%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	23.1%	17.4% 5.7 pts worse	19.6% 3.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.0% · Q2 21.4% · Q3 28.0% · Q4 23.1% · 4Q avg 23.1%
Percentage of long-stay residents who received an antipsychotic medication	26.4%	23.4% 3 pts worse	16.7% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 26.1% · Q3 28.6% · Q4 23.8% · 4Q avg 26.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.2% 0.2 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	10.0%	19.0% 9 pts better	16.3% 6.3 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 10.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	19.3%	20.1% 0.8 pts better	14.9% 4.4 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 16.0% · Q3 14.3% · Q4 20.0% · 4Q avg 19.3% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.0%	1.8% 1.8 pts better	1.0% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	8.4%	3.1% 5.3 pts worse	1.7% 6.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 10.3% · Q3 8.0% · Q4 0.0% · 4Q avg 8.4% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	21.3%	25.2% 3.9 pts better	19.8% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.4% · Q2 27.0% · Q3 16.9% · Q4 16.1% · 4Q avg 21.3%
Percentage of long-stay residents with pressure ulcers	3.7%	5.3% 1.6 pts better	5.1% 1.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 6.8% · Q3 4.4% · Q4 0.0% · 4Q avg 3.7% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	93.6% 6.4 pts better	81.7% 18.3 pts better	Short Stay · 2024Q4-2025Q3 · 4Q avg 100.0%

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-12 · Fire 2025-03-12

0 health deficiencies

No concentrated health issue counts in this cycle.

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-01-25 · Fire 2024-01-25

5 health deficiencies

Top issue: Administration (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2023-02-01 · Fire 2023-02-01

3 health deficiencies

Top issue: Infection Control (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-12

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-03-25

Inspection history

Recent health citations

G · Actual harm 2024-01-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-02-16

D · Potential for more than minimal harm 2024-01-25

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-05-11

D · Potential for more than minimal harm 2024-01-25

F761 · Pharmacy Service Deficiencies

Health

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.

Corrected 2024-01-26

D · Potential for more than minimal harm 2024-01-25

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2024-01-26

D · Potential for more than minimal harm 2024-01-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-02-16

D · Potential for more than minimal harm 2023-02-01

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2023-02-24

D · Potential for more than minimal harm 2023-02-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2022-06-16

D · Potential for more than minimal harm 2023-02-01

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-02-24

Penalties and ownership

What sits behind the stars

Ownership

Carpenter, Kathleen

Corporate Director · Individual

0% 1 facilities 2024-11-01

Fraser, Debra

Operational/Managerial Control · Individual

0% 1 facilities 2016-09-01

Fraser, Debra