North Dakota › Pembina County › Walhalla
Pembilier Nursing Center
500 Delano Ave, Walhalla, ND 58282
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 31 beds, Pembilier Nursing Center serves Walhalla in Pembina County, North Dakota and has taken Medicare and Medicaid residents since 1978.
CMS gives it 4 of 5 stars overall, above the North Dakota median of 3; the health inspection rating is 4, staffing 4 and quality measures 3.
Inspectors recorded 9 health deficiencies across the three most recent survey cycles (4, 0, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 29.0 per 100 beds, about the same as the state median of 27.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.7 RN), close to the North Dakota median of 4.4; nursing staff turnover is 46.9%.
Compared with county, state and nation
| Measure | This facility | Pembina Co. median | North Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 9 | 12 | 13 | 28.7 |
| Citations per 100 beds | 29.0 | 36.4 | 27.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.0 | 4.4 | 3.9 |
| RN hours per resident day | 0.7 | 0.9 | 0.9 | 0.7 |
| Nursing staff turnover | 46.9% | 53.5% | 50.0% | 45.8% |
| Fines listed | $0 | $54,925 | $9,030 | — |
County and state figures are medians across facilities (2 in the county, 72 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 29 Apr 2026, 12 Mar 2025.
Severity mix: G ×1 D ×6 E ×1 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 29 Apr 2026 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 29 May 2026 |
| 29 Apr 2026 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 29 May 2026 |
| 29 Apr 2026 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 29 May 2026 |
| 29 Apr 2026 | F0761 | 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 | Standard survey | 29 May 2026 |
| 25 Jan 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Standard survey | 16 Feb 2024 |
| 25 Jan 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard survey | 11 May 2023 |
| 25 Jan 2024 | F0761 | 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 | Standard survey | 26 Jan 2024 |
| 25 Jan 2024 | F0849 | 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. | D | Standard survey | 26 Jan 2024 |
| 25 Jan 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 16 Feb 2024 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Dakota average. Turnover: nursing staff 46.9%, RNs 33.3%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.4% | 19.8% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.0% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.7% | 2.6% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.7% | 4.7% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 10.9% | 16.1% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 2.0% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 22.0% | 21.0% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: non-profit, corporation. Legal business name: Walhalla Community Hospital Association.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Pembina County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Wedgewood ManorSFF Candidate | Cavalier | 33 | 1 | 1 | 4 | 12 | 36.4 | $55K | 4 Jun 2025 |
All 2 facilities in Pembina County
Questions and answers
How many deficiencies has Pembilier Nursing Center been cited for?
9 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The North Dakota median is 13 per facility.
Has Pembilier Nursing Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Pembilier Nursing Center compare?
Reported total nurse staffing is 3.8 hours per resident per day against a North Dakota median of 4.4 and a national average of 3.9.
Who operates Pembilier Nursing Center?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Pembilier Nursing Center last inspected?
The most recent survey or investigation in the CMS record is dated 29 Apr 2026; the most recent standard health survey was 29 Apr 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.