The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited January 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
PEMBILIER NURSING CENTER
WALHALLA, ND · Medicare-certified · 31 beds
In good standing
Non-profit
5 of 5 overall
PEMBILIER NURSING CENTER in Walhalla, ND has an overall 5 of 5 stars, with 5-star health inspections and 4-star staffing and quality ratings. It reported 3.67 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $0 in fines over the last 24 months, and its recent inspection cited issues in treatment/care, notification, and medication labeling/storage.
Facility ratings
Health inspections
Staffing
3.6709 hrs/resident/day
Quality measures
Last inspection: March 12, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6709.
Staffing detail
- Registered nurses
- 0.69
- Licensed practical nurses
- 0.39
- Nurse aides
- 2.59
- Weekend nursing
- 3.22
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 20%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
27.3%20.8%Improving
Residents with a fall causing major injury
0%3.7%Worsening
Residents with pressure ulcers (bedsores)
6.8%0%Improving
Residents with a urinary tract infection
10.3%3.7%Improving
Residents who lost too much weight
14.3%3.7%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16%18.2%Worsening
Residents whose ability to walk got worse
—7.2%—
Long-stay residents on antianxiety or sleep medication
21.4%22.2%Worsening
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
27%11.5%Improving
Residents with depressive symptoms
25.9%11.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—100%—
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited January 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: D
The home failed to properly label and securely store medications and biologicals. Cited January 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: D
The home failed to arrange hospice services or help the resident transfer to a place that would provide hospice care. Cited January 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 849 — 42 CFR §483.70 — S/S: D
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited January 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 29.5 residents on an average day (95% of 31 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 48 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.