The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
PRINCE OF PEACE CARE CENTER
ELLENDALE, ND · Medicare-certified · 55 beds
In good standing
Non-profitChain member
5 of 5 overall
Prince of Peace Care Center in Ellendale, ND has an overall 5-star rating, with 4 stars for health inspections and staffing and 5 stars for quality measures. It has no fines in the last 24 months, but reported nurse staffing is below the federal benchmark (3.53 vs. 4.1 hours per resident per day), and recent inspection citations included accident hazards/supervision and medication errors.
Facility ratings
Health inspections
Staffing
3.5262 hrs/resident/day
Quality measures
Last inspection: December 22, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5262.
Staffing detail
- Registered nurses
- 0.82
- Licensed practical nurses
- 0.24
- Nurse aides
- 2.46
- Weekend nursing
- 3.07
Hours per resident per day.
Total staff turnover: 79%
Registered nurse turnover: 46%
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
41.7%37.5%Improving
Residents with a fall causing major injury
0%0%No change
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
2.1%0%Improving
Residents who lost too much weight
0%2.3%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
34.1%7.5%Improving
Residents whose ability to walk got worse
21.7%6.9%Improving
Long-stay residents on antianxiety or sleep medication
37.8%35.6%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
16.8%5.7%Improving
Residents with depressive symptoms
0%0%No change
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 nursing home failed to keep medication mistakes below the allowed level. Cited November 2022 — isolated incident, potential for harm.
View the original federal record
F-Tag 759 — 42 CFR §483.45(f)(1) — 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 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Corporation
- Chain
- Part of BENEDICTINE HEALTH SYSTEM · 23 homes · 3.1 stars avg
- Occupancy
- 51.9 residents on an average day (94% of 55 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.