Home / North Dakota / Walhalla
Pembilier Nursing Center
500 Delano Ave, Walhalla, ND 58282 · Pembina County · (701) 549-3831
31 certified beds, about 29 residents a day · Non profit - Corporation · Medicare and Medicaid since 1978
CMS Care Compare ratings, data as of September 1, 2026 · CCN 355057 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 29, 2026, inspectors cited 4 health deficiencies (the North Dakota average is 5.6, the national average 9.2).
Of 9 health citations since January 2024, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.77 hours per resident per day, against 4.42 across North Dakota and 3.86 nationally. Registered nurses accounted for 0.67 of those hours.
46.9% of nursing staff left within the year CMS measured (North Dakota average 48.8%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 9 health citations on file.
April 29, 2026Standard inspection · 4 citations
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation and staff interview, the facility failed to maintain a sanitary kitchen environment for 1 of 1 facility kitchen. Failure to ensure the sanitizer test strips used to test the concentration of sanitizing solution are not expired has the potential for inadequate sanitization and may result in foodborne illness.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control for 4 of 12 sampled residents (Residents #3, #4, #18, and #20) and 1 supplemental resident (Resident #8) observed during cares. Failure to follow infection control standards for hand hygiene and glove use during cares and while performing procedures has the potential to transmit infections to residents, staff, and visitors.
- D Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to promote privacy and confidentiality of the electronic medication administration record (eMAR) on 1 of 1 medication cart. Failure to promote resident privacy and lock computer screens may result in unauthorized viewing of the residents' private health information records by other residents, visitors, or unlicensed staff.
- D 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.
Inspectors wroteBased on observation, record review, review of manufacturer's guidelines, and staff interview, the facility failed to ensure accurate labeling and storage for 1 of 1 resident (Resident #15) observed for eye drop administration. Failure to properly label and dispose of medications may result in residents receiving an incorrect dose of medication, reduced medication efficacy, and has the potential to cause an eye infection.
March 12, 2025Standard inspection · 0 citations
January 25, 2024Standard inspection · 5 citations
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on record review, review of professional reference, and review of facility policy, the facility failed to provide care and services to maintain the resident's highest level of well-being for 1 of 1 closed record (Resident #83) transferred to the emergency room (ER) for a change in health status. Failure to monitor and assess the resident's condition on a continuing basis resulted in a worsening of symptoms delay in hospitalization, and possible death.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on information from the facility reported incident, record review, review of facility policy, and staff interview, the facility failed to notify the resident's physician and resident's authorized representative of a change in condition for 1 of 1 closed record (Resident #83) who had a positive COVID-19 test. Failure to notify the physician of this change may have prevented the physician from altering the treatment/care provided to the resident and the representative's ability to make informed decisions regarding medical care.
- D 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.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to ensure safe and secure storage of controlled medications for 1 of 1 medication cart. Failure to store medications securely may result in unauthorized access to medications and/or medication errors.
- D 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.
Inspectors wroteBased on record review and staff interview, the facility failed to ensure resident's records contained the certification of a terminal illness for 1 of 1 sampled resident (Resident #27) receiving hospice services. Failure to have these documents in the resident's records limits staff's ability to ensure coordination of care between the facility and hospice.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, review of facility policy, and staff interview, the facility failed to follow standards of infection control for 2 of 8 sampled residents (Resident #9 and #14) observed during perineal cares. Failure to follow infection control standards during perineal cares has the potential to transmit infections to residents, staff, and visitors.
Fire safety inspections
2 fire safety citations on file: 1 on April 29, 2026, 1 on March 12, 2025.
Every fire safety citation2 citations
- D Have simulated fire drills held at unexpected times.
- F Inspect, test, and maintain automatic sprinkler systems.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | North Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.77 | 4.42 | 3.86 |
| Registered nurses | 0.67 | 0.93 | 0.69 |
| All nursing staff on weekends | 3.19 | 3.80 | 3.42 |
| Nurse aides | 2.68 | ||
| Licensed practical nurses | 0.42 | ||
| Nursing staff turnover (share who left in a year) | 46.9% | 48.8% | 45.8% |
| Registered nurse turnover | 33.3% | 40.3% | 42.9% |
| Administrators who left | 0 |
CMS expects 3.46 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.01 on weekdays and 3.19 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 39.2% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.77 in April to June 2025 to 3.77 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.77 | 0.67 | 4.01 | 3.19 | 39.2% | 0 of 90 | 29 |
| Oct to Dec 2025 | 3.67 | 0.68 | 3.85 | 3.22 | 39.4% | 0 of 92 | 30 |
| Jul to Sep 2025 | 3.69 | 0.71 | 3.87 | 3.25 | 36.9% | 0 of 92 | 29 |
| Apr to Jun 2025 | 3.77 | 0.79 | 3.99 | 3.21 | 34.1% | 0 of 91 | 26 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| North Dakota, Jan to Mar 2026 | 4.57 | 0.92 | 4.81 | 3.96 | 11.7% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | North Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 17.4 | 19.8 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 1.6 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.7 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.7 | 5.1 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.9 | 17.6 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.0 | 4.9 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.0 | 22.7 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.4 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.9 | 1.8 |
Owners and operators
Legal business name: WALHALLA COMMUNITY HOSPITAL ASSOCIATION.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Carpenter, Kathleen | Corporate director | Individual | 11/01/2024 | |
| Fraser, Debra | Corporate officer | Individual | 09/01/2016 | |
| Gehrtz, Lacey | Corporate officer | Individual | 06/28/2023 | |
| Jackson, Dean | Corporate officer | Individual | 03/05/2010 | |
| Longtin, Phil | Corporate officer | Individual | 03/05/2010 | |
| Mostad, Manford | Corporate officer | Individual | 03/26/2015 | |
| Schmidt, Barbara | Corporate officer | Individual | 10/01/2011 | |
| Fraser, Debra | Operational/managerial control | Individual | 09/01/2016 | |
| Moe, Linsey | Operational/managerial control | Individual | 04/19/2021 | |
| Thompson, Susan | Operational/managerial control | Individual | 01/01/2025 | |
| Fraser, Debra | Adp of the SNF | Individual | 02/06/2025 | |
| Thompson, Susan | Adp of the SNF | Individual | 02/07/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on April 29, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 2 problems in this area, most recently on April 29, 2026: "Keep residents' personal and medical records private and confidential."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 29, 2026: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on April 29, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 3.19 hours per resident per day, below the North Dakota average of 3.80.
Other nursing homes nearby
- Wedgewood Manor Cavalier, 15.8 mi · 1 of 5 stars · 15 citations
- Maple Manor Care Center Langdon, 23.6 mi · 1 of 5 stars · 24 citations
North Dakota contacts for a concern about a nursing home
These are the official offices in North Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: North Dakota Health and Human Services, Health Facilities Unit, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: North Dakota Long-Term Care Ombudsman Program, (855) 462-5465. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: North Dakota Deficiency Statement Search, where North Dakota publishes its own records on licensed homes.
Common questions
- What is Pembilier Nursing Center's Medicare star rating?
- CMS rates Pembilier Nursing Center 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Pembilier Nursing Center get at its last inspection?
- 4 health deficiencies at the standard inspection on April 29, 2026. The North Dakota average is 5.6.
- Has Pembilier Nursing Center been fined?
- CMS lists no fines in the last three years.
- Does Pembilier Nursing Center accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Pembilier Nursing Center?
- CMS lists 12 owners and managers. Legal business name: WALHALLA COMMUNITY HOSPITAL ASSOCIATION.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.