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B
Good

PEMBILIER NURSING CENTER

500 DELANO AVE · WALHALLA, ND 58282

7015493831 · Non profit - Corporation

31 beds28.6 residents48 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
B
Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

PEMBILIER NURSING CENTER receives an overall staffing grade of B (Good). With 3.6955 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.7069 HPRD, below the recommended 0.75. It is 0.20 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 16.15% compared to weekdays. The facility relies heavily on temporary agency staff (36.92% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (2)

⚠️RN staffing (0.7069 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️36.92% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (2)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.6955hrs/resident/day▼ 0.20
CMS benchmark: 3.48
RN HPRD
0.7069hrs/resident/day▲ 0.02
Recommended: 0.75
Weekend Drop-off
16.15%
3.8722 weekday → 3.2468 weekend
Agency Staff
36.92%
7.54% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.6051hrs/resident/day
Direct care aides
LPN HPRD
0.3834hrs/resident/day
Licensed practical nurses
Consistency
0.4471std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Pembina County Average-0.19 HPRD
3.88
03.70 HPRD
vs. North Dakota State Average-0.73 HPRD
4.43
03.70 HPRD
vs. National Average-0.20 HPRD
3.90
03.70 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
PEMBILIER NURSING CENTER ★
WALHALLA · This facility
—
B
3.69550.7069★★★★★
WEDGEWOOD MANOR
CAVALIER
15.8 mi
B
4.07370.966★★☆☆☆
Maple Manor Care Center
LANGDON
23.5 mi
B
3.68920.8407★☆☆☆☆
GOOD SAMARITAN SOCIETY - PARK RIVER
PARK RIVER
39.1 mi
C
3.26690.8023★★☆☆☆
LUTHERAN SUNSET HOME
GRAFTON
41.8 mi
B
4.32570.652★★★★☆
Good Samaritan Society - Lakota
LAKOTA
63.3 mi
B
3.59690.9984★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
8
Total Deficiencies
$0
Fines Assessed
Jan 25, 2024Health
5 deficiencies cited· Includes actual harm
▼
Feb 1, 2023Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.