How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Pembilier Nursing Center
500 Delano Ave, Walhalla, ND 58282 (opens Google Maps) · Pembina County · (701) 549-3831· 31 certified beds · avg 29 residents/day · certified since Jun 1, 1978 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
4/5
Health inspection rating (on-site)
inspected Apr 29, 2026
1
Serious findings on record
most recent Jan 25, 2024
$0
Fines, last 3 years
4.18
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, isolated · Jan 25, 2024 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
▲ Actual harm, isolated · Jan 25, 2024 · F-0684
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Feb 16, 2024 (Deficient, Provider has date of correction)
Inspection findings in the public record
Showing the latest 3 of 9 inspection findings. Open the full record below to read every finding.
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. F-0812
The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. F-0880
The facility did not keep residents' personal and medical information private and confidential. F-0583
View all 9 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Apr 29, 2026 | F · Potential for more than minimal harm, widespread | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812 |
| Apr 29, 2026 | E · Potential for more than minimal harm, pattern | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Apr 29, 2026 | D · Potential for more than minimal harm, isolated | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Apr 29, 2026 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jan 25, 2024 | ▲ G · Actual harm, isolated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · F-0684 |
| Jan 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Jan 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761 |
| Jan 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. · F-0849 |
| Jan 25, 2024 | D · Potential for more than minimal harm, isolated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
Inspection trend by year
All citationsSerious citations (G–L)
2024
All citations: 5
Serious citations (G–L): 1
2026
All citations: 4
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 5 | 1 | G ▲ |
| 2026 | 4 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilityNorth Dakota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 4.18
North Dakota average: 5.15
U.S. average: 3.95
Registered Nurse hours
This facility: 0.74
North Dakota average: 1.09
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.53
North Dakota average: 4.43
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | North Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.18 | 5.15 | 3.95 | bottom 16% in North Dakota; top 33% in the U.S. |
| Registered Nurse hours | 0.74 | 1.09 | 0.69 | bottom 14% in North Dakota; top 32% in the U.S. |
| Weekend total nurse staffing | 3.53 | 4.43 | 3.50 | bottom 13% in North Dakota; top 41% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.55 | 0.59 | 0.48 | top 50% in North Dakota; top 28% in the U.S. |
| Total nursing staff turnover (%) | 46.9 | 48.8 | 45.8 | top 39% in North Dakota; bottom 45% in the U.S. |
| RN turnover (%) | 33.3 | 40.3 | 42.9 | top 41% in North Dakota; top 33% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.77, RN 0.67, weekend 3.19.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.77 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 3/5 · short-stay residents: —/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Pembilier Nursing Center. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Carpenter, Kathleen | Individual | Corporate Director | NOT APPLICABLE | 11/01/2024 |
| Fraser, Debra | Individual | Corporate Officer | NOT APPLICABLE | 09/01/2016 |
| Fraser, Debra | Individual | Operational/Managerial Control | NOT APPLICABLE | 09/01/2016 |
| Fraser, Debra | Individual | ADP of the SNF | NOT APPLICABLE | 02/06/2025 |
| Gehrtz, Lacey | Individual | Corporate Officer | NOT APPLICABLE | 06/28/2023 |
| Jackson, Dean | Individual | Corporate Officer | NOT APPLICABLE | 03/05/2010 |
| Longtin, Phil | Individual | Corporate Officer | NOT APPLICABLE | 03/05/2010 |
| Moe, Linsey | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/19/2021 |
| Mostad, Manford | Individual | Corporate Officer | NOT APPLICABLE | 03/26/2015 |
| Schmidt, Barbara | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2011 |
| Thompson, Susan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Thompson, Susan | Individual | ADP of the SNF | NOT APPLICABLE | 02/07/2025 |
All 12 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "How do you coordinate hospice care, and can residents stay here while receiving it?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the North Dakota midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 47% total nursing staff turnover here — who on the care team has been with you longest?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Wedgewood Manor | 15.8 mi | Cavalier, ND | ★☆☆☆☆ | 1/5 | SFF |
Facility data as of CMS processing date 2026-08-01. CCN 355057.