Pembilier Nursing Center

    500 Delano Ave, Walhalla, ND 58282
    • Assisted Living
    • Memory Care
    • Skilled Nursing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

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    Medicare Ratings

    5·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Pembilier Nursing Center

    Pembilier Nursing Center is located at 500 Delano Ave, Walhalla, ND, 58282.

    About Pembilier Nursing Center

    Pembilier Nursing Center sits in a quiet rural area and has a 37-bed skilled care facility where nurses and staff work together to give care that matches each person's needs, and they've got this friendly, calm feeling around the place, and there always seems to be some fresh air and green views out the window, plus outside spaces where people can get a little sun or do activities if they'd like. The nurses here provide skilled nursing, and there are individualized care plans covering things like wound care, IV therapy, catheter care, dialysis support off-site, colostomy and ileostomy care, and specialized programs for pain management, diabetic management, medication help, bowel and bladder programs, and there's always a nurse nearby for anyone who needs more support or is dealing with memory concerns like dementia, and they've got hospice for those in end-of-life care. There's a specific focus on rehabilitation too, with a big connection to Langdon Prairie Health so people who need physical, occupational, speech, or respiratory therapy can get those services right in-house, including therapy for walking, range of movement, strength, daily living tasks, positioning, skin care, bowel and bladder training, contracture management, and extra help with activities people want to keep doing, and for those who need restorative care after illness or surgery, there's always a plan built just for them, with a team approach that includes a Medical Director, Director of Nursing, MDS Coordinator, therapists, dietitian, and even a Life Enrichment Director for activities and social engagement. The kitchen staff, with help from an on-site registered dietitian and Dietary Supervisor, prepares meals and extra supplements based on what the doctor says, working with any special diets folks might have, and there's always someone to help if eating or nutrition becomes harder. They've got audiology services if hearing checks are needed and carry out lab tests and x-rays at the facility, which is handy so residents don't have to travel far. Along with basic medical and nursing care, they offer transportation to appointments, laboratory services, and respite care for short-term stays, and social services are there to help families and residents adjust and find resources. Pembilier Nursing Center doubles as a site for nurse training, offering in-house courses and CNA programs, so there are always well-trained hands on deck, and the staff is rounded out by business, maintenance, medical records, and social services directors who see to the smooth running of things. For those who prefer independent living, there's North Border Estates, a 16-unit community next door, where people get their own space and a sense of privacy but still have easy access to help and social activities if they want them. The facility has kept up with modern updates, so rooms are generally cozy and comfortable, and the focus remains on helping each resident be as independent and comfortable as possible, with the kind of quiet, steady support that helps folks feel at home, regardless of the level of care they need.

    People often ask...

    Pembilier Nursing Center offers assisted living, memory care, and skilled nursing.

    The full address for this community is 500 Delano Ave, Walhalla, ND 58282.

    No, Pembilier Nursing Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Safety & Compliance

    In North Dakota, Health & Human Services' Health Facilities unit licenses care facilities and publishes the health and life-safety deficiencies found during inspections.

    License numberBC-pembilier-nursing-center-walhalla
    Facility typeBasic Care Facility

    Inspection Reports

    31

    Reports

    54

    Citations

    0

    Complaints

    16

    Years

    11 May 2026Life Safety
    Identified a deficiency for not conducting required fire drills; records showed no first-shift drill conducted in the second quarter.
    • NFPA 101 19.7.1.4-19.7.1.7Fire Drills
    24 Mar 2025Life Safety
    Identified a deficiency in the fire sprinkler system maintenance due to an outdated gauge not calibrated or replaced within the required interval.
    • NFPA 25, 5.3.2.1; NFPA 25, 5.3.2.2; NFPA 25, 4.1.4.1; NFPA 25, 9.7.5/9.7.7/9.7.8; NFPA 25, 4.6.12; NFPA 25, 19.7.6Sprinkler System Maintenance and Testing
    12 Mar 2025Inspection
    Found no deficiencies. The survey showed compliance with applicable regulations.
    06 Feb 2024Life Safety
    Identified no deficiencies related to emergency preparedness or life safety code compliance.
    25 Jan 2024Inspection
    Investigated deficiencies found in care and infection prevention, including failure to notify physicians/representatives of changes, hospice documentation gaps, improper medication storage, and hand hygiene lapses during perineal care.
    • §483.10(g)(14)Notification of Changes
    • §483.25Quality of Care
    • §483.45(g)(h)(1)(2)Label/Store Drugs and Biologicals
    • §483.70(o)(4)Hospice Services
    • §483.80Infection Prevention & Control
    01 Feb 2023Inspection
    Found deficiencies in MDS accuracy, lift transfer safety, and infection control during aerosol-generating procedures.
    • CFR 483.20(g)Accuracy of Assessments
    • CFR 483.25(d)(1)(2)Accidents
    • CFR 483.80(a)(1)-(2)(4)(e)(f)Infection Prevention & Control
    31 Jan 2023Life Safety
    Found no deficiencies cited and confirmed compliance with emergency preparedness requirements.
    30 Sept 2021Inspection
    Observed deficiencies in care planning, resident safety, nutrition, and infection control across multiple residents.
    • CFR(s): 483.21(b)(3)(i) §483.21(b)(3)Comprehensive Care Plans
    • CFR(s): 483.25(d)(1)(2)Free of Accident Hazards/Supervision/Devices
    • CFR(s): 483.60(d)(3)Food in Form to Meet Individual Needs
    • CFR(s): 483.80(a)(1)(2)(4)(e)(f)Infection Prevention & Control
    27 Sept 2021Life Safety
    Found deficiencies in fire safety planning and fire drills, including missing emergency phone call procedures and lack of emergency call simulations during drills.
    • NFPA 101 Evacuation and Relocation Plan; 19.7.2.2Fire safety plan deficiency
    • NFPA 101 Fire Drills; 19.7.1.4-19.7.1.7Fire drills did not simulate emergency call to fire department
    04 Nov 2020Inspection
    Found no deficiencies during a COVID-19 focused infection control review, although there were 12 positive residents noted.
    16 Jun 2020Inspection
    Found no deficiencies related to infection control during a focused COVID-19 review; observed one COVID-19 resident.
    17 Mar 2020Inspection
    Found no deficiencies after a COVID-19 focused infection control review.
    17 Dec 2019Inspection
    Found deficiencies related to quality of care and accident prevention, including inadequate bruising assessment/documentation and failure to use wheelchair pedals and to store chemicals safely.
    • CFR 483.25Quality of care
    • CFR 483.25(d)(1)-(2)Accidents
    24 Sept 2019Life Safety
    Found no deficiencies. Observation and records review determined compliance with the applicable Life Safety Code and Health Care Facilities Code.
    28 Nov 2018Inspection
    Identified multiple regulatory deficiencies: failure to complete a significant change in status assessment after decline; inaccuracies in MDS coding; missing PASARR Level I updates after new diagnoses; and inadequate control of narcotics.
    • 483.20(b)(2)(ii)Significant Change in Status (SCSA) not completed
    • 483.20(g)Accuracy of Assessments
    • 483.20(e)(1)(2)Coordination of PASARR and Assessments
    • 483.45Pharmacy Services
    09 Oct 2018Life Safety
    Found no deficiencies. Compliance with the 2012 Life Safety Code and Health Care Facilities Code was confirmed.
    16 Nov 2017Inspection
    Found inadequate supervision and failure to use gait belts during transfers, creating risk of accidents for several residents.
    • 483.25(d)(1)(2)(n)(1)-(3)Free of accident hazards/supervision/devices
    11 Oct 2017Life Safety
    Found deficiencies in the automatic sprinkler system due to improper temperature-rated heads near heaters.
    • NFPA 13, Standard for the Installation of Sprinkler Systems; 8.3.2, Table 8.3.2.5(a)(2)Sprinkler System - Installation
    03 Nov 2016Inspection
    Found deficiencies in providing an ongoing, individualized activity program and in the accuracy of resident assessments, including MDS coding for several residents.
    • 42 CFR 483.15(f)(1)Activities meet interests/needs of each resident
    • 42 CFR 483.20(g)-(j)Assessment accuracy/coordination/certified
    26 Sept 2016Life Safety
    Identified multiple life-safety deficiencies related to obstructed exits, access impairments, and failures in fire drills, fire alarm testing, smoke detector placement, and generator annunciation.
    • NFPA 101 Life Safety Code 7.1.10.1; 7.3.2Exit access not readily accessible
    • NFPA 101 Life Safety Code 18.7.1.2; 19.7.1.2Fire drills not conducted quarterly on each shift
    • NFPA 70; NFPA 72; 9.6.1.4; 9.6.1.7; 19.3.4.1Fire alarm system not tested/maintained as required
    • NFPA 72 2-3.5.1; NFPA 101 Life Safety Code 19.3.4.5.1; 9.6.2.10.1Smoke detectors too close to air diffusers/returns
    • NFPA 99 3-4.1.1.15Generator remote annunciator missing
    09 Dec 2015Inspection
    Found significant deficiencies in environmental cleanliness, assessment accuracy, and safety devices, indicating noncompliance with federal requirements.
    • 483.15(h)(1)Safe/Clean/Comfortable/Homelike Environment
    • 483.20(b)(2)(ii)Comprehensive assessment after significant change
    • 483.20(g)-(j)Assessment accuracy/coordination/certified
    • 483.25(h)Free of accident hazards/supervision/devices
    29 Sept 2015Life Safety
    Identified life-safety deficiencies, including outward-swinging corridor doors with excessive projection and egress locks requiring keypad override, and a missing remote annunciator for the emergency generator.
    • NFPA 101 7.2.1.4.4; NFPA 101 7.2.1.5.1Corridor doors projecting into required width and egress locks with keypad override
    • NFPA 99 3-4.1.1.15Remote annunciator for emergency generator
    23 Oct 2014Inspection
    Found deficiencies in insulin pen priming before administration and in ensuring meals meet residents' nutritional needs.
    • INSULIN ADMINISTRATION PRIMING
    • NUTRITION/DIETARY SERVICES TO MEET RESIDENT NEEDS
    02 Oct 2014Life Safety
    Identified deficiencies in fire safety and electrical systems, including incomplete battery testing for the fire alarm and emergency generator and improper electrical wiring practices.
    • NFPA 101 LIFE SAFETY CODE STANDARDNFPA 101 Life Safety Code Standard
    • NFPA 110, Section A-6-3.6NFPA 110 Emergency and Standby Power Systems
    • NFPA 70 National Electrical CodeNFPA 70 National Electrical Code
    21 Nov 2013Inspection
    Found multiple deficiencies related to continence care, medication management, infection control, and the facility environment. The facility did not meet several regulatory requirements during the survey conducted in November 2013.
    • 483.25(d)NO CATHETER, PREVENT UTI
    • 483.25(h)FREE OF MEDICATION ERROR RATES OF 5% OR MORE
    • 483.65INFECTION CONTROL
    • 483.70(h)SAFE/FUNCTIONAL/SANITARY/COMFORTABLE ENVIRONMENT
    27 Aug 2013Life Safety
    Investigated a deficiency noting that a 90-minute fire-rated door did not latch and the latch had been removed from the frame.
    • NFPA 101 Life Safety Code Standard 19.1.1.4.1, 19.1.1.4.2Life Safety Code – door latching requirements
    24 Oct 2012Inspection
    Investigated oxygen storage safety deficiency; oxygen cylinders were unsecured and improperly stored on the floor and on a rack, creating a potential hazard.
    • NFPA 55 Standard for the Storage, Use, and Handling of Compressed and Liquefied Gases in Portable Cylinders, 1998 Edition (Chapter 6)Oxygen storage safety
    16 Nov 2011Inspection
    Identified a deficiency in bowel elimination care with inadequate interventions for five of nine residents, leading to inconsistent bowel management and potential constipation.
    • Bowel elimination/bowel management
    25 Jul 2011Life Safety
    Identified exit access noncompliance due to alteration of the north hallway exit door to facilitate opening, affecting proper egress.
    • 42 CFR 483.70(a); NFPA 101 Life Safety CodeExit access/egress not maintained
    01 Dec 2010Inspection
    Investigated multiple deficiencies involving residents' dignity, engagement, and safety; observed improper feeding practices, insufficient activity programming, and lapses in infection control and care planning.
    • DIGNITY AND RESPECT OF INDIVIDUALITY
    • ACTIVITIES
    • CARE PLAN
    • INFECTION CONTROL
    27 Jul 2010Life Safety
    Found no deficiencies cited; compliance with NFPA 101 Life Safety Code was confirmed.

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    Mirador Living is not affiliated with the owner or operator(s) of Pembilier Nursing Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Pembilier Nursing Center directly. There is no cost for this service. We are compensated by the community you select.

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