Pembilier Nursing Center
500 Delano Ave, Walhalla ND 58282 · (701) 549-3831 · 96.21% estimated occupancy 1Updated: Aug 1, 2020 · By Nick Reese
Pembilier Nursing Center is a small non-profit facility in Walhalla, North Dakota. It looks like this nursing home is among the more impressive nursing homes we looked at. A grade in this range requires very strong marks across the board. In fact, we ranked this nursing home in the top third of all facilities in the nation. The best part of this facility's report card is is its long-term care rating. Long-term care grades are discussed in the next section.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 37 Beds
CCRC :
Non profit - Corporation
Resident Council:
Family Council:
Medical Staff Hours Per Patient (2019)
Long-term Care Quality
One of the many reasons this turned out to be a great nursing home is that it received an A+ long-term care grade. This is simply as good as it gets in this category. Nursing homes that do well in this category typically are well-staffed and offer extensive hands on care to residents. One of the criteria we considered on top of nursing hours was vaccines. This nursing home administered the pneumonia vaccination to 100 percent of its residents. This is a proven method to minimize unnecessary deaths and hospitalizations for the aged 65 and up population. This nursing home also excelled at keeping its patients out of the hospital. In fact, it had just 1.44 hospitalizations per 1,000 long-term resident days.
Facility Inspections
This facility also received an A+ inspection score, making it one of the few places to receive multiple A+'s in our category grades. This grade is based on the facility's recent inspection reports. An A+ in this category is one of the biggest complements we can pay to a nursing home. Arguably the most critical factor we look at in calculating our inspection grades is deficiencies. These deficiencies can be found on a facility's inspection reports. Places with better grades in this area most likely avoided the more severe deficiencies involving patient abuse or death. This particular nursing home had just a single deficiency on its inspection report and it was not one deemed to pose a threat to patient health or safety. Finally, this facility had no substantiated complaints this year from residents, which is an excellent sign.
Nurse Quality
This nursing home also received a strong nursing score. In fact, we awarded it an above average grade of B in this area. Our nursing score is based on many subcategories. The most important variable is the amount of time nurses spend with patients. This nursing home averages 3.6 hours of nursing care per resident per day. Lastly, we also looked at certain nursing quality-based metrics in computing our nursing grades. These include minimizing residents' pressure ulcers and major falls. We view these statistics as good indicators of the caliber of nursing care offered, since better care tends to reduce these problems.
Short-term Care Quality
Switching gears to the final category, we awarded this facility a grade of D for short-term care. This was the nursing home's worst category score. However, we would not dwell on a single poor category. With our short-term care category, we seek to create a valuable measure for rehabilitation. In this process, we assess the nursing home's levels of skilled nursing services, including both registered nurses and physical therapy, as well as occupational therapy. Unfortunately, this nursing home was below average in terms of its quantity of physical therapy and registered nurse hours provided to its residents based on the measures we assessed. Lastly, we assessed the number of patients that returned home from this facility. This facility didn't fare well here either. In fact, we found that just 24.2 percent of this facility's patients were able to return home. This figure was quite a bit off the national average.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Pembilier Nursing Center Quality Metrics
Minimizes Pressure Ulcers
This is the percentage of residents who have had a pressure ulcer. Pressure ulcers, also known as bed sores, are routinely the result of patients not being moved frequently enough. Better nursing care reduces the percentage of residents in a nursing home who sustain pressure ulcers.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This is the percent of patients who sustained a major fall. Falls leading to severe injuries are routinely linked to poor nursing care. Better nursing care minimizes the percentage of residents in a nursing home who sustain major falls.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This indicates the percentage of patients who sustained a urinary tract infection. These infections may be associated with inadequate hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This is a measure of the percent of long-term patients who are given antipsychotic drugs. Increased usage of these drugs may indicate that a nursing home is using these drugs to subdue residents in situations where such drugs aren't medically indicated. However, some nursing homes need to rely more on these drugs due to having more residents suffering from Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This is the percent of patients prescribed antianxiety drugs. These drugs are generally used to treat patients experiencing anxiety or depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This metric measures the percent of long-term stay patients who are demonstrating depressive symptoms.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This datapoint is a measure of the percentage of long-term stay residents who were vaccinated against pneumonia and flu.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This tells you the percentage of patients that required more assistance with activities of daily living over time. Higher levels of dependence on staff for assistance with activities of daily living may indicate erosion of a patient's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This indicates the percent of patients who remained mobile levels over time. Preserving mobility can be a great sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This metric is a measure of the number of times residents are hospitalized per thousand days of patient care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This metric measures the number of times residents are rehospitalized per thousand days of short-term resident care. Minimizing rehospitalizations during rehabilitation is critical to restoring the physical abilities of patients.
Percentage of Residents Rehospitalized
Lower is Better