North Dakota Nursing Homes >> Walhalla Nursing Homes >> Pembilier Nursing Center

Pembilier Nursing Center - Walhalla Nursing Home

General Information

UPDATE
Federal Provider Number
355057
Provider Name
PEMBILIER NURSING CENTER
Provider Address
500 DELANO AVE
WALHALLA, ND 58282
Provider Phone Number
7015493831
Provider SSA County
330
Provider County Name
Pembina
Ownership Type
Non profit - Corporation
Number of Certified Beds
30
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PEMBILIER NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
1978-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96000
Reported LPN Staffing Hours per Resident per Day
0.67333
Reported RN Staffing Hours per Resident per Day
0.82167
Reported Licensed Staffing Hours per Resident per Day
1.49500
Reported Total Nurse Staffing Hours per Resident per Day
4.45500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01833
Expected CNA Staffing Hours per Resident per Day
2.39352
Expected LPN Staffing Hours per Resident per Day
0.56173
Expected RN Staffing Hours per Resident per Day
0.77467
Expected Total Nurse Staffing Hours per Resident per Day
3.72992
Adjusted CNA Staffing Hours per Resident per Day
3.03442
Adjusted LPN Staffing Hours per Resident per Day
0.99491
Adjusted RN Staffing Hours per Resident per Day
0.79253
Adjusted Total Nurse Staffing Hours per Resident per Day
4.81449
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Wedgewood Manor

804 Main St W | CAVALIER ND 58220 | 15.8 miles away

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