The nursing home failed to protect residents from abuse and neglect by others. Cited May 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
Pembroke Center
Pembroke, NC · Medicare-certified · 84 beds
Needs attention
Abuse citationFor-profitChain member
1 of 5 overall
Pembroke Center in Pembroke, NC has an overall rating of 1 out of 5 stars, with 1-star health inspection, staffing, and quality ratings. It also has a recent abuse citation, $42,904 in fines over the last 24 months, and reported nurse staffing of 3.36 hours per resident per day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
3.358 hrs/resident/day
Quality measures
Last inspection: January 20, 2026Penalties, last 24 months: $42,904recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.358.
Staffing detail
- Registered nurses
- 0.56
- Licensed practical nurses
- 0.69
- Nurse aides
- 2.11
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 93%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
8.7%13.7%Worsening
Residents with a fall causing major injury
1.5%2.9%Worsening
Residents with pressure ulcers (bedsores)
6.3%10%Worsening
Residents with a urinary tract infection
4.8%0%Improving
Residents who lost too much weight
14%8.1%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.5%14.3%Improving
Residents whose ability to walk got worse
—21.7%—
Long-stay residents on antianxiety or sleep medication
15%22.2%Worsening
Short-stay residents newly given an antipsychotic
3.6%0%Improving
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
29.9%17.8%Improving
Residents with depressive symptoms
23.3%4.8%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—87.8%—
Long-stay residents given the pneumonia vaccine
80%94.1%Improving
Short-stay residents given the seasonal flu vaccine
—41.8%—
Short-stay residents given the pneumonia vaccine
23.9%31%Improving
What the inspectors found
The home failed to promptly tell the resident, doctor, and family about changes or problems affecting the resident. Cited May 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 580 — 42 CFR §483.10(g)(14) — S/S: J
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited May 2023 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: J
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The home failed to have an ongoing quality review group that finds problems and makes corrective plans. Cited July 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 867 — 42 CFR §483.75 — S/S: G
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $15,900 was recorded.
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,868 was recorded.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $16,136 was recorded.
Penalties & enforcement
On record with Medicare: 6 fines · $95,665 in total fines · 1 payment denial.
- $15,900
Federal fine
Nov 21, 2025
- $10,868
Federal fine
Jun 5, 2025
- $16,136
Federal fine
May 31, 2024
- 58 days
Medicare/Medicaid payment denial
May 31, 2023
- $37,493
Federal fine
May 31, 2023
- $7,634
Federal fine
May 31, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of GENESIS HEALTHCARE · 187 homes · 2.4 stars avg
- Occupancy
- 72.3 residents on an average day (86% of 84 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 34 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.