The nursing home failed to protect residents from abuse and neglect by others. Cited May 2024 — isolated incident, immediate jeopardy to residents.
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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
Data as of July 1, 2026
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 reports 3.37 nurse staffing hours per resident per day versus the 4.1 federal benchmark, has $21,203 in fines over the last 24 months, and has a recent abuse citation.
Facility ratings
Health inspections
Staffing
3.373 hrs/resident/day
Quality measures
Last inspection: May 21, 2026Penalties, last 24 months: $21,203recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.373.
Staffing detail
- Registered nurses
- 0.50
- Licensed practical nurses
- 0.83
- Nurse aides
- 2.04
- Weekend nursing
- 3.05
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 80%
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
11.3%13.3%Worsening
Residents with a fall causing major injury
1.5%1.8%No change
Residents with pressure ulcers (bedsores)
5.6%11.2%Worsening
Residents with a urinary tract infection
4.6%5.3%Worsening
Residents who lost too much weight
15.3%13.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
15.4%13.6%Improving
Residents whose ability to walk got worse
—20.9%—
Long-stay residents on antianxiety or sleep medication
12.9%17%Worsening
Short-stay residents newly given an antipsychotic
2.3%2%No change
Residents with a long-term catheter
1.5%2%Worsening
Residents with new or worsening incontinence
28.4%19.2%Improving
Residents with depressive symptoms
17.2%34%Worsening
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
75%96.5%Improving
Short-stay residents given the seasonal flu vaccine
—41.8%—
Short-stay residents given the pneumonia vaccine
19.2%23.2%Improving
What the inspectors found
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.
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F-Tag 867 — 42 CFR §483.75 — S/S: G
The nursing home failed to provide services that met professional standards of quality. Cited November 2025 — limited pattern, potential for harm.
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F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: E
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited November 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- 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 $10,335 was recorded.
- 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: 3 fines · $37,339 in total fines.
- $10,335
Federal fine
Nov 21, 2025
- $10,868
Federal fine
Jun 5, 2025
- $16,136
Federal fine
May 31, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of GENESIS HEALTHCARE · 185 homes · 2.4 stars avg
- Occupancy
- 67.6 residents on an average day (80% 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.