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Pembroke Center: 11 Deficiencies, No Corrections - NC

Healthcare Facility
Pembroke Center
Pembroke, NC  ·  1/5 stars

Federal inspectors cited the facility following a complaint inspection completed November 21, 2025. The violation, tagged F0658, affected some residents, according to the inspection report. CMS rated the level of harm as minimal or potential for actual harm.

The facility's own physician, interviewed by inspectors on November 17 at 1:10 in the afternoon, said there would be no adverse effects from the expired medications the residents had already received. But the physician was direct about the underlying problem: nursing staff needed to follow proper procedures and make sure expired medications never made it onto the carts in the first place.

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The reason wasn't just paperwork. The inspection report notes that expired medications carry contamination risk because of their short shelf life. The physician's reassurance about this particular incident came with no guarantee the outcome would be the same next time.

The violation fell under a federal standard requiring nursing homes to provide services that meet professional standards of quality. Inspectors found Pembroke Center had not met that standard.

The facility has 27 pages of deficiency findings from this inspection. Pembroke Center is located at 310 East Wardell Drive in Pembroke, North Carolina. For information on the facility's plan to correct the expired medication violation, CMS directs the public to contact the nursing home or the North Carolina state survey agency directly.

What the physician's interview made plain is that the medications were expired, they were on the carts, and residents received them. The question of how long that had been happening before inspectors arrived is not answered in the report.

Full Inspection Report

The details above represent a summary of key findings. View the complete inspection report for Pembroke Center from 2025-11-21 including all violations, facility responses, and corrective action plans.

Additional Resources


Editorial Standards

Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).

Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.

Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.

Last verified: August 4, 2026  ·  Our methodology

Quick Answer

Pembroke Center in Pembroke, NC was cited for violations during a health inspection on November 21, 2025.

Federal inspectors cited the facility following a complaint inspection completed November 21, 2025.

Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.

Frequently Asked Questions

What happened at Pembroke Center?
Federal inspectors cited the facility following a complaint inspection completed November 21, 2025.
How serious are these violations?
Violation severity varies from minor documentation issues to serious safety concerns. Review the inspection report for specific deficiency codes and scope. All violations must be corrected within required timeframes and are subject to follow-up verification inspections.
What should families do?
Families should: (1) Ask facility administration about specific corrective actions taken, (2) Request to see the follow-up inspection report verifying corrections, (3) Check if this represents a pattern by reviewing prior inspection reports, (4) Compare this facility's ratings with other nursing homes in Pembroke, NC, (5) Report any new concerns directly to state authorities.
Where can I see the full inspection report?
The complete inspection report is available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request a copy directly from Pembroke Center or from the state Department of Health. The report includes specific deficiency codes, facility responses, and correction timelines. This facility's federal provider number is 345409.
Has this facility had violations before?
To check Pembroke Center's history, visit Medicare.gov's Care Compare and review their inspection history, quality ratings, and staffing levels. Look for patterns of repeated violations, especially in critical areas like abuse prevention, medication management, infection control, and resident safety.


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