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Complaint Investigation

Pembroke Center

Inspection Date: November 21, 2025
Total Violations 11
Facility ID 345409
Location Pembroke, NC
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Inspection Findings

F-Tag F0585

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0585 during a complaint investigation conducted on 2025-11-21.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0600 during a complaint investigation conducted on 2025-11-21.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0658 during a complaint investigation conducted on 2025-11-21.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0677

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0677 during a complaint investigation conducted on 2025-11-21.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0684 during a complaint investigation conducted on 2025-11-21.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0686 during a complaint investigation conducted on 2025-11-21.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-11-21.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Past Non-Compliance.

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F-Tag F0755

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0755 during a complaint investigation conducted on 2025-11-21.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0756

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0756 during a complaint investigation conducted on 2025-11-21.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0760

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0760 during a complaint investigation conducted on 2025-11-21.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Deficient, Provider has no plan of correction.

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F-Tag F0761

Pharmacy Service Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited Pembroke Center in Pembroke, NC for a deficiency under regulatory tag F-F0761 during a complaint investigation conducted on 2025-11-21.

Category: Pharmacy Service Deficiencies

The facility was found deficient in the following area: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 11 deficiencies cited during this inspection of Pembroke Center.

Correction Status: Deficient, Provider has no plan of correction.

πŸ“‹ Inspection Summary

Pembroke Center in Pembroke, NC inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in Pembroke, NC, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Pembroke Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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