Pembroke Center
310 E Wardell Drive · Pembroke, NC · 28372 · 9105211273
84 certified beds For profit - Corporation Chain: Genesis Healthcare Part of a CCRC
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $26,768 in fines in the last 24 months.
- 5 citations involved actual harm to residents.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
68% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.36 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.56 | 0.55–0.75 |
| Weekend hours / resident-day | 3.05 | ≈ weekday level |
| Nursing turnover / year | 68% | median 45% |
| Fines (3-yr window) | 3 · $42,904 |
Inspection citations (41 in the current record)
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Potential for harm · D January 20, 2026 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 27, 2026 · Pharmacy Service
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Potential for harm · D November 21, 2025
Reasonably accommodate the needs and preferences of each resident.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · D November 21, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · D November 21, 2025
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025
Provide enough food/fluids to maintain a resident's health.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025
Observe each nurse aide's job performance and give regular training.
Corrected January 20, 2026 · Nursing and Physician Services
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Potential for harm · E November 21, 2025
Provide and implement an infection prevention and control program.
Corrected January 20, 2026 · Infection Control
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Potential for harm · D November 21, 2025 · found via complaint
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.
Corrected January 20, 2026 · Resident Rights
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Potential for harm · D November 21, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 20, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E November 21, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected January 20, 2026 · Resident Assessment and Care Planning
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Potential for harm · D November 21, 2025 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 20, 2026 · Quality of Life and Care
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Potential for harm · D November 21, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 10, 2025 · Quality of Life and Care
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Potential for harm · E November 21, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected January 20, 2026 · Pharmacy Service
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Potential for harm · D November 21, 2025 · found via complaint
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected January 20, 2026 · Pharmacy Service
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Potential for harm · D November 21, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected January 27, 2026 · Pharmacy Service
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Potential for harm · E November 21, 2025 · found via complaint
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.
Corrected January 20, 2026 · Pharmacy Service
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Actual harm · G June 5, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 28, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 5, 2025 · found via complaint
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected June 7, 2025 · Administration
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Potential for harm · D November 20, 2024
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected December 18, 2024 · Nursing and Physician Services
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Potential for harm · D November 20, 2024
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected December 18, 2024 · Nursing and Physician Services
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Potential for harm · D November 20, 2024
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Corrected December 18, 2024 · Pharmacy Service
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Potential for harm · E November 20, 2024
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Corrected December 18, 2024 · Pharmacy Service
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Potential for harm · D November 20, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected December 18, 2024 · Administration
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 21, 2025 | Fine | $15,900 |
| June 5, 2025 | Fine | $10,868 |
| May 31, 2024 | Fine | $16,136 |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 345409 · certified since January 7, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.