Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 345409

Pembroke Center

43 federal citations on record , including 3 at the Immediate Jeopardy level, and 6 federal enforcement actions totaling $79,765.

Abuse Icon 3 Immediate Jeopardy

Record summary

Federal record · Q1 2026
43
Total citations
43
Last 3 years
8
Actual harm+
6
Federal penalties
$79,765
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care12 Medication & Pharmacy9 Abuse & Neglect5 Administration5 Resident Rights5

Most common F-tags at this facility

F6005 F6894 F6843 F8673 F7602

Citation history

43 on record
SurveyF-TagViolationSeveritySource
Jan 20, 2026F760Ensure that residents are free from significant medication errors.DComplaint
Nov 21, 2025F761Ensure 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.EComplaint
Nov 21, 2025F760Ensure that residents are free from significant medication errors.DComplaint
Nov 21, 2025F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DComplaint
Nov 21, 2025F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.EComplaint
Nov 21, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 21, 2025F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Nov 21, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Nov 21, 2025F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Nov 21, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Nov 21, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 21, 2025F585Honor 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.DComplaint
Nov 21, 2025F880Provide and implement an infection prevention and control program.EStandard
Nov 21, 2025F730Observe each nurse aide's job performance and give regular training.DStandard
Nov 21, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Nov 21, 2025F638Assure that each resident’s assessment is updated at least once every 3 months.DStandard
Nov 21, 2025F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DStandard
Nov 21, 2025F558Reasonably accommodate the needs and preferences of each resident.DStandard
Jun 5, 2025F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DComplaint
Jun 5, 2025F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GComplaint
Nov 20, 2024F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.BComplaint
Nov 20, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Nov 20, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.EComplaint
Nov 20, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Nov 20, 2024F849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.DStandard
Nov 20, 2024F757Ensure each resident’s drug regimen must be free from unnecessary drugs.EStandard
Nov 20, 2024F756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DStandard
Nov 20, 2024F727Have 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.DStandard
Nov 20, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.DStandard
May 31, 2024F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JComplaint
Nov 16, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.EComplaint
Nov 16, 2023F761Ensure 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.EStandard
Nov 16, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.EStandard
Nov 16, 2023F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DComplaint
Nov 16, 2023F697Provide safe, appropriate pain management for a resident who requires such services.EComplaint
Sep 7, 2023F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DComplaint
Jul 20, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.GComplaint
Jul 20, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Jul 20, 2023F583Keep residents' personal and medical records private and confidential.DComplaint
Jun 29, 2023F867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.GComplaint
Jun 29, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
May 31, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
May 31, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.JComplaint

Federal enforcement history

Federal regulators have imposed 6 enforcement actions against this facility, including 5 civil money penalties totaling $79,765 and 1 payment-denial actions spanning 58 days.

DateTypeFinePayment denial
Jun 5, 2025Fine$10,868—
May 31, 2024Fine$16,136—
May 31, 2023Fine$7,634—
May 31, 2023Fine$7,634—
May 31, 2023Fine$37,493—
May 31, 2023Payment Denial—Jun 20, 2023 · 58 days
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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