With a score of 1/100, Pembroke Center ranks in the bottom tier of North Carolina nursing facilities, earning an F grade. CMS data highlights significant concerns that prospective residents and families should thoroughly evaluate.
Staffing levels are a potential concern at Pembroke Center, with 3.11 total nursing hours per resident per day — below the national average of 3.8 hours. Lower staffing can impact care quality and staff responsiveness.
Recent CMS inspections identified 43 deficiencies at Pembroke Center, including 3 classified as serious — among the most concerning citation levels. The most notable finding involved: ensure that residents are free from significant medication errors..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.11 | 3.8 | Below Average |
| Registered Nurses (RN) | 0.44 | 0.7 | Below Average |
| Licensed Practical Nurses (LPN) | 0.81 | 0.7 | Above Average |
| Certified Nursing Assistants (CNA) | 1.86 | 2.4 | Below Average |
| Weekend Total Nursing | 2.93 | 3.8 | Below Average |
| Weekend RN Hours | 0.33 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0760 Severity DEnsure that residents are free from significant medication errors.Jan 19, 2026 · Pharmacy Service Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Nov 20, 2025 · Infection Control Deficiencies
- Tag 0658 Severity EEnsure services provided by the nursing facility meet professional standards of quality.Nov 20, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Nov 20, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiNov 20, 2025 · Pharmacy Service Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 6.6% | 4.5% | Worse |
| Falls with major injury | 1.9% | 3.0% | Better |
| On antipsychotic medication | 8.2% | 14.5% | Better |
| Urinary tract infections | 3.5% | 2.5% | Worse |
| ADL decline (daily activities) | 17.4% | 14.0% | Worse |
| Excessive weight loss | 14.2% | 7.5% | Worse |
| New/worsened incontinence | 34.1% | 45.0% | Better |
⚠️ Penalties & Fines
5 penalties recorded by CMS
Total fines: $79,765
How This Grade Was Calculated
This facility's grade of F is based on a score of 1 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 1★ → 8 pts (max 40)
- Health Inspection Rating: 1★ → 5 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
- Penalty deductions: -15 pts
- Fine deductions: -7 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Other Facilities in North Carolina
- CAutumn Care Of BiscoeBiscoe
- A
- ACypress Pointe Rehabilitation CenterWilmington
- ASilas Creek Rehabilitation CenterWinston Salem
- FPERSON MEMORIAL HOSPITALROXBORO