Starfile

Starfile / North Carolina

Pembroke Center

310 E Wardell Drive, Pembroke, NC 28372 · CCN 345409

Abuse icon

Ratings

Overall
★☆☆☆☆ 1
Health inspection
★☆☆☆☆ 1
Quality measures
★★☆☆☆ 2
Staffing
★☆☆☆☆ 1

Facility

Ownership type
For profit - Corporation
Certified beds
84
Avg residents/day
74.0
Phone
9105211273

Inspection history vs North Carolina & national averages

Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.

CycleInspection dateThis facilityNorth Carolina avgNational avgvs state
12025-11-21205.69.5+14.4 worse
22024-11-20107.29.8+2.8 worse
32023-11-16137.49.3+5.6 worse

Cycle 1 deficiencies by category

CategoryDeficiencies
Abuse, neglect, exploitation2
Quality of life and care5
Resident assessment and care planning2
Nursing and physician services1
Resident rights3
Pharmacy service5
Administration1
Infection control1

Staffing (hours per resident per day)

MetricThis facilityTurnover
Total nurse staffing (reported)3.1168.1%
RN staffing (reported)0.4494.1%
Total nurse staffing (adjusted)2.72

Fines & penalties

Total fines
$79,765
Number of fines
5
Number of penalties
6
Payment denials
1

Chain

Chain
GENESIS HEALTHCARE
Facilities in chain
193
Chain avg overall
2.40 / 5

Inspection citations (43)3 immediate jeopardy5 actual harm

  1. DF0760Ensure that residents are free from significant medication errors.2026-01-20 · Health · corrected 2026-01-27

    Potential for more than minimal harm

  2. DF0558Reasonably accommodate the needs and preferences of each resident.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  3. DF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  4. DF0585Honor 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.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  5. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  6. DF0638Assure that each resident’s assessment is updated at least once every 3 months.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  7. EF0658Ensure services provided by the nursing facility meet professional standards of quality.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  8. DF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  9. DF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  10. DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  11. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2025-11-21 · Health · corrected 2025-09-10

    Potential for more than minimal harm

  12. DF0692Provide enough food/fluids to maintain a resident's health.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  13. DF0730Observe each nurse aide's job performance and give regular training.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  14. EF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  15. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  16. DF0760Ensure that residents are free from significant medication errors.2025-11-21 · Health · corrected 2026-01-27

    Potential for more than minimal harm

  17. EF0761Ensure 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.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  18. EF0880Provide and implement an infection prevention and control program.2025-11-21 · Health · corrected 2026-01-20

    Potential for more than minimal harm

  19. GF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2025-06-05 · Health · corrected 2025-05-28

    Actual harm

  20. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2025-06-05 · Health · corrected 2025-06-07

    Potential for more than minimal harm

  21. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-11-20 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  22. EF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2024-11-20 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  23. DF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-11-20 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  24. DF0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.2024-11-20 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  25. DF0727Have 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.2024-11-20 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  26. DF0756Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.2024-11-20 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  27. EF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2024-11-20 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  28. BF0842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.2024-11-20 · Health · corrected 2024-12-18

    Potential for minimal harm

  29. DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2024-11-20 · Health · corrected 2024-12-18

    Potential for more than minimal harm

  30. JF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2024-05-31 · Health · corrected 2024-05-18

    Immediate jeopardy

  31. EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2023-11-16 · Health · corrected 2023-12-14

    Potential for more than minimal harm

  32. EF0697Provide safe, appropriate pain management for a resident who requires such services.2023-11-16 · Health · corrected 2023-12-14

    Potential for more than minimal harm

  33. DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2023-11-16 · Health · corrected 2023-12-14

    Potential for more than minimal harm

  34. EF0761Ensure 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.2023-11-16 · Health · corrected 2023-12-14

    Potential for more than minimal harm

  35. EF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-11-16 · Health · corrected 2023-12-14

    Potential for more than minimal harm

  36. DF0600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.2023-09-07 · Health · corrected 2023-08-17

    Potential for more than minimal harm

  37. DF0583Keep residents' personal and medical records private and confidential.2023-07-20 · Health · corrected 2023-08-17

    Potential for more than minimal harm

  38. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-07-20 · Health · corrected 2023-08-17

    Actual harm

  39. GF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-07-20 · Health · corrected 2023-08-17

    Actual harm

  40. GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2023-06-29 · Health · corrected 2023-08-17

    Actual harm

  41. GF0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.2023-06-29 · Health · corrected 2023-08-17

    Actual harm

  42. JF0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.2023-05-31 · Health · corrected 2023-06-29

    Immediate jeopardy

  43. JF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.2023-05-31 · Health · corrected 2023-06-29

    Immediate jeopardy

Ownership

OwnerTypeRolePercentSince
SUNBRIDGE HEALTHCARE LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST100%2009-02-01
FC GEN OPERATIONS INVESTMENT LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2012-12-01
GEN OPERATIONS I LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2012-12-01
GEN OPERATIONS II LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2012-12-01
GENESIS HEALTHCARE INCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
GENESIS HEALTHCARE LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2012-12-01
GENESIS HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2015-02-02
HCCF MANAGEMENT GROUP XI LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-12-01
SUN HEALTHCARE GROUP, INC.Organization5% OR GREATER INDIRECT OWNERSHIP INTEREST2020-02-01
WELLTOWER OP LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2025-02-01
ZAC PROPERTIES XI LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST2022-12-01
FISHMAN, STEVENIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-12-01
WHITMAN, ARNOLDIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST2024-12-01
GENESIS ADMINISTRATIVE SERVICES LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-01-01
POWERBACK REHABILITATION LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL2019-01-01
PARHAM, SYREETAIndividualOPERATIONAL/MANAGERIAL CONTROL2024-01-01
SEDER, JEFFREYIndividualOPERATIONAL/MANAGERIAL CONTROL2024-01-01
BERG, MICHAELIndividualCORPORATE OFFICER2012-12-01
BRIDGEFORD, LAURAIndividualCORPORATE OFFICER2024-01-01
MENDELSON, AVIIndividualCORPORATE OFFICER2024-01-01

Other facilities in Pembroke

NameOverallBeds

Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.