All citations for Pembroke Center

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Pembroke Center

Last standard health inspection on record

November 21, 2025

Showing 26 to 46 of 46 citations

  1. No harm, with potential for more than minimal harm

    Provide enough food/fluids to maintain a resident's health.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

  2. No harm, with potential for more than minimal harm

    Observe each nurse aide's job performance and give regular training.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0730, Nursing and Physician Services Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

  3. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 21, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 20, 2026).

  4. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of November 21, 2025. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 27, 2026).

  5. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2026).

  6. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 15, 2026).

  7. No harm, with potential for more than minimal harm

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of November 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 10, 2026).

  8. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0849, Administration Deficiencies. Inspection of June 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 7, 2025).

  9. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 20, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  10. No harm, with potential for more than minimal harm

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 20, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  11. No harm, with potential for more than minimal harm

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  12. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  13. No harm, with potential for more than minimal harm

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  14. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0849, Administration Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

  15. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2025).

  16. No harm, with potential for more than minimal harm

    Install corridor and hallway doors that block smoke.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2025).

  17. No harm, with potential for more than minimal harm

    Have proper medical gas storage and administration areas.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of November 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2025).

  18. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of November 16, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  19. No harm, with potential for more than minimal harm

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Isolated (one or a few residents). CMS level D.

    Fire safety citation K-0521, Services Deficiencies. Inspection of November 16, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (February 2, 2024).

  20. No harm, with potential for more than minimal harm

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of September 7, 2023. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (August 17, 2023).

  21. No harm, with potential for minimal harm

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of November 20, 2024. Found during a standard inspection and a complaint inspection.

    The home has a plan to correct it (December 18, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.