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Deficiency Records for Pembroke Center
View the most recent health deficiencies and inspection results for Pembroke Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pembroke Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2025-11-21 | 2026-01-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-01-20 | 2026-01-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-11-21 | 2026-01-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-21 | 2026-01-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-11-21 | 2026-01-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-21 | 2026-01-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-11-21 | 2026-01-20 | Y |
| 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. | Health | 2025-11-21 | 2026-01-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-11-21 | 2026-01-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-11-21 | 2026-01-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-11-21 | 2026-01-20 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-11-21 | 2026-01-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-11-21 | 2026-01-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-11-21 | 2026-01-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-11-21 | 2026-01-20 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-11-21 | 2026-01-20 | Y |
| 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. | Health | 2025-11-21 | 2026-01-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-21 | 2025-09-10 | Y |
| 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. | Health | 2025-06-05 | 2025-06-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-05 | 2025-05-28 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-20 | 2025-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-20 | 2025-01-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-11-20 | 2025-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-20 | 2025-01-21 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-11-20 | 2024-12-18 | N |
| 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. | Health | 2024-11-20 | 2024-12-18 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-11-20 | 2024-12-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-20 | 2024-12-18 | N |
| 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. | Health | 2024-11-20 | 2024-12-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-20 | 2024-12-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-20 | 2024-12-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-20 | 2024-12-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-20 | 2024-12-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-31 | 2024-05-18 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-16 | 2024-02-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-11-16 | 2023-12-14 | Y |
| 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. | Health | 2023-11-16 | 2023-12-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-14 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-16 | 2023-12-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-07 | 2023-08-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-20 | 2023-08-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-17 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-20 | 2023-08-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-08-17 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-29 | 2023-08-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-31 | 2023-06-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-31 | 2023-06-29 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-25 | 2022-09-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-25 | 2022-09-16 | N |