Pembroke Center - Pembroke Nursing Home
General Information
UPDATEFederal Provider Number
345409
Provider Name
PEMBROKE CENTER
Provider Address
310 E WARDELL DRIVE
PEMBROKE, NC 28372
PEMBROKE, NC 28372
Provider Phone Number
(910) 521-1273
Provider SSA County
770
Provider County Name
Robeson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNBRIDGE RETIREMENT CARE ASSOCIATES, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-01-07
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08438
Reported LPN Staffing Hours per Resident per Day
0.87313
Reported RN Staffing Hours per Resident per Day
0.66438
Reported Licensed Staffing Hours per Resident per Day
1.53750
Reported Total Nurse Staffing Hours per Resident per Day
3.62189
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.56884
Expected LPN Staffing Hours per Resident per Day
0.78597
Expected RN Staffing Hours per Resident per Day
1.30711
Expected Total Nurse Staffing Hours per Resident per Day
4.66192
Adjusted CNA Staffing Hours per Resident per Day
1.99095
Adjusted LPN Staffing Hours per Resident per Day
0.92204
Adjusted RN Staffing Hours per Resident per Day
0.37979
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13164
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-07-25
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
1.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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