B
75/100

Compass Healthcare and Rehab Rowan, LLC Inspection Report, Violations & Safety Grade (Spencer, North Carolina)

1404 S Salisbury Avenue, Spencer, North Carolina 28159

Phone: 7046333892

CMS Overall:3/5

Overview & Bed Count

Certified Beds
70
Avg Residents/Day
60.4
Ownership
For profit - Individual
Provider Type
Medicare and Medicaid
County
Rowan
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall3/5
Health3/5
Staffing3/5
Quality3/5

Nurse Staffing Check

MetricThis FacilityNorth Carolina AvgDifference
RN Hours per Resident per Day0.430.62-0.19
Total Nurse Hours per Resident per Day3.433.87-0.44
CMS Staffing Rating3/52.7/5-
Nursing Staff Turnover29.5%48.7%-

Health Citation History

9 health citations on record

DateCategoryDescriptionSeverity
2025-12-10Quality of Life and Care DeficienciesProvide appropriate foot care.D – Moderate Harm Potential
2025-12-10Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.D – Moderate Harm Potential
2024-08-21Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.J – Immediate Jeopardy
2024-08-21Resident Rights DeficienciesHonor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.E – Moderate Harm Potential
2024-08-21Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.D – Moderate Harm Potential
2023-10-11Nursing and Physician Services DeficienciesHave 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.F – Moderate Harm Potential
2023-10-11Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.D – Moderate Harm Potential
2023-10-11Resident Assessment and Care Planning DeficienciesEncode each resident’s assessment data and transmit these data to the State within 7 days of assessment.B – Minimal Harm Potential
2023-10-11Nursing and Physician Services DeficienciesPost nurse staffing information every day.B – Minimal Harm Potential

Fire Safety Citation History

3 fire safety citations on record

DateCategoryDescriptionSeverity
2024-08-21Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.D – Moderate Harm Potential
2024-08-21Gas, Vacuum, and Electrical Systems DeficienciesMeet requirements for the installation and maintenance of electrical systems.D – Moderate Harm Potential
2023-10-11Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.D – Moderate Harm Potential

Total Penalties & Fines

$10,039
Total Fine Amount (CMS)
1
Number of Fines
1
Total Penalties
DateTypeFine AmountPayment Denial
2024-08-21Fine$10,039-

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