Compass Healthcare and Rehab Rowan, LLC

In the surveyor’s words

From the most serious findings on record at Compass Healthcare and Rehab Rowan, LLC, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Aug 21, 2024

  Based on record review, and resident, staff, Nurse Practitioner (NP), and physician interviews, the facility failed to protect a resident from a significant medication error when Nurse #1 administered medications prescribed for Resident #26's roommate (Resident #18), as well as Resident #26's own medications, to Resident #26 during the morning medication pass on 08/19/24. The medications administered to Resident #26 included her prescribed dose of carvedilol 3.125 milligram (mg) (a blood pressure medication) and Resident #18's dose of carvedilol 12.5 mg. Resident #26 received her prescribed dose of clopidogrel 75 mg (a blood thinner) and Resident #18's dose of apixaban 5 mg (an anticoagulant). […]

• No harm, potential for more than minimal, widespreadF727Oct 11, 2023

  Based on record reviews and staff interviews, the facility failed to use the services of a Registered Nurse (RN) for 8 consecutive hours per day, 7 days per week for 5 of 5 dates reviewed (10/2/2022, 10/30/2022, 11/13/2022, 11/26/2022, and 12/25/2022). The findings included: The Payroll Based Journal (PBJ) data report for fiscal year 2023, quarter 1 from October 2022 to December 2022 was reviewed. The report indicated the facility had 4 or more days within the quarter with no Registered Nurse (RN) hours. The dates provided by the report were 10/2/2022, 10/30/2022, 11/13/2022, 11/26/2022, and 12/25/2022. A. The nursing schedule for 10/2/2022 was reviewed. No RN was scheduled to work on that date. The time sheets for 10/2/2022 were reviewed and no RN had worked any shift on 10/2/2022. B. […]

• No harm, potential for more than minimal, patternF584Aug 21, 2024

  Based on observations, record review, and staff interviews the facility failed to maintain a clean shower room for 1 of 1 shower room reviewed for a safe, clean, comfortable, and homelike environment. Findings included: An observation of the shower room conducted on 08/18/24 at 1:00 PM revealed a strong odor of feces, brown water and hair sitting in the shower. The walls of the shower appeared to have brown grime. In addition, two wheelchairs were in the shower room, multiple pairs of shoes were on the floor, a used razor was hanging on the sharps container door that was open and unlocked, and multiple body wash and shampoo bottles not labeled, and a used washcloth were sitting beside the sink. […]

• No harm, potential for more than minimal, patternF656Apr 28, 2022

  Based on resident and staff interviews and record review, the facility failed to develop a care plan that addressed discharge goals and plans for 5 of 7 residents (Residents #39, #53, #21, #12 and #7) reviewed for discharge planning. Findings included: 1. Resident #39 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #39 was cognitively intact. The assessment further indicated an active discharge plan was not in place for the resident to return to the community. […]

• No harm, potential for more than minimal, isolatedF687Dec 10, 2025

  Based on observation, record review, Responsible Party (RP), resident, and staff interviews, the facility failed to arrange or coordinate podiatry care for 1 of 1 dependent resident reviewed for foot care (Resident #17).The findings included:Resident #17 was admitted to the facility on [DATE] with diagnoses which included muscle weakness, stroke, diabetes, and lack of coordination. Review of Resident #17's admission Minimum Data Set (MDS) dated [DATE] revealed the resident was severely cognitively impaired and was dependent on staff for assistance with personal hygiene.Review of Resident #17's care plan, revised 10/08/25, revealed the resident had potential for complications related to diabetes. […]