Rowan Community, Inc

In the surveyor’s words

From the most serious findings on record at Rowan Community, Inc, in the surveyor’s own words.

• Actual harm, isolatedF689May 22, 2025

  Based on observations, record review and interviews, the facility failed to ensure residents had adequate supervision and assistive devices to prevent accidents for one (#51) of five residents reviewed out of 32 sample residents. Resident #51, who was at risk for falls and had a history of falls, experienced 21 falls between 1/13/25 to 5/15/25. The facility's interdisciplinary team (IDT) met after the falls to determine a root cause for the resident's falls and implement interventions. However, the facility's review of the falls was not always timely. […]

• Actual harm, isolatedF740May 22, 2025

  Based on observations, interviews, and record review, the facility failed to provide the necessary mental health care and services to attain or maintain the highest practicable physical, mental and psychosocial well being for one (#16) of three residents reviewed for mental health out of 32 sample residents. Resident #16, was admitted on [DATE] and readmitted on [DATE], with diagnoses of bipolar disorder and dissociative disorder. The resident had a previous reported history of suicidal ideation with self-harm. […]

• No harm, potential for more than minimal, widespreadF880Apr 24, 2024

  Based on observations and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the development and transmission of diseases and infection at the facility. Specifically, the facility failed to; -Ensure housekeeping staff followed the proper cleaning techniques for cleaning resident rooms and disinfecting high frequency touched areas (light switches and door handles); -Ensure housekeeping staff performed hand hygiene when appropriate; -Clean the mechanical lift and vitals machine between each use with a resident; -Perform hand hygiene during medication administration; -Offer hand hygiene to each resident before meals; and, -Perform hand hygiene between each resident when assisting with… […]

• No harm, potential for more than minimal, widespreadF812Jan 10, 2023

  Based on observations, record reviews, and staff interviews, the facility failed to ensure food was prepared, stored, and served under safe and sanitary conditions to prevent the potential contamination of food and the spread of foodborne illness in one of one kitchen and two of three medication carts. Specifically, the facility failed to ensure: -Food holding temperatures were at appropriate levels to prevent the growth of foodborne pathogens; -Moisture was not between stacked pans; and, -Proper chemical concentrations for the sanitation bucket. Findings include: I. Inadequate holding temperatures Food temperatures of cold and hot food items were not held at the proper temperature to reduce the risk of food borne illness. A. […]

• No harm, potential for more than minimal, widespreadF880Jan 10, 2023

  Based on observations, record review and interviews, the facility failed to maintain an infection control program designed to provide a safe, sanitary and comfortable environment to help prevent the possible development and transmission of infectious diseases for two out of three units. Specifically, the facility failed to: -Ensure professional standards of infection control were followed while cleaning a resident room where the resident in the room was on transmission-based precautions, specifically droplet precautions for a COVID-19 infection; -Ensure that different rags were used to clean and disinfect different potentially contaminated surfaces; -Ensure housekeeping staff changed gloves and performed hand hygiene consistently when moving from a task where the staffs hand became… […]