Deficiency Records for Compass Healthcare and Rehab Rowan, LLC
Updated as of October 01, 2018
This is not the most recent data for Compass Healthcare and Rehab Rowan, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Compass Healthcare and Rehab Rowan, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2017-08-10 | 2017-09-24 | N |
| Add 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. | Fire Safety | 2017-08-10 | 2017-09-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-08-10 | 2017-09-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-08-10 | 2017-09-24 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-08-10 | 2017-09-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-08-10 | 2017-09-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-10 | 2017-09-24 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-08-10 | 2017-09-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-10 | 2017-09-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-08-10 | 2017-09-24 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-07-21 | 2017-08-18 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-21 | 2017-08-18 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-21 | 2017-08-18 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-07-21 | 2017-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-21 | 2017-08-18 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-21 | 2017-08-18 | Y |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-07-21 | 2017-08-18 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-07-21 | 2017-08-18 | Y |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2017-07-21 | 2017-08-18 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-07-21 | 2017-08-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-07-21 | 2017-08-11 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-07-21 | 2017-08-11 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-07-21 | 2017-08-11 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-21 | 2017-08-11 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-07-01 | 2016-08-08 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-07-01 | 2016-08-08 | N |
| At least two remote exits on each floor or fire section of the building. | Fire Safety | 2016-07-01 | 2016-08-08 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-07-01 | 2016-08-08 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-07-01 | 2016-08-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-09 | 2016-07-07 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-06-09 | 2016-07-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-09 | 2016-07-07 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-09 | 2016-07-07 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-09 | 2016-07-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-09 | 2016-07-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-06-09 | 2016-07-07 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-06-09 | 2016-07-07 | Y |
| Provide housekeeping and maintenance services. | Health | 2016-06-09 | 2016-07-07 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-06-09 | 2016-07-07 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2015-07-08 | 2015-07-21 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-07-08 | 2015-07-21 | N |
| At least two remote exits on each floor or fire section of the building. | Fire Safety | 2015-07-08 | 2015-07-21 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-07-08 | 2015-07-21 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-07-08 | 2015-07-21 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-07-08 | 2015-07-21 | N |
| Provide housekeeping and maintenance services. | Health | 2015-06-17 | 2015-07-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-06-17 | 2015-07-10 | N |
