Compass Healthcare and Rehab Rowan, LLC
1404 S Salisbury Avenue, Spencer, NC 28159 · Rowan County · 70 certified beds · avg 60 residents/day · certified since Aug 11, 1988
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, one-off · Aug 21, 2024 · F-0760
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Sep 13, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (9)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Dec 10, 2025 | D · Potential for harm, one-off | The facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. |
| Dec 10, 2025 | D · Potential for harm, one-off | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Aug 21, 2024 | ▲ J · Immediate jeopardy, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. |
| Aug 21, 2024 | E · Potential for harm, repeated | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint |
| Aug 21, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Oct 11, 2023 | F · Potential for harm, facility-wide | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. |
| Oct 11, 2023 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Oct 11, 2023 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
| Oct 11, 2023 | B · Minimal risk, repeated | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | F |
| 2024 | 3 | 1 | J ▲ |
| 2025 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
1 fine totaling $10,039.
| Date | Type | Amount / length |
|---|---|---|
| Aug 21, 2024 | Fine | $10,039 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | North Carolina avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.15 | 4.01 | 3.95 | bottom 12% in North Carolina; bottom 19% in the U.S. |
| Registered Nurse hours | 0.43 | 0.64 | 0.69 | bottom 31% in North Carolina; bottom 27% in the U.S. |
| Weekend total nurse staffing | 2.88 | 3.56 | 3.50 | bottom 19% in North Carolina; bottom 25% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.25 | 0.41 | 0.48 | bottom 32% in North Carolina; bottom 21% in the U.S. |
| Total nursing staff turnover (%) | 35.1 | 49.0 | 45.8 | top 17% in North Carolina; top 24% in the U.S. |
| RN turnover (%) | 25.0 | 45.7 | 42.9 | top 17% in North Carolina; top 20% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.25, RN 0.44, weekend 2.97. Staffing rating: 2/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
For profit - Individual
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Nunn, Todd | Individual | 5% or Greater Direct Ownership Interest | 100% | 12/21/2018 |
| Nunn, Todd | Individual | Corporate Officer | NOT APPLICABLE | 12/21/2018 |
| Nunn, Todd | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/21/2018 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "How is routine foot care handled here, and does a podiatrist visit regularly?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Autumn Care of Salisbury | 1.3 mi | Salisbury, NC | ★★★★☆ | 3/5 | |
| NC State Veterans Home - Salisbury | 1.5 mi | Salisbury, NC | ★★★★☆ | 2/5 | |
| Piedmont Health & Rehab Center | 1.9 mi | Salisbury, NC | ★★☆☆☆ | 2/5 | |
| Meadowbrook Health & Rehabilitation | 2.7 mi | Salisbury, NC | ★☆☆☆☆ | 1/5 | |
| Trinity Oaks | 3.3 mi | Salisbury, NC | ★★★★★ | 4/5 | |
| The Laurels of Salisbury | 4.5 mi | Salisbury, NC | ★★★☆☆ | 3/5 | |
| Liberty Commons Nsg and Rehab Ctr of Rowan County | 6.1 mi | Salisbury, NC | ★★★☆☆ | 3/5 | |
| Davidson Health & Rehab Center | 9.9 mi | Lexington, NC | ★☆☆☆☆ | 1/5 | abuse |
| Pine Acres Center for Nursing and Rehabilitation | 12.0 mi | Lexington, NC | ★☆☆☆☆ | 1/5 | |
| Lexington Health Care Center | 14.8 mi | Lexington, NC | ★★☆☆☆ | 2/5 | abuse |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 345288.