Provider Name: COMPASS POST ACUTE REHABILITATION
Address: 2320 HIGHWAY 378, CONWAY, SC 29527
Phone: (843) 397-2273
County: Horry (250)
Ownership Type: For profit - Corporation
Certified Beds: 95
Average Residents Per Day: 81.3 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: CAROLINA HEALTHCARE LLC
First Approved Date: August 20, 2009
Affiliated Entity: THE ENSIGN GROUP (507)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 4 ()
QM Rating: 5 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.89012, LPN Staff Hours Per Day: 1.0212, RN Staff Hours Per Day: 0.5301, Licensed Staff Hours Per Day: 1.5513
Total Nurse Staff Hours Per Day, per resident: 3.44146
Weekend Nurse Staff Hours: 2.96444, Weekend RN Staff Hours: 0.3037
PT Staff Hours Per Day, per resident: 0.1828
Nurse Staff Turnover: 52.7, Nurse Turnover Note:
RN Turnover: 52.9, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0178, Case Mix LPN Hours Per Day: 0.7146, Case Mix RN Hours Per Day: 0.3853
Adjusted Nurse Aide Hours Per Day, per resident: 1.90827, Adjusted LPN Hours Per Day: 1.0546, Adjusted RN Hours Per Day: 0.5184
Total Adjusted Nurse Hours Per Day, per resident: 3.47926
Adjusted Weekend Nurse Hours Per Day, per resident: 2.99700
Health Survey Dates and Scores: Cycle 1: 2022-05-20 (Score: 0), Cycle 2: 2021-01-08 (Score: 8), Cycle 3: 2019-07-18 (Score: 32)
Total Weighted Health Score: 8.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 2320 HIGHWAY 378,CONWAY,SC,29527 (33.8432, -79.092)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-02-03
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-02-03
Type: Health, Deficiency: Provide enough food/fluids to maintain a resident's health.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-05
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-02
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-07-23
Type: Health, Deficiency: Dispose of garbage and refuse properly.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-02
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-08-07