Federal inspection record · CMS data as of October 1, 2026
Compass Healthcare and Rehab Kannapolis, LLC
1285 West A Street, Kannapolis, NC · (704) 932-0000
- Certified beds
- 50
- Residents per day
- 43
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- January 1, 1991
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in North Carolina.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among North Carolina homes
Compass Healthcare and Rehab Kannapolis, LLC carries 15 inspection points. That is fewer than 67% of North Carolina's 415 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in North Carolina: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–4 pts
- 4★ 4–15 pts
- 3★ 15–35 pts
- 2★ 35–73.5 pts
- 1★ over 73.5 pts
Bars show every rated home in North Carolina by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
16 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (1)
-
L
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Everything else, by area of care
Resident Rights6D
- D
Allow resident to participate in the development and implementation of his or her person-centered plan of care.
- B
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- C
Ensure residents have reasonable access to and privacy in their use of communication methods.
- B
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
- B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Quality of Life and Care3D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control2E
- E
Develop and implement policies and procedures for flu and pneumonia vaccinations.
- E
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.
Administration1E
- E
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Resident Assessment and Care Planning1D
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Inspection history
2025-08-28
4 health deficiencies · 8 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2024-07-11
5 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Rights (3 deficiencies)
2023-03-29
7 health deficiencies · 1 fire-safety deficiencies
Top issue: Infection Control (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 44 min of nursing staff time a day, 32 min of it from a registered nurse.
This home
4 h 44 min
North Carolina average
3 h 52 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts worse | 1.8 | 1.7 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts better | 0.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine4.6 pts better | 97.0% | 92.4% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine5.3 pts better | 100.0% | 94.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.3 pts worse | 6.7% | 3.4% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms20 pts worse | 26.8% | 6.8% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.7 pts better | 6.4% | 7.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication10.9 pts worse | 32.0% | 21.1% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.9 pts worse | 23.8% | 13.9% | 15.4% |
| Percentage of long-stay residents who were physically restrainedAbout the same | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened3.4 pts worse | 20.0% | 16.6% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.9 pts worse | 25.9% | 15.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.4 pts worse | 1.0% | 0.6% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection7.1 pts worse | 9.2% | 2.1% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence15 pts worse | 34.9% | 19.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts better | 2.3% | 5.4% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine15 pts better | 96.5% | 81.5% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit12.7 pts better | 0.0% | 12.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.1 pts better | 1.3% | 1.4% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine18.9 pts better | 100.0% | 81.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission6.9 pts better | 15.3% | 22.2% | 23.4% |
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Fire safety
16 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke7F
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D
Inspect, test, and maintain automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
- D
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- F
Install a fire alarm system that can be heard throughout the facility.
- D
Properly install and monitor supervisory attachments on automatic sprinkler systems.
- D
Install corridor and hallway doors that block smoke.
Gas, Vacuum, and Electrical Systems5E
- D
Meet requirements for the installation and maintenance of electrical systems.
- D
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- E
Have generator or other power source capable of supplying service within 10 seconds.
Services2D
- D
Have properly installed electrical wiring and gas equipment.
- D
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
Egress1D
- D
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.
Construction1D
- D
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy.
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★★★★★- Worst citation, 3 yrs
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-
The Greens at Cabarrus
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Five Oaks Rehabilitation and Care Center
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