The nursing home failed to ensure residents were free from significant medication errors. Cited August 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 760 — 42 CFR §483.45(f)(2) — S/S: J
Nursing home report
Magnolia Estates Skilled Care
Registered name: Compass Healthcare and Rehab Rowan, LLC
Spencer, NC · Medicare-certified · 70 beds
Needs attention
For-profit
Data as of July 1, 2026
3 of 5 overall
3 out of 5 stars overall. Magnolia Estates Skilled Care has a 2-star staffing rating with reported nurse staffing at 3.25 hours per resident per day, below the federal benchmark of 4.1, and it has had $10,039 in fines in the last 24 months with a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.2489 hrs/resident/day
Quality measures
Last inspection: December 10, 2025Penalties, last 24 months: $10,039recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2489.
Staffing detail
- Registered nurses
- 0.44
- Licensed practical nurses
- 0.87
- Nurse aides
- 1.93
- Weekend nursing
- 2.97
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 25%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
20.5%12.8%Improving
Residents with a fall causing major injury
0%5.7%Worsening
Residents with pressure ulcers (bedsores)
2.1%2.3%No change
Residents with a urinary tract infection
1.7%9.6%Worsening
Residents who lost too much weight
7.5%10%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
20%31.9%Worsening
Residents whose ability to walk got worse
—25.9%—
Long-stay residents on antianxiety or sleep medication
25.9%31.4%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
0%1.3%Worsening
Residents with new or worsening incontinence
6.2%12.7%Worsening
Residents with depressive symptoms
1.8%1.9%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—98.5%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
95%83.3%Worsening
What the inspectors found
The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited October 2023 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to provide appropriate foot care for residents. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 687 — 42 CFR §483.25 — S/S: D
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — isolated incident, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $10,039 was recorded.
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $10,039 in total fines.
- $10,039
Federal fine
Aug 21, 2024
Operator & ownership
Recent ownership change · Dec 20, 2018
Now operated by Compass Healthcare and Rehab Rowan, LLC, previously Trc of Salisbury, INC..
- Ownership
- For profit - Individual
- Occupancy
- 59.7 residents on an average day (85% of 70 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 38 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.