A list of the most recent deficiencies for Atlas Post Acute. 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? |
|---|---|---|---|---|
| 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 | 2023-11-27 | 2024-01-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-27 | 2024-01-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-27 | 2023-12-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-27 | 2023-12-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-27 | 2023-12-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-27 | 2023-12-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-27 | 2023-12-18 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2023-11-27 | 2023-12-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-27 | 2023-12-18 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-02 | 2023-12-06 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-11-02 | 2023-12-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-02 | 2023-12-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-02 | 2023-12-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-02 | 2023-12-06 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-11-02 | 2023-12-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-02 | 2023-12-06 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-11-02 | 2023-12-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-02 | 2023-12-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-02 | 2023-12-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-11-02 | 2023-12-06 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-11-02 | 2023-12-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-02 | 2023-12-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-02 | 2023-12-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-02 | 2023-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-12-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-02 | 2023-12-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-06 | 2023-10-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-06 | 2023-10-18 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-04-24 | 2023-07-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-04 | 2023-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-04 | 2023-07-03 | N |
| Meet other general requirements. | Fire Safety | 2023-05-04 | 2023-06-14 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-04-24 | 2023-06-07 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-04-24 | 2023-06-07 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-04-24 | 2023-06-07 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-24 | 2023-06-07 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-04-24 | 2023-06-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-24 | 2023-06-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-24 | 2023-06-07 | N |
| Provide activities to meet all resident's needs. | Health | 2023-04-24 | 2023-06-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-04-24 | 2023-06-07 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-04-24 | 2023-06-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-24 | 2023-06-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-24 | 2023-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-24 | 2023-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-24 | 2023-06-07 | Y |
| 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. | Health | 2023-04-24 | 2023-06-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-24 | 2023-06-07 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-04 | 2023-06-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-05-04 | 2023-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-04 | 2023-05-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-04 | 2023-05-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-04 | 2023-05-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-04 | 2023-05-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-08 | 2022-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-08 | 2022-12-05 | N |
| Have an externally vented heating system. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-08 | 2022-11-30 | N |
| Provide or obtain dental services for each resident. | Health | 2022-10-20 | 2022-11-18 | N |
| Meet other general requirements. | Fire Safety | 2022-11-08 | 2022-11-14 | 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 | 2022-11-08 | 2022-11-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-08 | 2022-11-14 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-08-23 | 2022-09-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-01 | 2022-07-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-01 | 2022-07-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-01 | 2022-07-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-01 | 2022-07-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-01 | 2022-07-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-01 | 2022-07-07 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-01 | 2022-07-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-06-01 | 2022-07-07 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-06-01 | 2022-07-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-09 | 2022-03-14 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-02-09 | 2022-03-14 | Y |
| 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. | Health | 2022-02-09 | 2022-03-14 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-02-09 | 2022-03-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-09 | 2022-03-14 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-09 | 2022-03-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-09 | 2022-03-14 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-02-09 | 2022-03-14 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-02-09 | 2022-03-14 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-02-09 | 2022-03-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-09 | 2022-03-14 | Y |
| Dispose of garbage and refuse properly. | Health | 2022-02-09 | 2022-03-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-09 | 2022-03-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-02 | 2021-09-30 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-09-02 | 2021-09-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-07-08 | 2021-08-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-08 | 2021-08-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-08 | 2021-08-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-08 | 2021-08-17 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-08 | 2021-08-17 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2021-05-17 | 2021-06-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-17 | 2021-06-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-17 | 2021-06-08 | Y |
