Deficiency Records for Atrium Place Health and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Atrium Place Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-12 | 2024-01-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-12 | 2024-01-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-12 | 2023-12-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-05 | 2023-06-21 | 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 | 2023-03-20 | 2023-05-11 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-20 | 2023-05-11 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-04-19 | 2023-05-02 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-12 | 2023-05-02 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-20 | 2023-05-02 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-23 | 2023-04-11 | 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 | 2023-03-20 | 2023-04-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-20 | 2023-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-20 | 2023-04-04 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-01-12 | 2023-01-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-21 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-21 | 2022-10-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-07-21 | 2022-08-24 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-21 | 2022-08-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-21 | 2022-08-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-21 | 2022-08-24 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-21 | 2022-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-08-24 | N |
| 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 | 2022-07-21 | 2022-08-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-08-24 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-21 | 2022-08-24 | 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 | 2022-07-21 | 2022-08-24 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-21 | 2022-08-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-15 | 2022-02-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-20 | 2022-02-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-20 | 2022-02-23 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-23 | 2019-12-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-23 | 2019-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-23 | 2019-12-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-23 | 2019-12-01 | N |
| 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 | 2019-10-23 | 2019-12-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-23 | 2019-12-01 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-10-23 | 2019-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-23 | 2019-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-23 | 2019-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-23 | 2019-12-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-23 | 2019-12-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-23 | 2019-12-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-23 | 2019-12-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-23 | 2019-12-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-23 | 2019-12-01 | N |
| 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 | 2018-08-30 | 2018-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-30 | 2018-10-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2018-08-30 | 2018-10-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-08-30 | 2018-10-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-30 | 2018-10-10 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-08-30 | 2018-10-10 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-08-30 | 2018-10-10 | N |
| 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 | 2018-08-30 | 2018-10-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-30 | 2018-10-10 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-08-30 | 2018-10-10 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-08-30 | 2018-10-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-30 | 2018-10-10 | N |
| Respond appropriately to all alleged violations. | Health | 2018-08-30 | 2018-10-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-30 | 2018-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-30 | 2018-10-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-30 | 2018-10-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-08-30 | 2018-10-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-30 | 2018-10-10 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-08-30 | 2018-10-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-08-30 | 2018-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-10-10 | N |
| Use approved construction type or materials. | Fire Safety | 2018-08-30 | 2018-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-08-30 | 2018-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-30 | 2018-10-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-08-30 | 2018-10-10 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-08-30 | 2018-10-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-30 | 2018-10-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-30 | 2018-10-10 | N |
