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Deficiency Records for Atlas Rehabilitation and Healthcare at West Deptfor
View the most recent health deficiencies and inspection results for Atlas Rehabilitation and Healthcare at West Deptfor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Atlas Rehabilitation and Healthcare at West Deptfor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-10 | 2026-02-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-12-10 | 2026-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-10 | 2025-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-10 | 2025-12-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-12-10 | 2025-12-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-12-10 | 2025-12-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-12-10 | 2025-12-31 | 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 | 2025-12-10 | 2025-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-10 | 2025-12-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-10 | 2025-12-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-12-10 | 2025-12-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2025-12-10 | 2025-12-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-12-10 | 2025-12-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-26 | 2025-09-16 | 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 | 2025-06-16 | 2025-07-07 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-09 | 2024-08-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-09 | 2024-08-13 | 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 | 2024-07-09 | 2024-08-13 | 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 | 2024-07-09 | 2024-08-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-09 | 2024-08-13 | 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 | 2024-07-09 | 2024-08-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-07-09 | 2024-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-09 | 2024-08-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-09 | 2024-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-09 | 2024-08-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-09 | 2024-08-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-09 | 2024-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-09 | 2024-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-09 | 2024-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-01 | 2022-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-01 | 2022-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-01 | 2022-12-13 | 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 | 2022-11-01 | 2022-12-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-01 | 2022-12-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-01 | 2022-12-13 | 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 | 2022-11-01 | 2022-12-13 | 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 | 2022-11-01 | 2022-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-01 | 2022-12-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-01 | 2022-12-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-01 | 2022-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-01 | 2022-12-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-11-01 | 2022-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-01 | 2022-12-13 | N |